Honour Is Shakespeare’s “Much Ado About Nothing”

When we look closely at the romance of Beatrice and Benedick, we see the problems that a rational lover has in putting aside his concept of honour in order to love a woman and Shakespeare cleverly contrasts this relationship with our idealistic lover Claudio, who is incapable of rejecting the restrictions that honour places on a man. In a parallel construction we see through the relationship that the boorish Claudio has with the docile Hero that for love to flourish it must reject chivalric notions of honour. The social hierarchy of Messina, is a very class conscious one and being witty is almost a full time occupation for many of its inhabitants. Playing practical jokes and tricks upon each other is a subtle way of maintaining the strict codes of conduct and among the most successful and benevolent of the deceptions practised are the parallel practical jokes played on Beatrice and Benedick in order to trick each of them into admitting their love for one another. In their first encounter, we see Beatrice and Benedick using their superior intellects to ridicule each other. Benedick warns her to ‘keep her ladyship’ and she lashes back with insults around his physicality suggesting that he is so ugly that ‘scratching his face could not make it worse’. Benedick uses his wit to shield himself from her barbs, hiding his true feelings and pretending to enjoy his bachelor existence when actually it is a mechanism for his safety. Benedick presents one face to the world in order to be accepted by the society that judges him and it is this society that acknowledges his wit, but underpinning Benedick’s wit is his distaste for the superficial values that Messinian society is built upon. His ironic attitude towards both himself and the world he is held captive by is apparent in his soliloquy, where he weighs up the discrepancy between how the world sees him and how he sees himself. The repartee between Beatrice and Benedick is sometimes blunt and crude, sometimes elaborate and self conscious. Puns, similes, metaphors, and paradoxes are all brought into play in their continual game of mutual insults and it is this aggressive verbal battle which pushes Beatrice and Benedick to the foreground of the play. Being in love is a game for fools and Benedick vows to never be ‘such a fool’. Benedick persuades himself that by staying away from Beatrice and denying himself any notions of marriage, he is a confirmed misogymist, that he is the stronger individual and has control over his life instead of living for another human being and risking becoming a hopelessly ‘in love’ lover. Benedick views women in society as somehow predatory, wanting to ‘capture’ a man and contain him in marriage, only to torture him with subsequent betrayal. However when faced with a woman such as Beatrice, who proclaims herself equally contemptuous of marria ge and for the same reasons, Benedick’s role begins to fall apart, which is where Benedick faces the biggest battle in his life, as he fights to hold on to his notions of male honour. But no matter how hard he tries he cannot frame for himself a separate language of love and as a result he and Beatrice construct a loving relationship which is as much of a sparring match as their enmity, once Benedick gives up his notions of male honour. In stark contrast to Benedick and Beatrice, Shakespeare’s ideal lovers, Claudio and Hero, ‘believe’ they are in love with each other, but we quickly see that when put to the test this love is superficial and lacks the true acknowledgement of each other’s individuality needed to sustain it. Their love for each other, although seemingly sincere, dissipates at the first obstacle and doubt sees one quick to accuse the other of adultery. For Beatrice and Benedick however, their jokes are the means whereby they can resist the kind of love-relationship exemplified by Hero and Claudio. In the end the ‘happy-ending’ which sees Hero married off to Claudio is one fraught with contradictions, for this conventional relationship, founded as it is on romantic love, which they exemplify, has been severely satirised by Shakespeare. By presenting the relationship between Beatrice and Benedick as real and not idealistic, we see the fragility of an idealised, romantic love such as the one Claudio has with Hero and its tendency to collapse into loathing and disgust becomes all too apparent. Appropriately the play ends not with Claudio and Hero whose strict adherence to an unbending code of honour temporarily fragments their relationship, but with Beatrice and Benedick who overcome both the male code of honour and society’s expectations to love and accept each other for their individual selves. There is a relationship built on mutual trust, respect and acceptance and proof that Love must be truthful to be sustained.

Vacant Chapter 9 Love

The words are ringing in my ears: â€Å"I love you.† It occurs to me I may have misheard. It's the only possible explanation. â€Å"So, you're okay? Don't listen to those girls, Emily.† I'll just pretend those three little words aren't hanging in the air – regardless of whether they were actually said. â€Å"Ethan, did you hear what I just said?† What do I say? I have no idea how to approach this, so I just stare at her wide-eyed. After a few moments, I feel warmth creeping up my thigh and realize its Emily's hand. At first, it's an attempt to get my attention, but as her hand ascends, I realize the intent is not so innocent. â€Å"We have to go. It's time to go,† I say, stilted, like Rain Man talking about his Kmart underwear. I grip the steering wheel for dear life because if I don't, the car and my life will go careening into the abyss. I've spent all this time convincing myself that Emily and I could never be anything but friends. Knowing that she may feel the same about me as I feel about her will complicate things, and I suddenly feel trapped. It's so quiet as we drive, that I hear a small plinking that would go unnoticed otherwise, but as I near the duplex, the sound the car is making increases. I briefly wonder if it's because the plink is getting worse or the quiet is just so intense. I make a mental note to find the origin of the plinking before putting too many more miles on the car. I should be thinking about the woman sitting next to me and her recent declaration instead of small pings, but I'm not†¦ I can't. If I do†¦ no. I can't think. I'm not even sure how I get here, but I'm sitting in the middle of my bed, having an argument with myself. It's no surprise that I'm winning. â€Å"She told you she loves you.† â€Å"She says she loves to cook. She loves lots of things.† â€Å"She's in there and you're in here.† â€Å"You really need to clean the ceiling fan blades.† I can't help but roll my eyes at myself. When I finally exit my room, the apartment is dark and quiet. Emily is asleep on the couch with a tight grip on the blankets. Little does she know she's gripping at my heart the same way. The notebook on the side table catches my eye, and I can't help but snoop. As I near it, I see there are several wads of paper strewn across the floor – discarded because they weren't perfect. The top piece, still clinging to life in its spiral bindings, is flawless. Dear Ethan – Sitting down to write this, I've never felt more like a young girl than I do right now. For the past two years, I've looked at you every day in hopes that someday – you'd feel for me, what I feel for you. But now I see that we perceive different things regarding our relationship. Maybe it could be classified on my part as hero worship, but I'd like to think I'm smarter than that. I think I know the difference between infatuation and love. I know there is a difference in our ages, but who cares? My heart has no idea how old your heart is. I just know that if I don't tell you, it will fester inside me, and I'll die a slow painful death. I've only ever loved my mom and never really knew what it was like to care for another person until I met you. I didn't fall in love with you that first day, but after many months of learning to appreciate your care and concern, I could see how kind your soul – your whole being is. That's when I knew another kind of love existed. It isn't the type of love between family members, or a crush, but a true love that is unconditional and lasting, a love that I can no longer hide. I know you probably don't return these feelings, but I couldn't go another second without you knowing. I understand if it makes you uncomfortable, and I'll find another place to live if you feel like we can no longer be friends. Love always, Emily I tightly clutch the notebook page in my hand. How can she do this to me? Doesn't she know what she's done? No†¦ it's not right. Not now, and without any further thoughts, I'm out the door.

Care Plan Chronic Heart Failure Health And Social Care Essay

Medical intercession contributes to a addition in life anticipation albeit to differing grades depending on mark populations2. Therefore, the quality of services provided is straight relative to the addition in life anticipation. The fleet growing in the Numberss of physicians in the United Kingdom in the last decennary was seen to be a step to suit the lifting figure of hospital admittances that rose as a consequence of the increased life expectancy3. The physician to population ratio grew from 2/1000 people in 2000 to 2.4/ 1000 people in merely a mere 5 years3. Despite the rapid growing, the ratio is still short as compared to other European states viz. France, Germany or Italy. This is worsened by the fact that the figure of patients treated in NHS infirmaries rose by 15 % at the same clip interval3. It is of import to use the expertness of other health care professionals, viz. community druggists, in support of the increasing figure of patients in the community in order to better patient attention. The World Health Organization defines chronic complaints to be ‘a wellness job necessitating on-going direction over a period of old ages or decennaries ‘ . NHS Scotland has identified that chronic unwellness is farther complicated by demographical alterations, increasing co-morbidities, widening spread of wellness inequalities and the increased outlooks placed on the health care system4. Actions have been taken to promote modernisation of NHS community pharmaceutics in Scotland. The debut of the New Pharmacy Contract was the action program from the Scottish Executive ‘s scheme papers ‘The Right Medicine ‘ in which nucleus pharmaceutical attention services such as Chronic Medication Service ( CMS ) , Minor Ailments Service ( MAS ) , Acute Medication Service ( AMS ) and Public Health Service were designed to optimise the use of community druggist ‘s accomplishments to widen the range and farther better the quality of attention proviso to patients5. The contract was driven by a quotation mark by the World Health Organization ( WHO ) in 2002, adverting that reacting to the demands to patients with chronic conditions post the biggest challenge to wellness systems around the globe4. The foundation of the CMS is built upon the cardinal countries: patient centered ; clinical administration ; collaborative working ; support for execution ; monitoring and reappraisal and service development6. The nucleus aims of CMS are summarized in Appendix 1. The altering function of the druggist is in response to the increasing demand for betterment in patient ‘s medicines direction. The debut of the CMS is to further develop the parts of the community druggist to guarantee the continuity of pharmaceutical attention in patients with long-run conditions every bit good as cementing the stature of community druggists in the NHS4. Pharmaceutical attention is an effectual tool in the direction of chronic complaints and is defined as the responsible proviso of drug therapy for the intent of accomplishing definite results that improve a patient ‘s quality of life harmonizing to Hepler and Strand7. Pharmaceutical attention is hence a collaborative attempt between healthcare professionals endeavoring to better drug therapy direction via uninterrupted monitoring of inauspicious effects, effectivity and patient instruction all meeting to better patient ‘s quality of life8. Healthcare professionals play a critical function in autho rising patients to take charge of their ain wellness, as this would ease them in accomplishing their coveted quality of life relevant to their wellness believes6. Community druggist can be the accelerator in smoothing the patient ‘s journey of attention by being the gateway of information via improved entree to healthcare services and to back up self-care6. It is simple to merely purchase a battalion of medicine over the counter to handle an false unwellness but the bulk is incognizant of the possible injury it presents. Some might non take earnestly an overdose of medicines that have a broad curative index but for drugs that have a narrow curative index, a simple overdose could be fatal. There is merely so much a prescriber could make but hanker term attending is indispensable to guarantee that patients get the best out of their medicine particularly in those who have multiple co-morbidities. The attack of CMS is through the constitution of curative partnerships between general medical practicians, druggists and patients to better patient attention by guaranting better local entree to wellness care6. Fostering such commitment will minimise duplicate of functions and, with good defined functions, can advance a holistic attack to the pharmaceutical and clinical attention of patients6. The end is to assist patients harvest the most out of their medical specialties but besides minimise any associated risks4. Community druggist is frequently the first and lone point of call. Community druggists can bridge the spread in a patient ‘s journey of attention and therefore better the whole curative class by expecting, placing, deciding and forestalling medicine-related issues4,9. These medicine-related issues include: Safety and efficaciousness Side effects Conformity and harmony Identify markers of hapless control Symptom specific markers to motivate referral Supplying and advancing wellness information and instruction CMS is a service that requires patients ‘ voluntary engagement and is by and large broken down into 3 phases. Phase 1 involves the enrollment of the patient for the service. Stage 2 involves the debut of a generic model for pharmaceutical attention planning. Phase 3 is the constitution of the shared attention component between the GP and the community pharmacist6. A pharmaceutical attention program paperss the patient ‘s pharmaceutical attention demands, attention issues, desired results and actions required as portion of the pharmaceutical attention planning of the patient. Figure 1 summarizes the pharmaceutical attention be aftering rhythm. Identify and prioritise patients with pharmaceutical attention demands Identify and reexamine pharmaceutical attention issuesImplement and proctor pharmaceutical attention programFormulate and document a pharmaceutical attention programFigure 1: Pharmaceutical Care Planning CycleTo get down of with attention planning, critical information that may act upon the attention program such as patient ‘s general wellness, allergic reactions or sensitivenesss, other medical conditions and hazard factors are noted. A hazard appraisal is so made to help the druggist in placing and prioritising any pharmaceutical attention needs that a patient might necessitate or is deprived from in footings of service, which as a consequence influences the therapy6. Next, an appraisal is made to place and reexamine the patients pharmaceutical attention demands and refering issues. This can enable the druggist to measure the medical specialties regimen that a patient is on in footings of efficaciousness or toxicity profile and besides allows the druggist to measure how deep the patients understand their medicines and intervention and the extend of their wellness believes. Subsequently, a pharmaceutical attention program is drafted based on the attention issues that have been identified with the understanding of the patient. This attention program serves as a protocol in which issues are placed on a hierarchy of precedence, outcome ends are defined, proposals to any class of action documented every bit good as clearly specifying the health care forces and their duties for assorted monitoring that ought to be conducted. Changeless reappraisals and monitoring is done to measure the results of the attention program upon execution and alterations are made along the manner, when required, to maximise the curative result. To accomplish the maximal curative benefit, the patient ‘s wellness belief and apprehension of the therapy is indispensable. Hence, reding and advice by the druggist before, during and after the procedure is good. Chronic Heart Failure ( CHF ) is one of the 13 long-run disease provinces covered in the CMS protocol stand foring the most frequent indicant for therapy4. The list of all 13 disease provinces are listed in Appendix 2. Heart Failure is one of the most crippling medical conditions which can badly impact a patient ‘s quality of life hence seting force per unit area on hospitalization and health care budgets10. The Scots Intercollegiate Guidelines Network ( SIGN ) defines CHF as a complex clinical syndrome ensuing from any structural/ functional upset that impairs the ability of the bosom to react to physiological demands for increased cardiac output11. Hence, bringing of blood is compromised12. Abnormality in cardiac construction, beat, map or conductivity can all take to unequal perfusion, venous congestion and disturbed H2O and electrolyte balance that underlie CHF13. In add-on, normal compensatory mechanisms become compromised taking to maladaptive secondary physiological effe cts that contribute to the progressive nature of the disease12. CHF can be a effect of assorted underlying complications such as myocardial infarction and/or high blood pressure and the most common being left ventricular systolic disfunction ( LVSD ) . Coronary arteria disease, aortal stricture, dilated myocardiopathy, alcoholic myocardiopathy, Chagas ‘ disease, endomyocardial fibrosis and other mechanical defects such as cardiac valvular disfunction, degenerative valve disease, arthritic valve disease, terrible anaemia and thyrotoxicosis are the more common causes of CHF around the Earth but other rarer causes do exist12,13. Management of these predisposing factors can be good in relieving the symptoms of bosom failure. Table 1 is the New York Heart Association ( NYHA ) categorization system used to sort patients with bosom failure based on their functional position. Table 2 is ACC /AHA phases of HF ; a addendum to the NYHA categorization. It is estimated that there is a prevalence of about 1-2 % for bosom failure in developed countries10,14. The life-time hazard of developing HF is approximately 20 % for patients above 40 old ages old and besides the taking cause of hospitalization for patients above 65 old ages old10,14. Harmonizing to the European Society of Cardiology, above 15 million patients are diagnosed with HF in 51 European states consisting a population of around 900 million15. The prevalence of HF is about 1-2 % in the western society and the incidences are between 5-10/ 1000 instances per annum16. A recent US population-based survey, the prevalence of bosom failure was 2.2 % ( 95 CI 1.6 % to 2.8 % ) , increasing from 0.7 % in individuals aged 45 through 54 old ages to 8.4 % for those aged 75 old ages or older17. Similar minor expense forms, 1 % for the 55-64 age group increasing to 13 % in the 75-84 age group was observed from the Rotterdam study18. In the contrary, for the below 50 age group, incidences of HF are rare16. Improved endurance from acute myocardial infarction ( MI ) coupled with the aging population contributes to the spike in incidence and prevalence of HF19. One critical function community pharmacist drama is to advice and offer guidance on a healthy life style. Lifestyle and dietetic alterations are schemes aimed at forestalling cardiovascular diseases ( CVD ) which are possible predisposing factors taking to CHF. The development of CVD is affected by multiple dietetic factors and an overall healthy diet will significantly cut down the hazard of CVD20. Consumption of fruits, veggies, grain merchandises, low-fat dairy merchandises and curtailing the sum of salt and unstable consumption are all portion of a well balanced diet11,21. Keeping a healthy organic structure weight is indispensable as fleshiness is an independent hazard factor for CVD. Morbid fleshiness has a strong association with mortality from CVD particularly in immature grownup males. Therefore, bar of fleshiness has to be taken early and in an aggressive manner22. Keeping optimum blood force per unit area, blood glucose every bit good as a desirable lipid profile is advise d to command or lower the hazard of CVD21. Maintaining physical and cardiovascular fittingness and a healthy weight can be achieved by changeless physical activities as it improves cardiovascular hazard factors every bit good as take downing the hazard of developing other chronic diseases21,23. Evidence has proven the strong association between smoking and cardiovascular jeopardies every bit good as the benefits of smoking cessation24. Therefore, look intoing the smoke position of patients and offering intercession where appropriate will be good to patients peculiarly in those who are at hazard of enduring from cardiovascular events24. Patients with CHF should be advised to discontinue smoking11. Moderate ingestion of intoxicant should besides be advised as extra alcohol ingestion can increase the hazard of CVD11,25. The above are merely the chief life style and dietetic parametric quantities that should be addressed with precedence to command or lower CVD hazards. Such steps should non be seen as stairss taken to forestall CVD but instead as stairss taken to promote everybody to populate a healthy life style to forestall any signifier of disease provinces. Psychosocial and psychological hurt have a important impact in morbidity and mortality after HF and hence societal and relationship factors may play an of import function in pull offing chronic conditions such as CHF26. The ends of intervention are to better quality of life11,13.Angiotensin Converting Enzyme Inhibitors ( ACEi )Evidence has shown that ACEi therapy is good in take downing mortality, MI and rehospitalization for patients enduring from HF with LVD or HF with or without a recent MI27. A meta-analysis has shown that patients with CHF prescribed with an ACEi have a 23 % decrease in mortality and a 35 % decrease in rehospitalization27. Further meta-analysis is patients with LVSD, HF or both after MI has a comparative decrease in mortality rate of 26 % 27. Therefore, ACEi therapy is recommended in patients with all NYHA functional categories of HF due to LVSD11. Adverse effects include cough, hypotension, nephritic damage, angio-oedema and hyperkaelaemia. Dose titration and nephritic and electrolyte monitoring should be included in the attention program particularly in susceptible patients utilizing other medicines so that intercession could be established in instances where inauspicious effects are marked.Beta BlockersTreatment with bisoprolol, carvedilol and Lopressor Forty shows a decrease in mortality in patients with advanced HF based on the CIBIS- II, COPERNICUS, and MERIT-HF tests severally. Beta-blockers benefits in HF by demoing a 29 % decrease in hazard of mortality in CVD, 36 % decrease due to pump failure and all cause mortality decrease of 23 % 28. All patients with HF due to LVSD of all NYHA functional category should be started on beta-blockers every bit shortly as their status is stable and should be the first line picks for patients with CHF due to LVSD11. The effects of beta-blockers might non be seen instantly. Furthermore , deterioration of HF and hypotension might be present at the get downing hence dose should be titrated up suitably upon supervising. Beta-blockers are contraindicated in those with asthma, bronchospasm, 2nd or 3rd degree auriculoventricular bosom block or diagnostic hypotension11.Angiotensin II Receptor Blocker ( ARB )ARBs antagonizes the binding of angiotonin II to its type 1 receptor hence exercising its action similar to ACEi ‘s with the benefit of non bring forthing dry cough as a side effect13. In CHARM Alternative, ARB intervention led to a comparative decrease of 23 % in primary result of CV deceases or rehospitalsation for patients with CHF having candesartan who are intolerant to ACEi29. The add-on of ARB to ACEi or beta-blocker intervention non merely had no consequence on mortality but markedly reduced HF rehospitalisation and mortality combined30. Patients with CHF due to LVSD, HF or LVSD or both station MI who are intolerant to ACEi should be considered for ARBs whilst patients with HF due to LVSD who are still diagnostic despite already on ACEi and beta-blockers, add-on of candesartan might be beneficial11.Aldosterone AdversariesAldosterone adversary has been studied in patients with terrible diagnostic HF, led to a pronounced decrease in mortality and morbidity and improved symptoms13,31. It is recommended for patients with HF in NYHA category III and IV despite being on ACEi and beta-blocker while there is no grounds that Aldactone has any benefits in mild HF11,13. The RALES test has shown that the add-on of Aldactone to an ACEi yielded an all cause mortality of 30 % and cardiac mortality by 31 % 31. However, aldosterone adversaries produce many inauspicious effects on vascular map and myocardial fibrosis11. Spironolactone produces gynaecomastia, hyperkaelaemia, and nephritic disfunction hence blood carbamide, creatinine and electrolyte monitoring is essential11. Patients with terrible HF due to LVSD should be on Aldactone unless contrai ndicated11. Eplerenone can be used if patients are intolerant to spironolactone as grounds from EPHESUS survey has demonstrated a 13 % decrease from CVD or hospitalization for CVD and 21 % comparative rate of sudden decease in patients on eplerenone32.Diuretic drugsFluid keeping doing ankle hydrops, pneumonic hydrops or both consequences in symptoms of dyspnea in most patients enduring from HF11. A meta-analysis supports that diuretic therapy is good for patients with dyspnea or hydrops with a 75 % decrease in mortality and 63 % betterment in exercising capacity33. The hazard of loop water pills doing hypokalaemia is offset by ACEi, ARBs and Aldactone. Therefore, monitoring of serum K is of import. Doses of water pills should be individualized to minimise unstable keeping taking into history the possibility of desiccation and nephritic impairments11.DigoxinIn a Cochrane reappraisal, patients on Lanoxin showed a 64 % betterment in symptoms and a 23 % decrease in hospitalization but u nluckily no betterment seen on survival34. Digoxin should be considered as an accessory therapy for instances in which patients with HF in fistula beat are non relieved on optimal therapy11. There are many issues associated with the usage of Lanoxin because of its narrow curative index, some of which are fatal such as its ability to increase the possibility of sudden decease and the hazard of toxicity in instance of hypokalaemia11. Therefore, the hazard over benefit of Lanoxin therapy should be carefully considered in the best involvement of the patient.

Standardized testing - Cons Research Paper Example | Topics and Well Written Essays - 1750 words

Standardized testing - Cons - Research Paper Example since then it has been a debatable topic. It has become one of the most controversial topics in the education field where educationists have presented different views about this type of testing. Initially, the standardized testing was used to enhance the thinking skills and was seen as a way to expand the education system, but as soon as this type of testing became a persistent aspect of higher education, the educationists criticized it, and argued that this is not the basis of education. A standardized test is measured and administered in a consistent manner. It usually comprises of multiple choice or true and false questions, it does not encourage critical thinking or analytical study, and rather it repeats the same mindless facts. The standardized tests are needed by schools in order to meet their federal funding. When a school knows that some percentage of their students needs to pass the standardized test in order to ensure their funding, they give this test immense importance (Downing and Haladyna, 2006). There are test curriculums given to the teachers which include the basic and important items that are featured in this test. According to that, the teachers have to plan their lessons. There is further pressure to get all the material that is needed in order to introduce to the class before the test so that any confusion or trouble of the student can be resolved (Downing and Haladyna, 2006). This system is at times referred to as the system to test the progress made by the teachers and school management rather than addressing to the students’ abilities and learning (Assessor, 2011). Educationists have long debated on the fact that whether standardized testing is fair. Standardized tests are hence, referred as unfair and unhelpful evaluation tools. In these exams, all the questions are either multiple choice or true and false. All the test takers answer the same questions on the same conditions. These tests reward to quick answers and usually

Recession in British Car Industry Case Study Example | Topics and Well Written Essays - 3000 words

Recession in British Car Industry - Case Study Example "He also said that we need to argue against this to avoid an irremediable loss of capacity, skills and technology." (Abbiss,2007). Critics within the car industry point out rescue package that jobs provided by stake are not up to the standard. Another reason of British car industry recession is those workers who work for dealerships either selling or servicing cars instead of manufacturing them. Due to recession not only industrial relations environment that has changed but the cars are also getting better day by day. In the past cars like Morris Marina Ital and the ghastly Austin Allegro were the horrible and shocking cars in terms of design and construction. There was a time when car industry had 40 percent of British car market that include car, truck and commercial vehicles manufacturers. The group had a confused but prominent range like Jaguar, Rover and Land Rover and best selling Mini, these models were slow to develop so that they can compete with the international car market. Before the global economy recession British cars were exported in huge numbers. Few British car manufacturers are now ready to claim that these manufacturers should not be aided by government on the fact that most of the British car industry is in foreign hands, and now British car industry is a victim of its own efficiency. In the beginning of the year factor... ready to claim that these manufacturers should not be aided by government on the fact that most of the British car industry is in foreign hands, and now British car industry is a victim of its own efficiency. In the beginning of the year factories from Sunderland to Swindon were giving out cars at an amazing rate. But slowly and gradually there was hardly anyone to buy them and the car industry had numbers of unsold cars due to the recession (BBC, 2009). Car manufacturers tried their best to attract their customer through their dealerships but they failed to achieve their goal as no one took advantage of this, and now number of vehicles remained unsold. As a result factory shutdowns increased in the country and the downfall of industry started. However, Nissan saved Sunderland after ship building industry buckled, but not others. The effect of recession on car industry is so much that it's production has fell immensely down from 47.5% to 58.7%(vehicles of private use) and from 56.7% to 59.9%(vehicles of commercial use).Therefore to avoid any further loss the Society of Motor Manufacturers and Traders(SMMT) decided to shutdown Ford Aston Martin and Vauxhall for a short period of time while Toyota is also thinking to pause it's production. SMMT also demanded for an assistance of 2.3billion pound by the government. This decision was taken on 20th February 2009 (Hart, 2008). Then Chief executive of Society of Motor Manufacturers and Traders(SMMT) Paul Everitt said that decline in car industry and it's production and the shutdowns of the industry has shown that it is hard to survive without the assistance of government. The effects of recession on car industry has reach to a critical stage, and due to this job cut down has been started for a

Performance Pay at Safelight Auto Glass Case Study

Performance Pay at Safelight Auto Glass - Case Study Example The installer’s problem as identified in the PPP was related to the turnover rates. It has been found that the turnover rate of the company has been quite high because the glass installation was a seasonal business. The busy periods were spring and summer and it was found that at this time, the competition for new hires was mounting. However, the demand for the windshield replacement troughed and as a result the repair shops found it necessary to lay off many of their workers and hire them back during spring and summer. In addition to this, another biggest problem was associated with technicians who were lured by other companies’ offer, which promised to pay them a fraction more than what they were currently receiving. Therefore, as a result it was evident that the installers were changing their jobs since they were paid a Dollar more an hour and were allowed to take the company’s truck home during night. In order to reduce the turnover rate, Safelite also offere d truck privileges for a time being, but then stopped it later. It was a matter of concern for the recruiters in HR with regards to getting technicians from other companies to come to Safelite. These were the problems that the PPP had tried to identify which were affecting the company’s productivity. Question Two Pros and Cons of Switching From Wage Rates to Piece Rates After going through the case study, it can be revealed that Performance Pay Plan was revised for both the managers as well as the technicians. It was decided to pay the technicians according to the piece rate system rather than the wage rate system which was previously being practiced. The plan was implemented for the technicians to receive the piece rate for every windshield that they installed. According to this plan, the number of windshield that the technician would install in a week would be accumulated. As a result, the technicians’ pay for the week was decided to be based upon the number of insta llations. The new plan brought both advantages and disadvantages to the technicians. Previously, the technicians received $10-$12 an hour. However, it was analyzed that according to the new PPP, the technicians would receive $15.22 per hour. Therefore, it can be examined that there would be a substantial hike in the salary of the technicians. However, the disadvantages of the plan for the technicians was that for the first twelve weeks of the plan, if the technician did not reach a weekly average which was equal to his previous hourly wage, then he would receive the hourly wage as a guaranteed rate. After that first twelve-week period, his guarantee rate would lower by 30% so that he gets encouraged to work towards the PPP rate. This is quite demotivating for the technicians. This may even discourage the technicians to improve the productivity. The other disadvantage has been that the installers were paid different rates depending on the area of the country in which they lived. It w as also apparent from the case study that the technicians were at times asked to remove a work shield while the auto body work was being completed on a vehicle and then replace it later. The Safelite installers can be considered as good

Civil rights movements in California Assignment

Civil rights movements in California - Assignment Example Mark Arax claim that society comprise of isolated individuals, passionate about personal gain and acquisition instead of the social good is an unproven hypothesis. Largely, it is an individual idea that lacks public perception and daily human concerns. Mark Arax based his argument on a few failed strategies championed by selfish individuals who pursued to satisfy personal interests. Rather, he should focus on the main theme of social movements of enhancing every citizens’ lives. California Dream predominantly expresses individual freedom and personal gain. Social movements promote wide range of political activities based on shared familiarities of injustice, prejudice, and oppression of certain societal groups. The movements work around identity political realizations, which typically aim to secure the political freedom of a specific group marginalized within its larger context. Struggle for civil liberties and California dream have common themes. Throughout American history s tarting from colonial period through to the new millennium, entail civil society struggles to make the world a better place for present and future generations. Governor Jerry Brown's proposal to divert water from the San Joaquin Delta exhibits controversy. Conversely, both locations require water resource to facilitate economic activities and ensure better lives of the citizens. Rogene Reynolds claims wealthy individuals are interested in transferring the water away from them shares the predicament.

The importance of entry and to deter entry in case of firms in Essay

The importance of entry and to deter entry in case of firms in different market structures - Essay Example h barriers to entry as it is necessary to prove that in monopoly a firm enjoying a high percentage of market shares can translate it into market power (ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT, 2007, p. 1). Both Walmart and Loblaw are engaged in same type of business activities. They will engage themselves in activities that will prevent entry of competitors. If the two competitors compete between themselves they will end up in creating barriers that will not enable themselves to diversify their business. In fact this will not be desirable outcome from the firms’ point of view and consumers’ welfare will get affected (Carlton, 2005, p.9). Strategies used by firms to deter entry The incumbent firm can involve itself in three types of strategies to deter entry. They are: Limit Pricing, Predatory pricing and capacity expansion. The strategy of limit pricing is illegal in many countries. A limit price is a strategy mainly used by the monopolists to deter entry . They used to set a price that would be faced by the entrant on entry into the market until the existing firm did not act to decrease the output. The limit price is generally set at a level which is less than the average cost of production. It can also be set at the level where entry is just not profitable. This discourages the new entrants (Roberts and Milgrom, 1982, p. 444). The second strategy is used by the incumbent by charging a price that is low relative to the price of the other products before the entry takes place. Often it appears that other firms who initially were not in the market of a certain product express their opinion to enter the market. It is the price of the product that influences their decisions. The already existing firms in the market can discourage the new entrants by... The incumbent firm can involve itself in three types of strategies to deter entry. They are Limit Pricing, Predatory pricing and capacity expansion. The strategy of limit pricing is illegal in many countries. A limit price is a strategy mainly used by the monopolists to deter entry. They used to set a price that would be faced by the entrant on entry into the market until the existing firm did not act to decrease the output. The limit price is generally set at a level which is less than the average cost of production. It can also be set at the level where entry is just not profitable. This discourages the new entrants.The second strategy is used by the incumbent by charging a price that is low relative to the price of the other products before the entry takes place. Often it appears that other firms who initially were not in the market of a certain product express their opinion to enter the market. It is the price of the product that influences their decisions. The already existing f irms in the market can discourage the new entrants by charging a low price for the products. Thus the potential entrants can be ignored and their consumer base will not be affected. If the potential entrants find it unsustainable to continue to operate in the market, they tend to move out of the business which provides a wider consumer base for the existing firms. Then the incumbent can raise the prices of the product and exploit the market power.

Critical Analysis of a short story Essay Example | Topics and Well Written Essays - 1250 words

Critical Analysis of a short story - Essay Example According to MacLean, like the spaceship, â€Å"Explorer†, patriarchy appears to be a psychological intrusion in postmodern society (Davin 23-7). Obviously at the heart of this desire lies the prerequisite of being beautiful in body according to some stereotypes predetermined by the male dominated society. McLean asserts that women themselves are psychologically encoded to think of themselves i.e. their self-esteem, identity, body, existence in the society, in a male way. In essence, McLean’s portrayal of gender echoes Judith Butler’s concept of â€Å"Gender Performativity†. For her, gender identity is not something biological or natural. Rather it involves the development of a woman’s identity through the society-defined codes of sex-oriented performance. Again she acknowledges that human â€Å"body† or â€Å"sex† is not a â€Å"mute facticity† that exclusively depends on the organic features of a man. Rather Butler assumes that the gender identity and the differentiation between sexes are made through repeated socio-cultural discourses and actions. According to her, these discourses and actions persistently stylize the body in a certain gender cast, as in the first chapter of â€Å"Gender Trouble† Butler says, â€Å"Gender is the repeated stylization of the body, a set of repeated acts within a highly rigid regulatory frame that congeal over time to produce the appearance of substance, of a n atural sort of being† (43). In the fantasy world of science fiction, MacLean masterfully manipulates an unusual phenomenon of contagion to delve deep into human psychology. Yet her story reveals much of the heart of patriarchy. Though MacLean does not hold patriarchy responsible directly, the female characters of her story are nourished psychologically by patriarchy. Most of the female characters are accustomed to think in a male way (Davin 19-20). While patriarchy considers female body as an object of male desire, the women in the

Effects Of Offshore drilling Essay Example | Topics and Well Written Essays - 750 words

Effects Of Offshore drilling - Essay Example Oil wells are regularly high rise size articles many feet beneath the surface. They are greatly mind boggling structures and the scarcest misstep might be annihilating to natures turf. When boring can start, exploratory wells are situated up to discover the accurate oil gushers. When a spot is found with a sufficient measure of oil, a subsea boring format is placed set up to guide out where the parts of the well ought to be spotted. In the following step, a drill string, which join from the beginning the stage, is utilized to make gaps in the sea depths. At the point when the opening is profound enough, metal channel packaging is situated up around the dividers of the gap to stabilize it. Finally, a conductor funnel is placed set up to keep spillage from the openings. When petroleum is hit, preparation packaging is established to permit the oil to be pumped to the surface. (George et al. 13-23) More down home oil penetrating will have no impact on the current spike in gas costs. U.S. oil creation is presently at a ten-year high, while gas costs keep on skyrocketing. A year ago alone, oil processing expanded more in U.S than in any viable nation on the planet. Creation in the Outer Continental Shelf developed by more than a third in the previous two years, and preparation in the Gulf of Mexico got 1.6 million barrels of oil for every day a year ago - a record-breaking record. Energy Information Administration projections show that an extension of seaward penetrating wouldnt lower gas costs until 2030, and afterward by just a couple of pennies for every gallon. With just two percent of the worlds saves, the U.S. commitment to the worldwide business sector could never be sufficiently high to essentially adjust world oil costs. Regardless, the House is voting to build seaward oil boring and to debilitate oversight of penetrating operations, utilizing higher gas costs as the affection. These votes

Armitage and praise song Essay Example for Free

Armitage and praise song Essay In both poems, a sense of nostalgia and reminiscence is conveyed; they are written in the past tense which leads to a state of reflection and acknowledgement. As a reader, one can immediately capture this notion, when reading Praise Song for My Mother, as the title itself has very traditional African connotations it marks a celebration or tribute of someones life. Whereas Armitage titles his poem Harmonium which is what the poem is physically about but also is symbolic of the relationship between him and his father. Armitage introduces the poem with an anecdote; this evokes a feeling of reminiscence. It contains very physical descriptions Shadowy porch of Marsden Church this establishes the setting for the reader and perhaps portrays Armitage as being entranced by the church; he appreciates very minute details. However, when describing the Farrand Chapelette, it was described using the idiom gathering dust which has a double meaning it was physically accumulating dust but also it was coming of age. In addition, Armitage describes his ultimatum; it could be bundled off to the skip or could become his for a song this suggests the church organ is not in satisfactory condition as the idiom bundled of to the skip indicates it would have been thrown out. More importantly, Armitage explains how the church organ could be his for a song which is an interesting play on words as the purpose of the harmonium is to play songs but also this idiom suggests it could have been purchased cheaply which leads the reader to assume the harmonium has lost its functionality and is impractical, similar to the freight of his father. In Praise Song for My Mother, Nichols uses You, a second person pronoun, which introduces a sense of intimacy and makes the poem very personal. This is followed by were, a past tense verb, which indicates the poem is addressed to someone who cannot hear her or maybe is no longer alive. This idea correlates with the concept of a praise song a traditional African tribute to someone no longer alive. Nichols describes her mother using a metaphor; you were water to me. Water is regarded as precious, particularly in African culture but it is also an essential element of sustaining life which leads the reader to deduce the extent of the impact the mother has had in this person. The water is then described as deep and bold with regards to the mother, one can interpret this to mean the water is a large store of knowledge that cannot be accessed as physically humans cannot survive; it is very mysterious and also it shows the great expanse of her motherhood. Fathoming derives from the Anglo Saxon era and means to embrace the water embraces many sea creatures and therefore sustains life which is essentially a quality of her mother. But it can also mean to reason out problems this relates to the idea of a store of knowledge. Armitage gives sunlight agency as it can beatify saints and raise the dead. This catholic connotation brings about positivity to the church as images of saints are lifted above ordinary people. However, this is contrasted by the destructive power of the sunlight as it weathers the aged wooden case of the harmonium and the fingernails of its key. Armitage personifies the keys to draw a parallel with his dads smokers fingers. Further damage included one of the notes lost its tongue which means sound is lost. Armitage then paints an image of a traditional organist who wears grey, woollen sock. This inspires an idea of how old the harmonium and its battle with time. Armitage describes the motion of pedalling and uses repetition to support the onomatopoeic effect/. Nichols also uses repetition as she starts the second stanza with You were. This maintains the intimate and personal element to the poem. She describes her mother as the moons eyes. Historically, the moon represents strength and an icon of femininity. By personifying the moon, it shows that whilst her mother may not be on walking earth, she is looking over her this adds a transcending aspect to her mother. References made to the moon are pull and grained which can suggest to the reader the gravitational attraction between mother and daughter is similar to that of the earth and moon and how her mother had suffered a lot through her life and was left scarred. When using mantling, it evokes an image of being covered or wrapped up to protect. Moreover, Nichols lack of apostrophe in the third stanza, fishes, suggests her breakdown in emotion. The third stanza is different from the first two as here Nichols begins to list metaphors describing her mother. She once again makes the poem more personal through the reference of crabs leg/the fried plantain smell which is a delicacy central to her tradition. Furthermore, Armitage displays his emotions coming to a breaking point in the third stanza. This is achieved through his use of but which indicates a shift in tone. He uses alliteration, hummed harmonics, to increase the pace imitating his release of emotion. Also there is an onomatopoeic aspect which denotes the sound. This allows the reader to appreciate how engaged Armitage is with the harmonium. His use of the idiom struck a chord has a double meaning it can mean to physically play a sound but more importantly it means to provoke an emotional response to something. As the stanza continues, Armitage makes reference to father and son and is talking about him and his father this increases the feeling of nostalgia as it was him and his father who had sang as choir boys. It is in the fourth stanza where Armitages emotions become apparent. He makes very delicate comparisons with his father and the harmonium dotted thumbs. After this, Armitage how him and his father would cart it away in doing so, the harmonium is described as a valueless item. He personifies the harmonium by describing its back similar to how a person would be placed in a coffin. Armitage mentions how his dad belittles his own death. His dad describes his body as freight which is monosyllabic and brings heaviness to the comical aspect of his dad. Armitage cannot respond to his dads cynical humour and has lost his tongue. This represents the difference in character between the two. In contrast to the sad mood conveyed in Harmonium, Nichols ends the poem with words of wisdom from her mother Go to the wide futures, she said. This reinforces the idea the mother is looking over her and is wise.

Unilever in Brazil Essay Example for Free

Unilever in Brazil Essay The goal of Unilever Brazil is to target the low income consumers, in order to gain market share among this segment they should develop an extension of Minerva brand with a small packaging and a cheaper formulation that maintains a good quality. The low income consumers are the most discerning consumers, and when spending from a limited budget they cannot afford to waste money on products they do not trust to be effective . This segment values price, effectiveness and fragrance, and wash manually, hence they prefer soap rather than powder. Unilever already sell Minerva in its soap version which is considered a medium quality product in terms of cleanliness, smell and dissolving power according to Exhibit 1.But this product is still expensive for low income consumers. Unilever should continue working with the brand Minerva and develop a new sub-product inside this brand with a cheaper formulation and a small packaging. That way the Minerva brand will contain two products with the following Portuguese names: †¢Minerva Expresso. The original Minerva formula and packaging for detergent and soap targeted to middle income costumers. The usual promotion of this product should change to make customers aware about the new name. Distribution, placement and price should not change. †¢Minerva Aà §Ãƒ £o. A new cheaper formula of Minerva soap, maintaining a good quality and fragrance. The key to access to this market is to leverage the Minerva’s brand as a quality product. Packaging should be plastic to reduce costs by a 30% and sizes should be two types: one individual bar and three bars. Low income customers have a limited budget and usually buy consumer goods thinking on a short term. Is for that reason, that a value proposition of a cheap, good quality and fragrance product in a small package is more appealing than a bigger package which usually is more expensive. The price should be $1.40 per kg, a little higher than Bem-te-vi (the traditional laundry soap brand in Brazil) to differentiate it from low quality and cheap products, but still low enough to be attractive to low income consumers who are looking for a good quality and nice fragrance soap bar (see Exhibit 2). There is no cannibalization of Campeiro because soap and powder customers  could be considered as different markets. Promotion should be a below-the-line communication plan focusing on point-of-purchase marketing and trade promotions in those areas where the low income customers reside and buy. A global media advertising campaign shouldn’t be considered for the potential impact on Unilever reputation in other customer segments and markets. Distribution is another important key to access to the customer segment, the use of specialized distributors will ensure the delivery of the product in specific areas and will maintain the price strategy. This strategy will help Unilever to position its product as the quality product inside the economy laundry products market (see Exhibit 3). Leveraging the Minerva brand with a low price product will help Unilever to increase sales and to gain market share among the low income customers segment. Additionally the high margin of Minerva Aà §Ãƒ £o will result in substantial profits (see Exhibit 4 for product’s attributes and margin). Exhibit 1. Attribute Importance, Brand Positioning, and Consumer Expectations in the Northeast Source: Insead Case Exhibit 2. Consumers who find scent/fragrance to have a high or very high amount of influence on their choices of household cleaning and laundry products Source: Consumer and Innovation Trends in Laundry Care. DATAMONITOR Consumer, December 2012 Exhibit 3. Product Positioning Source: Insead Case Exhibit 4. Products’ Attributes and Margins AttributeMinerva ExpressoMinerva Aà §Ãƒ £o Format-Powder -Soap-Soap Cleanliness-Medium-High-Medium-Low Fragrance-Nice-Nice Price-Powder: $2.40 per kg -Soap: $1.70 per kg-$1.40 per kg Packaging-Powder: Cardboard 1kg500g. Cost: $0.35 per kg -Soap: Plastic pack with 5 bars of 200g. Cost: $0.15 per kg-Plasitc pack with 1 bar of 40g. Cost: $0.09 per kg -Plastic pack with 3 bars of 120g. Cost: $0.10 per kg Formulation-Powder: $1.40 per kg -Soap: $1 per kg-$0.8 Promotion-Powder: $0.30 per kg -Soap: $0.25 per kg-0.05 per kg Distribution-Wholesaler: $0.10 per kg-Specialized Dist.: $0.05 per kg Margin per unit Powder2.4-(0.35+1.4+0.3+0.1)= 0.25 Soap1.7-(0.15+1+0.25+0.1)=0.21.4-(0.09+0.8+0.05+0.05)=0.41

Compliance Between The Patient And Medication

Compliance Between The Patient And Medication Introduction Medication compliance is a significant issue in the care of people with mental health conditions, particularly if the mental health condition is of an enduring and severe nature. The reason for this is that there is an increased likelihood of symptoms returning without the individual maintaining adherence to a prescribed medication regime. Conditions such as schizophrenia, psychosis and bi polar disorder fall under the remit of severe and enduring mental illness and it is reported that medication non compliance is likely to have severe implications to an individuals psychological health and wellbeing (Le Page, 2010). Leahy (2006) estimates that up to 70% of recurrent depression patients and around one half of schizophrenia patients are noncompliant with their prescribed medication and there is also a direct relation between medication noncompliance and an increased need for hospitalisation. This in turn has a whole range of implications in terms of the impact this has on employment, relationships, income, and parental responsibility and of course the impact on resources provided by health providers such as the NHS should also be acknowledged. This assignment will examine and reflect on the case of a 40 year old gentleman with a diagnosis of schizophrenia. The gentleman, who shall be referred to as Mr Smith for the purpose of this assignment (names have been changed to ensure client confidentiality as per NMC guidelines) has been receiving neuroleptic depot medication (Flupenthixol) to treat the symptoms of a schizophrenic condition, however Mr Smith has stated that he no longer was willing to accept the administration of the depot injection because he felt better. The assignment will start by briefly exploring the concept of compliance and the consequences of Mr Smith declining to take the prescribed medication and the potential impact this will have on his mental health. The second part of this assignment will reflect on how the practitioner responsible for the care of Mr Smith addressed the issue of facilitating the ongoing adherence to prescribed medication by focusing on theoretical frameworks that supported and encouraged Mr Smith to review his decision and continue to accept his depot injection. Consideration will also be made to legal and ethical frameworks that should be adopted in clinical practice when addressing the issue of medication compliance. Defining Compliance in Mental Health Care The term compliance is defined by the Cambridge dictionary (2010) as being a process where people obey an order, rule or request and that individuals become willing to do what others want, particularly if the other person is a figure of authority. A core definition of compliance provided by Harvey (2004-09) suggests that compliance is the undertaking of activities or establishing practices or policies in accordance with the requirements or expectations of an external authority. Compliance has been defined as the extent to which a persons behaviour coincides with medical or health advice (Haynes, 1974) and although this is an outdated definition the term compliance persists in mental health care today. In contemporary mental health care there are suggestions that the term compliance has negative connotations and it infers that an individual who does not comply is not doing as they are told by the mental health professional (Gray, 2002). Language and communication is an important tool in mental health and it is important to place the individual with mental health problems first by using terminology that is widely acceptable to both service providers and service users (Manzi, 2008). Repper Perkins (1998) support this point of view and indicate that the use of words like compliance infers that patients are passive recipients of health care who should obey instructions from professionals. As modern mental health care is concerned with developing therapeutic alliances to improve outcomes (Hakan and Jan-Ake, 2010) consequently it has been proposed that the term concordance (Gray, 2002) or the phrase medication adherence (Velligan et al., 2009) should replace the use of the word compliance in an attempt to remove the unequal and passive tone the word compliance has. For the purpose of this assignment the word compliance will be substituted by the term adherence as this implies a more collaborative approach between service providers and service users to approach the issue of medication and treatment. Consequences of Medication Non Adherence in Schizophrenia Schizophrenia is a complex condition and diagnosis is made on the evidence of an individuals reported experiences (symptoms) and observable behaviours (signs) which commonly may include; delusional thinking; hallucinations, thought interference; ideas of reference, thought disorder; social withdrawal; anxiety and depression (Keen, 2003). Psychiatric treatment for individuals almost always involves drug therapy to stabilise psychotic symptoms and to reduce the individuals risk of relapse (Barker, 2003). There are many different pharmacological preparations available for the treatment of symptoms experienced by an individual diagnosed with schizophrenia and they may include preparations that are taken orally or delivered by intramuscular depot injection. Our Client Mr Smith had been having a depot injection called Flupenthixol to treat the symptoms he experienced following his diagnosis of schizophrenia; as a result it is reported that he had felt better and therefore did not want to have the depot any more. Mr Smith had made a decision not to accept his depot medication any longer however it is well documented in the research and evidence base that this course of action and decision will have a significant impact on his health and global well being. Novick et al. (2010) indicates that non adherence with anti psychotic medications, such as Flupenthixol for patients with schizophrenia and psychosis, is significantly associated with an increased risk of relapse, hospitalization and suicide attempts. There is a significant body of evidence that highlights that the symptoms of schizophrenia return without pharmacological treatment and medication adherence and that there are potentially devastating consequences to the individual with a serious mental illness such as schizophrenia if this behaviour of non adherence is adopted (Velligan et al., 2010). Therapeutic Interventions to Promote Adherence As a mental health practitioner it would not be uncommon at some point to experience a clinical interaction with a patient who has made a decision not to continue with their prescribed medication, however the practitioner has the responsibility to understand the reasons behind the patients decision making process and to provide the patient with the biggest opportunity to make an informed and educated decision about declining treatment for a chronic and enduring mental health condition such as schizophrenia. It is important for the mental health practitioner to obtain an understanding of the reasons behind Mr Smiths decision to discontinue his depot medication and to do this the modality of cognitive behavioural therapy can be implemented. Cognitive Behavioural Therapy (CBT) is a form of psychological therapy and aims to help understand the link between thoughts, emotions and behaviour. It teaches individuals skills to overcome problematic thoughts, emotions and behaviour and to find ways of overcoming negative thinking and challenging unhelpful and inaccurate thoughts or beliefs (Royal College of Psychiatrists, 2008). The most favourable outcome from CBT is for the individual to develop skills and techniques that enables them to approach situations in a more reasoned and balanced manner which supports problem solving and increases the feelings of being in more control (Royal College of Psychiatrists, 2008). An important consideration in relation to implementing CBT and for that matter other therapeutic interventions is that there needs to be an established therapeutic relationship between the client and the mental health practitioner to increase the opportunity for success and for both parties to engage in working towards a common goal; for example for Mr Smith and the mental health practitioner to work towards exploring the issues surrounding medication adherence. NICE (2010) recommends that managing the process of engagement requires professionals to have sensitivity to the perspective of the individual and to understand that the condition can have a profound effect on the persons judgment, their capacity to understand their situation and their capacity to consent to specific interventions. The process of engaging successfully with individuals with schizophrenia may at times require considerable persistence and flexibility from professionals and the establishment of trust is crucial. Both parties may have differing views on what the main problem is and how it should be addressed, however the professional can help with finding common ground and this common ground can establish trust and collaboration (NICE, 2010). To address the issue regarding Mr Smiths decision to no longer adhere to his treatment plan and accept his depot medication for the symptoms of schizophrenia the mental health professional will need to enter into conversations to gain understanding of the patients perspective. One way of achieving this is for the mental health practitioner to adopt motivational interviewing so that the two parties can explore the decision (stopping of the depot injection) and negotiate behaviour change (acceptance of the depot) through the individual (Mr Smith) being able to identify, understand and articulate the benefits (remaining mentally well and symptom free) and costs involved (physical, emotional, family, employment for example will all be impacted upon greatly if symptoms return). Rollnick et al. (2010) indicate that simply giving patients advice to change decisions or behaviour is often unrewarding and ineffective and by adopting motivational interviewing a guiding style helps to engage with patients, helps clarify strengths and aspirations, evoke their own motivations for change and promote autonomy of decision making. The four central principles of motivational interviewing are described by Treasure (2004) as being; the use of reflective listening in an empathetic manner to convey understanding of the patients point of view; tease out ways the behaviour or choice conflicts with the wish to be good or viewed as good; respond with empathy and understanding rather that confrontation and finally support the patient in confidence building to understand change is possible. For Mr Smith and his decision to decline any further depot injections of Flupenthixol it may be very easy for the mental health practitioner and Mr Smith to become embroiled in conflict as the practitioner has the evidence base and clinical knowledge to know that a relapse is somewhat inevitable and the impact on Mr Smiths global wellbeing and function would be significant; however Mr Smith believes that he is now well and therefore no longer needs treatment. By using motivational interviewing techniques the mental health practitioner can actively listen to Mr Smiths reasoning behind the decision he has made in relation to medication adherence; support Mr Smith to see the pros and cons of his decision; assess his confidence and elicit a view on his feelings fears and aspirations; exchange information; support with decision making and goal setting. To give an example of how motivational interviewing may be implemented the practitioner may ask questions such as; I want to try and understand Mr Smith about your decision not to have your depot anymore; can you give me your perspective on why you want to stop taking it? So Mr Smith if you were to stop taking your depot, where do you think that would leave you in terms of remaining well? How important is taking this medication for you right now? Would you mind if I shared with you some information and evidence I have about how the depot injection helps people with schizophrenia remain well and symptom free? And; Okay, can I check with you your understanding of the risks of not accepting the depot anymore? This approach to supporting adherence to medication is reported to be beneficial and it is suggested that the body of evidence continues to grow in support of its effectiveness (Rollnick et al., 2010) and with the many applications in psychiatry it is particularly helpful for use in settings where there is resistance to change (Treasure, 2004). However there are some considerations that need to be identified that may impact on the efficacy of motivational interviewing as a technique to support medication adherence. Firstly one issue to consider is that motivational interviewing is a skill that mental health practitioners need to develop and practice and although the principles are described as easy (Treasure, 2004) putting these principles into practice may not be that simple. There potentially could be many different variables as to why adopting motivational interviewing may not be effective in supporting medication adherence. Barriers that may impact on the success of motivational interviewing in supporting Mr Smith to maintain his medication adherence may include; there not being a therapeutic alliance established between the mental health practitioner and Mr Smith. The reasons for this can be numerous, for example Mr Smith may only recently have been discharged from hospital and the mental health practitioner is his new community psychiatric nurse that he has only met a couple of times; Mr Smith may prefer male workers to female workers and vice versa or even Mr Smith may not feel comfortable having mental health practitioners come to his home and feel unable to engage or discuss issues of importance. Another reason that may impact on the efficacy of the motivational interviewing process to support Mr Smiths adherence to medication is that the mental h ealth practitioner may be constrained by time and resources and therefore not able to deliver the therapeutic process accurately or in a timely. Another issue to consider is that Mr Smiths adherence to medication and decision not to continue to accept the depot may actually be based on the schizophrenic condition relapsing and the decision to withdraw from treatment is being made due to reduced insight and understanding. It is suggested that there are potentially a large range of risk factors that can be present and that are related to the patients individual behaviour and understanding of the impact of schizophrenia and psychosis. These variables are classified as patient related and include poor insight, negative attitude towards medication, symptom severity, history of previous non adherence, substance misuse and cognitive impairment. Other variables may also include treatment, environmental and societal issues such as side effects and complexity of medication regimes family support, side effects, financial problems and lack of access to treatment (Citrome, 2010). Legal and Ethical Considerations It is important for mental health practitioners to understand that there are occasions where more assertive and restrictive approaches such as treatment orders or inpatient hospital care are the only way for adherence to medication to be sustained (Chaplin, 2007). The Mental Capacity Act (2005) provides a framework for the making of decisions for people who lack capacity in England and Wales. Under the Capacity Act healthcare professionals are advised that they must work on the presumption that every adult patient has the capacity to make decisions about their care, and to decide whether to agree to, or refuse, an examination, and investigation or in this instance treatment. A patient is regarded as lacking capacity once it is clear that, having been given all appropriate help and support, they cannot understand, retain, use or weigh-up the information needed to make that decision, or communicate their wishes. Therefore in this instance Mr Smith must be presumed to have capacity to make the decision not to adhere to the treatment plan unless there is evidence that he is no longer able to provide reasoned information to support his decision due to the presence of severe mental illness. It would be at this juncture that the mental health practitioner would look to ensuring Mr Smiths best interests are explored and this may result in an assessment under the Mental Health Act (1983), however until this time the mental health practitioner may continue to use the therapeutic alliance and CBT and motivational interviewing techniques to support the adherence process. The success of a therapeutic alliance is often based on trust and to establish trust the mental health practitioner must respect the patients ethical right to autonomy. Autonomy for Mr Smith would be the right to decide and determine whether or not to accept or decline his depot injection even if the refusal meant that his mental health would deteriorate and the consequences to his global wellbeing become severely impaired. It would be unethical for the mental health practitioner to coerce, threaten or manipulate Mr Smith into having the depot injection particularly if he has the mental capacity to make the decision to decline further treatment. For the mental health practitioner to behave in this manner would not only be a breach of professional and ethical conduct it would also potentially jeopardize any therapeutic alliance that had been developed. Addressing Risk Mr Smiths decision to become non adherent to prescribed medication presents a requirement for detailed risk planning and assessment to ensure the well being of Mr Smith, his family and friends and those providing care to him is sustained. Mental health practitioners have a duty of care to assess risk using a formulated tool that has been adopted by their employer and mental health service. The calculation of risk must be based on the practitioners knowledge, skills and competence and value should be placed on the process of risk taking, following assessment and in the context of appropriate management, as it will increase the practitioners ability to help clients to achieve their potential. However, there should be awareness that there may be conflicts between professional accountability and the autonomy of the client (UKCC, 1998). Risk issues that may be identified for Mr Smith are individual and related to the course and nature of his experience of Schizophrenia, this is why it is important for the practitioner to have established a therapeutic alliance with him so that discussions can be held about risk issues and care planning can be done collaboratively to reduce the risk impact. Conclusion Medication adherence in schizophrenia is a complex issue with the consequences of non adherence impacting significantly on the global function and mental well being of individuals who make the decision to not adhere to their medication treatment plan. Through the process of collaboration and the development of therapeutic alliances between mental health professionals and patients it is suggested that adherence can be improved and sustained and that interventions such as CBT and motivational interviewing makes psychoeducation a cornerstone of many adherence interventions (Zygmunt et al., 2002). Mental health practitioners should have an understanding that medication adherence is less likely to occur in patients with severe mental illness who are not engaged with mental health services and who are not exposed to a good therapeutic relationship. One of the most common themes that have been identified throughout this assignment and in the evidence base is that the therapeutic alliance between a patient and mental health professional should never be underestimated particularly when it comes to supporting medication adherence in the treatment of schizophrenia.

Free Essays: A Mapmaker’s Dream :: mapmaker

  16th Century Map of the World   In James Cowan’s â€Å"A Mapmaker’s Dream,† a 16th century roman monk vicariously travels the world without actually leaving the confines of his monastery.   The monk, named Fra Mauro, learns of the world through stories told by a variety of travelers.   With his newly acquired perception of the world, Fra sets out to chart the lands that were, at that time, still being discovered.   From these stories, Fra’s â€Å"perfect map,† or mappi mundi as he called it, would be constructed.   In this process, the boundaries of Fra’s world would be pushed to the limit.   Being celibate from exposure to the world around him, Fra spread word that he would be building a map of the new world.   Quick response from seasoned explorers from all corners of the world would soon become available to him as many travelers would readily unburden themselves of the new and strange things they saw.   These stories of the uncharted lands were told by a variety of people.   With vivid descriptions of the people visiting him, Fra helps to put an excellent image of his visitors into the reader’s head.   He describes one sailor as still having sea salt hanging in his beard, while describing a merchant as bone-weary and dusty from his merchant’s trail.   The stories he learns from these men also paint a great mental image as to what Fra is thinking and feeling.   From these rendezvous with travelers, the beginning of a geographical map is built, but unlike the conventional mapmakers of the time, Fra was not only interested in the shape of lands and waters, but also in the feeling these places created in the storyteller.   Other than mountains, canals, and valleys, Fra Mauro learns about the culture, peculiarities, and feelings of the locations that the travelers visited.   Though his sources are not of highest reliability, they are reflective of the perception of a typical 16th century person.   Two of his most interesting stories are the story of the essence of the mummy princess that he discusses with the scholar and the tale of the one-eyed, one-armed Cyclopedes that he learns from the Franciscan monk.   Fra also delves into the renaissance occurring between these same European countries and what is today the Americas.   This is how Fra Mauro’s perception of the world was built – through second hand stories told to him.

New Learning Opportunities for Adult Learners Essay -- Internet Educat

New Learning Opportunities for Adult Learners The concept of adults as learners emerged both in this country and in Europe shortly after World War I; however, only in the last few decades has the theory of adult learning matured. Knowles, Tough, Houle, and Park, among others, have written extensively on the idea of the adult learner. In Tennant's book (1997), he discussed Knowles' adult learning theory. Knowles used the term andragogy to label adult learning theory. The andragogical model of the adult learner is based on the assumptions that adults need to know; adults have a need to be self-directed learners and have a self-concept of being responsible for their own decisions and for their own lives; adults bring reservoirs of their own experiences that posed as a significant resources in the process of learning; adults come ready and motivated to learn what they need to know in order to cope; and while adults are aware of external motivators (better jobs, promotions), it is internal pressures (job satisfaction, self-esteem ) that are the most powerful motivators (Tennant, 1997). While adult learners are constantly seeking specific information and knowledge that is relevant to their immediate problems, and are aware that they would benefit from further education, many are not interested in a standard long-term course of study. They do not have the time or energy to become involved in a traditional education system, and their concerns are context-dependent, focused on specific information relevant to their immediate concerns (Tennant, 1997). Given this information, it is natural that educators look to this relatively new phenomenon technology, namely, the Internet for Web-based learning opportunities. The W... ... learners with a wide variety of learning styles. References: Henke, H. (1997). Evaluating web-based instruction design [online]. Retrieved January 24, 1999 from the World Wide Web: http://scis.nova.edu/~henkeh/story1.htm Lohr, L. (1998). Using ADDIE to design a web-based training interface [online]. Retrieved April 1, 1999 from the World Wide Web: http://www.coe.uh.edu/insite/elec_pub/HTML1998/id_lohr.htm McManus, T.F. (1995). Special considerations for designing internet-based education. Technology and Teacher Education Annual, 1995, 32, 51-57. Tennant, M. (1997). Psychology and adult learning (2nd ed.) (pp. 9). New York: Routledge. Twigg, C.A. (1994). The need for a national learning infrastructure [online]. Retrieved January 24, 1999 from the World Wide Web: http://192.52.179.128/program/nlii/keydocs/monograph.html

The Presence of Christianity in American Law :: Friedrich Nietzsche Genealogy of Morals Essays

The Presence of Christianity in American Law In his Genealogy of Morals, Friedrich Nietzsche presented his theory on the ascetic priest and how Christianity used the concept of original sin to give man meaning for his suffering. Christianity also gave people a way of channeling their resentment and breaking down socioeconomic barriers under the protection of God. With Christianity came altruism and compelled charity, but moreover, the formation of the congregation where the masses participated in an overwhelming act of self-deception (according to Nietzsche). In the American democracy, socioeconomic barriers are surpassed under the court of law, but this court is supposedly unattached from religion. Nonetheless, the influence of Christianity on American law and morality is such that one can call the U.S. democracy a secularized church (i.e. has the same behavior and structure as a church but without the imposed religiousness). An analysis of the comparison between the Christianity Nietzsche so adamantly criticized a nd the modern American society reveals that a secularized church as such can thrive and prosper despite its â€Å"weaknesses† due to the Christian origin. In Human, All-Too-Human, Nietzsche wrote, â€Å"Christianity came into existence in order to lighten the heart; but now it has first to burden the heart so as afterwards to be able to lighten it†. He criticized Christianity because it promoted suffering and belittled the value of earthly life. Not only were Christians expected to accept suffering as the means to salvation (â€Å"Therefore, since Christ suffered in his body, arm yourselves also with the same attitude, because he who has suffered in his body is done with sin† (1 Peter 4:1)), but the Christian God accepted pain and allowed it to occur. Nietzsche saw this approach to â€Å"life† as a means of self-deception, since one is upholding a divine being who is responsible for this pain (and who may well not even exist) and one is disguising pain as happiness: â€Å"Rejoice that you participate in the suffering of Christ† (1 Peter 4:13). To him, Christianity was a â€Å"dangerous narcoticà ¢â‚¬  (Genealogy of Morals, 3rd Essay, Section 17). With the formation of the Christian congregation, a community formed (which was, according to Nietzsche, implemented by the ascetic priest) that taught social equality.

Reconstruction Dbq

The Civil War was one of the most difficult and trying times during American history. The war ended with the the Union and Confederate states torn apart over one major issue: slavery. With the end of the Civil War came the end of slavery in the United States. Although the former black slaves were now free, they had no land and very few rights, and most did not even have family. Though out reconstruction, blacks were able to gain rights, but were continuously repressed by the white Southerners. The only way to truly enfranchise the former slaves was by effectively disenfranchising their former masters.The reign the masters had over their former slaves disabled the slaves from trying to fulfill their lives as equal American citizens. In most cases, the blacks of American were granted certain freedoms and then were taken away or oppressed by the whites. The former plantation and slave owners were not receptive to treating the blacks as their fellow counterparts. As Reconstruction began to start in the United States, the question of how the Southern states would be welcomed back into the Union begged at the issue. Reconstruction started to become a struggle between the executive and legislative branches.Radical Republicans, such as Thaddeus Stevens, wanted to approach Reconstruction from a military prospective because they were seeking revenge and felt the South needed to be taught a lesson because of the havoc and damage that they imposed on the Union (Document A). On the other hand, Andrew Johnson wanted to take a more moderate approach to reconstruction in order to quickly reincorporate the Southern states into the Union. To be allowed back into the Union, as per Andrew Johnson’s plan of reconstruction, the Southern states had to, among many other terms, agree to the 13th Constitutional Amendment that recognized the freedom of blacks.Many blacks felt that they knew their previous masters best and argued that although the states would agree to the recognit ion of 13th amendment, it was only â€Å"lip deep† (Document C). They also argued that the only way to really make the Southerners see the blacks as their equals was with the assistance of the federal government to put military reconstruction into place (Document C). The first Reconstruction act was passed in March 2nd, 1867 and divided the South into five military districts, each under a major general (Document I).In each of these districts, freed males slaves were granted suffrage. This act also offered readmission to the Union if the states ratified the Fourteenth Amendment, which would grant citizenship and civil liberties to all people born or naturalized in the United States. The Fourteenth Amendment was another step toward black equality and secured the rights of the former slaves (Document H). Although blacks were now allowed to vote, whites in the South would use severe intimidation tactics in order to oppress the newly acquired rights of the blacks.Voting is one of the most basic rights of an American citizen, so it would seem that the right to vote for all would equate peace and happiness between the whites and blacks (Document F). The idea of a master seeing his former slave at the same voting polls was an belligerent concept. During this time period, it seemed that the only way for the blacks to have their rights without being oppressed was to disenfranchise the whites. Even though the blacks were released from slavery, the whites still used tactics to keep the blacks in order beneath them.The Black Codes were created to make a cheap labor source for the South. Blacks would be arrested for vagrancy and judged by a jury that consisted of white men; blacks still could not serve on a jury at this time, still displaying that blacks did not receive full rights of white citizens. Thus, blacks would always be convicted by the jury of whites who wanted to ensure a labor force. Once convicted, the blacks were put on farms to work. Blacks would also have to pay a penalty if they were jumping contracts and moving from plantation to plantation; they could not leave the plantation.The whites were basically creating a â€Å"legal† system of slavery, which undermined the blacks newly acquired rights as a free citizen. Andrew Johnson would soon prove to be the oppressor in the fight for black equality during the time of reconstruction in the United States. First, the distribution of land was being brought about by a reconstruction-made institution, known as the Freedmen’s Bureau. The Freedmen’s Bureau provided food, clothing, education, and land to the blacks. By June 1865, the Bureau had settled nearly 10,000 black families on their own land, which was abandoned plantations.Just as the blacks were coming into and accepting their new freedom, the Southern white plantation owners were returning and demanding the return of their land. Andrew Johnson would support their demands and the government would eventually re turn all of the land. Just by this instance, it was proved that the whites in the South had tremendous control over the blacks and the government seemed to be supporting them. The North actually feared the potential power of the South in the most recent events of oppression (Document G). Andrew Johnson was also presented with the newly created Reconstruction Amendments, all of which he vetoed.Although he was overridden by Congress, this shows how the â€Å"white men† has once again oppressed the blacks. Also, Andrew Johnson would soon pull the institution of the Freedmen’s Bureau. This was once again preventing the blacks from bettering themselves as individuals and accepting their new rights and freedoms as citizens of the United States. Tensions ran extremely high between the whites and blacks that it started to become deadly. Hate groups were beginning to form in order to undermine the blacks where they were the majority. The most prevalent hate group was the Ku Klu x Klan.These groups policed themselves in groups around voting polls in order to keep the blacks from exercising their rights given to them in the Fifteenth Amendment. The treatment these hate groups, including the Knights of the White Camellia, oppressed the blacks from exercising the most basic of their civil rights and began to return them to their previous way of life. The hatred and means to put the blacks down was beginning to become incredible because the whites did not want to see blacks become their equals and wanted no help or interaction with their former chattel (Document B).Segregation in the South was becoming more relevant during the time of Reconstruction. At first, there were public areas, such as schools, that accepted both black and white children. Even with such established integrated public places, white Southerners still refused to send their children to school with black children. The court case Plessy v. Ferguson made the term â€Å"separate but equal† sanctified in Supreme Court. This means that black and white accommodations had to be equal, but permitted to be separated.This case also established the Jim Crow Laws, which made the segregation of the races possible. In all reality, although Plessy v. Ferguson determined that black and white accommodations were separate but equal, the accommodations of the whites were of higher standards than those of the former slaves. The segregated and racist mindset of the whites in the South made it hard for the former slaves to make any progress because every step the African Americans took toward securing their civil liberties, the whites were there to take a stand against them by any means.Fredrick Douglass believe that all people in the South could live together in peace if the South merely cooperated (Document D). The Election of 1876 would be the death of Radical Reconstruction. After a discrepancy with the votes in the election, a compromise was made that would make Republican Rutherf ord B. Hayes the presidential winner. The victory of the Republican party would then mean that the Union army must pull out of the five Southern regions. Thus, the Freedmen are now turned away from by the Radical Republicans and are left for the Southerners to handle.The Southern whites will continue to oppress the former slaves and will try to take away every right they have come to gain. The only way for the Freemen to become rich with their civil rights and able to express them would be to take the opportunities away from the whites to oppress them. If the oppression of the blacks by the whites is continuously ignored, then it will be impossible for the blacks to even become completely equal with the whites among them. Reconstruction Dbq The Civil War was one of the most difficult and trying times during American history. The war ended with the the Union and Confederate states torn apart over one major issue: slavery. With the end of the Civil War came the end of slavery in the United States. Although the former black slaves were now free, they had no land and very few rights, and most did not even have family. Though out reconstruction, blacks were able to gain rights, but were continuously repressed by the white Southerners. The only way to truly enfranchise the former slaves was by effectively disenfranchising their former masters.The reign the masters had over their former slaves disabled the slaves from trying to fulfill their lives as equal American citizens. In most cases, the blacks of American were granted certain freedoms and then were taken away or oppressed by the whites. The former plantation and slave owners were not receptive to treating the blacks as their fellow counterparts. As Reconstruction began to start in the United States, the question of how the Southern states would be welcomed back into the Union begged at the issue. Reconstruction started to become a struggle between the executive and legislative branches.Radical Republicans, such as Thaddeus Stevens, wanted to approach Reconstruction from a military prospective because they were seeking revenge and felt the South needed to be taught a lesson because of the havoc and damage that they imposed on the Union (Document A). On the other hand, Andrew Johnson wanted to take a more moderate approach to reconstruction in order to quickly reincorporate the Southern states into the Union. To be allowed back into the Union, as per Andrew Johnson’s plan of reconstruction, the Southern states had to, among many other terms, agree to the 13th Constitutional Amendment that recognized the freedom of blacks.Many blacks felt that they knew their previous masters best and argued that although the states would agree to the recognit ion of 13th amendment, it was only â€Å"lip deep† (Document C). They also argued that the only way to really make the Southerners see the blacks as their equals was with the assistance of the federal government to put military reconstruction into place (Document C). The first Reconstruction act was passed in March 2nd, 1867 and divided the South into five military districts, each under a major general (Document I).In each of these districts, freed males slaves were granted suffrage. This act also offered readmission to the Union if the states ratified the Fourteenth Amendment, which would grant citizenship and civil liberties to all people born or naturalized in the United States. The Fourteenth Amendment was another step toward black equality and secured the rights of the former slaves (Document H). Although blacks were now allowed to vote, whites in the South would use severe intimidation tactics in order to oppress the newly acquired rights of the blacks.Voting is one of the most basic rights of an American citizen, so it would seem that the right to vote for all would equate peace and happiness between the whites and blacks (Document F). The idea of a master seeing his former slave at the same voting polls was an belligerent concept. During this time period, it seemed that the only way for the blacks to have their rights without being oppressed was to disenfranchise the whites. Even though the blacks were released from slavery, the whites still used tactics to keep the blacks in order beneath them.The Black Codes were created to make a cheap labor source for the South. Blacks would be arrested for vagrancy and judged by a jury that consisted of white men; blacks still could not serve on a jury at this time, still displaying that blacks did not receive full rights of white citizens. Thus, blacks would always be convicted by the jury of whites who wanted to ensure a labor force. Once convicted, the blacks were put on farms to work. Blacks would also have to pay a penalty if they were jumping contracts and moving from plantation to plantation; they could not leave the plantation.The whites were basically creating a â€Å"legal† system of slavery, which undermined the blacks newly acquired rights as a free citizen. Andrew Johnson would soon prove to be the oppressor in the fight for black equality during the time of reconstruction in the United States. First, the distribution of land was being brought about by a reconstruction-made institution, known as the Freedmen’s Bureau. The Freedmen’s Bureau provided food, clothing, education, and land to the blacks. By June 1865, the Bureau had settled nearly 10,000 black families on their own land, which was abandoned plantations.Just as the blacks were coming into and accepting their new freedom, the Southern white plantation owners were returning and demanding the return of their land. Andrew Johnson would support their demands and the government would eventually re turn all of the land. Just by this instance, it was proved that the whites in the South had tremendous control over the blacks and the government seemed to be supporting them. The North actually feared the potential power of the South in the most recent events of oppression (Document G). Andrew Johnson was also presented with the newly created Reconstruction Amendments, all of which he vetoed.Although he was overridden by Congress, this shows how the â€Å"white men† has once again oppressed the blacks. Also, Andrew Johnson would soon pull the institution of the Freedmen’s Bureau. This was once again preventing the blacks from bettering themselves as individuals and accepting their new rights and freedoms as citizens of the United States. Tensions ran extremely high between the whites and blacks that it started to become deadly. Hate groups were beginning to form in order to undermine the blacks where they were the majority. The most prevalent hate group was the Ku Klu x Klan.These groups policed themselves in groups around voting polls in order to keep the blacks from exercising their rights given to them in the Fifteenth Amendment. The treatment these hate groups, including the Knights of the White Camellia, oppressed the blacks from exercising the most basic of their civil rights and began to return them to their previous way of life. The hatred and means to put the blacks down was beginning to become incredible because the whites did not want to see blacks become their equals and wanted no help or interaction with their former chattel (Document B).Segregation in the South was becoming more relevant during the time of Reconstruction. At first, there were public areas, such as schools, that accepted both black and white children. Even with such established integrated public places, white Southerners still refused to send their children to school with black children. The court case Plessy v. Ferguson made the term â€Å"separate but equal† sanctified in Supreme Court. This means that black and white accommodations had to be equal, but permitted to be separated.This case also established the Jim Crow Laws, which made the segregation of the races possible. In all reality, although Plessy v. Ferguson determined that black and white accommodations were separate but equal, the accommodations of the whites were of higher standards than those of the former slaves. The segregated and racist mindset of the whites in the South made it hard for the former slaves to make any progress because every step the African Americans took toward securing their civil liberties, the whites were there to take a stand against them by any means.Fredrick Douglass believe that all people in the South could live together in peace if the South merely cooperated (Document D). The Election of 1876 would be the death of Radical Reconstruction. After a discrepancy with the votes in the election, a compromise was made that would make Republican Rutherf ord B. Hayes the presidential winner. The victory of the Republican party would then mean that the Union army must pull out of the five Southern regions. Thus, the Freedmen are now turned away from by the Radical Republicans and are left for the Southerners to handle.The Southern whites will continue to oppress the former slaves and will try to take away every right they have come to gain. The only way for the Freemen to become rich with their civil rights and able to express them would be to take the opportunities away from the whites to oppress them. If the oppression of the blacks by the whites is continuously ignored, then it will be impossible for the blacks to even become completely equal with the whites among them.