Class Dialogue Assignment Example | Topics and Well Written Essays - 250 words - 3

Class Dialogue - Assignment Example Libreria Editrice Vaticana: Chapter I: #24-27; 36-39; 41-45. 6-10. Accessed online on June 8, 2014 from http://w2.vatican.va/content/francesco/en/apost_exhortations/documents/papa-francesco_esortazione-ap_20131124_evangelii-gaudium.html. This source takes a look into evangelism and the role that Christ plays in evangelism. According to the source, Christ is proactive and loved humans first. Additionally, the source looks into the role played by patient and restraint on time. The relevance of this source to the topic at hand is that evangelism and the role played by Christ in showing love provides relevant perspectives for developing the current class dialogue. United States Conference of Catholic Bishops. (n.d). Faithful Citizenship: A Catholic Call to Political Responsibility. Accessed June 8, 2014 from http://www.usccb.org/issues-and-action/faithful-citizenship/upload/forming-consciences-for-faithful-citizenship.pdf As citizens, American are controlled by policies that aim to maintain law and order within the society. As faithful Christians, Catholics demand that citizenship and faith should integrate provided that the church is free to carry out its mission without interruptions from policies that watch over humans. The relevance of this source to the current topic is providing insight on how, Christians should show love to other people, maintain their faith as Catholics, and function under national policies (the constitution). This quote is of special interest as it points out that the relevance of documents is slowly deteriorating and interest in following up with administrative doctrines has been deemed insufficient. This quote raises the question of what more is needed to regulate the outcomes of choices. In 2013, the USA was in the news headlines for the wrong reason. With the efforts to control or monitor terror, a spy program called Prism was developed to intercept communication of various citizens. This program would

The Great Search for Oil Sources Essay Example | Topics and Well Written Essays - 500 words

The Great Search for Oil Sources - Essay Example There are also those who, on the other hand, feel that the end result from drilling in the area would be so minuscule in nature, that is would prove to not have any kind of benefit, while in the process having a drastic effect on the ecosystem of the refuge itself. The online Encyclopedia Wikipedia provides a little history on the subject of drilling in the Arctic. It writes that, "The question of whether or not to allow drilling for oil in the Arctic National Wildlife Refuge (ANWR) has been a political football for every sitting American president since Jimmy Carter. The Arctic National Wildlife Refuge is just east of Prudhoe Bay in Alaska's "North Slope," which is North America's largest oil field. Currently, the Prudhoe bay area accounts for 17% of U.S. domestic oil production.[1] In 1987 and again in 1998 studies released by the U.S. Geological Survey have estimated significant deposits of crude oil exist within the land designated as the "1002 area" of ANWR, as well.[2][3][3] ," ("Arctic" p.1). A noticeable action came when, "In 2005, Congress twice affirmed their constituents' belief that America's remaining wilds are important and rejection of claims that Arctic Refuge oil is any sort of answer to the nation's dependence on foreign oil. In November 2005, leaders of the House removed provisions that would have allowed drilling in the refuge from a massive budget bill.

Depression and Suicidal Ideation: Mental Health Case Study

Depression and Suicidal Ideation: Mental Health Case Study Introduction Mental health nursing is a complex healthcare practice, because it aims to meet the needs of clients with mental health needs, which are usually also complex and require more than a single therapeutic approach. Mental health nurses usually provide supportive and therapeutic care adhering to nursing and healthcare principles of beneficence and non-maleficence, and adhere to the principles published in the national guidance, of client-centred care focused on service user need, as enshrined in the National Service Framework for Mental Health (Department of Health, 1999). Mental health nursing usually involves the provision of ongoing, supportive therapeutic interventions and ‘talking’ therapies, which can include counselling based on established principles. This role of the mental health nurse involves the formation of a therapeutic relationship with the client, in order to support the client to development self-management and coping strategies for the ongoing control of th eir condition and its symptoms, in conjunction with pharmacological treatments. This critical essay will explore the mental health nursing care of a particular, identified patient encountered in clinical practice, in whose care the author was directly involved. It explores the provision of Cognitive Behavioural Therapy (CBT) to a single client who had complex health needs and challenging symptoms, reviewing the usefulness and appropriateness of the therapy, the effects or projected effects on the client’s wellbeing and symptoms, and the issues surrounding such care for the client in relation to rehabilitation and recovery as part of their mental health journey. The essay will focus on the care of one client with depression and suicidal ideation, looking not at the acute phase of mental health care, but the rehabilitation phase where the client is being supported into ways of managing symptoms and returning to a useful, active social life where they can function effectively within society. The essay focuses on the goals and principles enshrined in the NSF for Mental Health (DoH, 1999), that of achieving the best possible standards of health and wellbeing for the client and the best possible control of their symptoms. It will explore the rationales and process of the therapeutic intervention, and use this intervention within a person-centred model of counselling, support and care. Client Background and History The client, who for the purposes of this essay will be called Lisa (this being a pseudonym used to ensure client confidentiality), is a 19 year old young woman with a history of depression and suicidal ideation. Lisa first presented to the local mental health services at the age of 16, after an acute episode of physical self harm and attempted suicide. Lisa’s self-harming behaviour takes the form of cutting, usually to the arms, legs and abdomen, although she has been known at times to also cut her face and neck. During her first admission, Lisa was diagnosed as having Depression with Psychotic symptoms. She has been managed with a combination of Fluoexetine and a range of other medications, but is known to have frequent relapse due to medication non-compliance. Lisa has a complex personal and social history which goes some way to explaining her current state of mental ill health. She was abandoned by her single parent mother at the age of 11, from which time until the age of 16 she spent in local authority care, a mixture of foster homes and care facilities. At age 16 she left care and went on the streets, but at 17 after her third hospital admission was able to get into a social support programme, secure accommodation for herself, and start to attend college. Lisa is still at college, studying beauty therapy. She has a history of sexual abuse, but for the past year and a half has been living a relatively stable life, with a good social life and a busy college life. Lisa has presented this time with a relapse in her Depression, and has demonstrated a strong suicidal ideation, low mood and being very withdrawn and apathetic. She has, this time, attempted suicide through overdose of a friend’s prescribed medication accompanied by severe cutting to the arms, legs and breasts. After being medically stabilised, she was admitted to the mental health ward, and after two weeks on the ward, fully compliant with her medication, was making some progress towards rehabilitation. Discussion Norman and Ryrie (2004) describe mental health nursing as a process of working with clients to allow them to develop the skills to regain control over their lives through managing their mental health. Ultimately, mental health nursing supports clients into a phase of recovery (Tschudin, 1995), which means that they are not overwhelmed by their symptoms and can manage them through a combination of medication, personal supportive therapies, and other support, in order to lead ‘normal’ lives within society and achieve personal goals. Mental health nursing is based upon a range of principles, some of which are scientific, some of which are more holistic (Norman and Ryrie, 2004). Mental health nursing supports clients through the acute phases of their illness, via crisis management, and through the chronic stages of their illness, through longer-term processes of rehabilitation (Perkins and Repper, 2004). Quite often, mental health service users are viewed in terms of their d isease and its treatment, but the provision of true client-centred care should start off with a good understanding of the client and their condition, their particular needs, and then be followed by a judgement about how best to help them towards recovery along the spectrum of mental health and illness (Perkins and Repper, 2004; Foreyt and Poston, 1999). Recovery cannot be considered as a finite point in time, but as an ongoing balance between the client and their illness, wherein the client aims to achieve the ability to function at the level they desire, through accessing appropriate support (Perkins and Repper, 2004; Greenberger and Padesky, 1995)). The judgement about what kind of support is best is based upon a number of factors, but most often, the decision about which of the many approaches to supportive therapies and counselling will be used is based upon both the client need, and the mental health nurse’s own knowledge about, experience of, and preference for, a parti cular form of therapy (Puentes, 2004). Mental health nurses, therefore, must have a good understanding of themselves, their philosophical orientation in relation to counselling, and the therapies on offer, and are most likely to provide those with which they have the most familiarity. In this case, the author is describing their own philosophical approach as matching that of their clinical practice mentor, who, as an experienced mental health nurse, is a strong advocate of client centred approaches to counselling. Gamble and Curthouys (2004) describe these approaches as being founded on Rogerian principles that include empathy, genuineness and unconditional positive regard. Rogers (1957 in Gamble and Curthouys, 2004) suggest that within a therapeutic relationship, which is a supportive relationship between client and nurse, with the express goal of attaining rehabilitation or recovery, there should be certain features which support the client towards ‘functionality’. Thus, there needs to be contact between tw o people, nurse and client, in which the client is in a condition of incongruence, and the nurse a state of congruence, and in which the nurse displays unconditional positive regard, and empathetic understanding, towards the client (Rogers, 1957 in Gamble and Curthouys, 2004). The nurse must be able to communicate these factors to the client, within the client’s frame of reference (Rogers, 1957 in Gamble and Curthouys, 2004 Bryant-Jefferies (2006) argues that the therapeutic relationship must be founded on empathy, and that in order to achieve empathy the nurse must employ active listening, and must attend to all the signs and the kinds of communication which the client displays, providing a sense of being ‘present’ with the client in whatever experience they are retelling or currently experiencing. One of the more challenging aspects of developing such a relationship with the client is the provision of unconditional positive regard, which Bozarth and Wilkins (2001 in Bryant-Jefferies, 2006) describe as an ongoing, unceasing and unflagging ‘warm acceptance’ of the individual, regardless of what they might say. Some authors describe this as the element of the therapeutic relationship that is most likely to support the client towards recovery (Bozarth and Wilkins, 2001 in Bryant-Jefferies, 2006). In this case, the mental health nurse (the author’s mentor) who was the prima ry support person for the client, fully aspired to such principles and to the concept of developing the best possible therapeutic relationship with the client. The literature consistently demonstrates that the quality of the therapeutic relationship is fundamental to the client achieving a state of mental health and wellbeing (DoH, 2001; DoH, 2006; Nice, 2004). The author agreed with this and felt that their own therapeutic philosophy was founded upon similar principles, making it appropriate to get involved in the case. The client was also happy to have the author present, as they were involved in there are from admission, and had spent some time observing the client during the acute phase to prevent further self harm. Depression is a surprisingly common, yet often serious mental illness, which can present in a variety of ways, with features such as â€Å"low mood, lack of enjoyment and interest, reduced energy, sleep disturbance,appetite disturbance, reduced confidence and self-esteem, and pessimistic thinking† (Embling, 2002; p 33). According to Embling (2002), these symptoms can have a significant effect on people’s ability to take part in normal daily life or social activities, and in particular, the low mood and predisposition towards pessimistic thoughts can have a negative impact on thought processes, leading to suicidal ideation (Rollman et al, 2003).. There are a number of individual and social issues which have been shown to have an association with depression, including physical illness (acute and chronic), poverty or low socioeconomic status and deprivation, divorce, bereavement or relationship breakdown, loss of a job or sudden, negative change in circumstances, ethnic minority status, and concomitant mental illness (Embling, 2002). It is a chronic condition which can manifest in acute episodes which are often successfully managed with pharmacological and non-pharmacological support, but the relapse rate is high for many patients (Embling, 2002). It can range from mild depression to severe depression or anywhere along a spectrum in between (Rollman et al, 2003). A wide variety of therapeutic approaches have been used in treating this illness, and in Lisa’s case, she had had some success previously with solution-focused brief therapy, but had found herself relapsing once regular, close contact with a mental health nurse had lapsed. Lisa admitted that she felt the time was right to take control of her life and find ways of coping with her illness more independently, and was keen for strategies which would allow her to avoid having such serious relapses, because they themselves had a negative effect on her life and potential career. Therefore, it was agreed that CBT might be the optimal approach. Luty et al (2007) argue that CBT is not always the most efficacious therapeutic choice for severe depression, but in Lisa’s case, it seemed worth trying, particularly as her worst symptoms were related to not maintaining her medication, and once she was on her medication, the focus had to be on keeping her well enough to keep taking the tablets. Other literature suggests that CBT is effective in patients who have had a history of sexual abuse (Price et al, 2001) This seemed to imply that the focused approach to support that CBT offered would the right way, particularly as it is so focused on relapse p revention. According to NACBT (2007) cognitive behavioural therapy is the term used to describe a variety of therapeutic or interpersonal interventions, all of which are characterised by a focus on the importance of how clients think, and how this thinking impacts upon their feelings, their responses to stimuli and stressors, and their actions. Its value lies in the fact that it is structured, directive, and also time-limited, strong focusing client and nurse on the current problem, on how the client feels and thinks at the single point in time that therapy is taking place (Embling, 2002). CBT is based on â€Å"the theory that the way an individual behaves is determined by his or her idiosyncratic view of a particular situation, thus the way we think determines the way we feel and behave †(Embling, 2002p 34). According to Embling (2002), Beck et al (1979) introduced CBT , suggesting that â€Å"CBT can treat depression as it helps the client to evaluate and modify distorted thought processes and dysfunctional behaviours† (Embling, 2002) p 38). According to NACBT (2007) CBT has expanded within the therapeutic domain to include a range of approaches based upon the sample principles, including, Rational Behaviour Therapy, Rational Emotive Behaviour Therapy , Rational Living Therapy, Cognitive Therapy, and Dialectic Behaviour Therapy, all of which are based on what are described as â€Å"cognitive models of social response†. These in turn have been based on philosophical principles derived from Socratic thought, wherein individuals aim to attain a state of calm and tranquillity when challenged by stressful or difficult situations and experiences (NACBT, 2007). Thus the idea is to modulate the responses to life and experiences which precipitate symptoms of mental illness. The coun sellor directs the client to use inductive methods combined with principles of rational thinking and educative approaches, to support behavioural self-managed over the longer term , (NACBT, 2007; Sensky et al, 2000) and to prevent relapses (Bruce et al, 1999). Therefore, in CBT, the nurse provides the client with the ability to explore their behaviours, their responses and their typical symptomatic responses in particular in certain situations, and assists them in developing ways of mediating such responses so that they do not relapse into behaviours characteristic of their illness (Sensky et al, 2000; RCP, 2007; BABCP, 2007). Management of Lisa’s Care To begin with, it was really important to ensure that Lisa’s counselling and therapy was truly person-centred, in order to develop a good relationship between Lisa, the primary nurse and the author (NELMH, 2007; Moyle, 2003). The author hoped that Lisa would respond well to this approach because it would allow for the demonstration of empathy and a good understanding of how her life, previous mental illness and personal circumstances were contributing to her current illness, and therefore would support congruence in provision of support to meet her needs and address her specific concerns. However, the difficulty in achieving congruence here was that the author could not really claim to fully understand the effects of Lisa’s previous experience of sexual abuse or really relate to her experiences, and in particular, the author found some elements of her history, including the stories she told relating the sexual abuse, as very disturbing. The author discussed this with th e nurse mentor prior to the counselling sessions, and discussed how to achieve that true sense of congruence and presence, without communication their own abhorrence of the experiences that Lisa was relating. It was decided that it would be acceptable to tell Lisa that the author was appalled by these experiences, because this would underline the fact that she should not have had to suffer this abuse and that she was right to seek help in dealing with the effects on her mental health. Therefore, the author was able to enter into this counselling in supportive frame of mind, and able to achieve empathy without communicating negative feelings to the client. The focus of Lisa’s CBT was on the suicidal ideation/self-harming and the low mood and self-abhorrence that were the main manifestations of her depression. Collins and Cutcliffe (2003) show that one of the most common features displayed by mental health service users with suicidal ideation is hopelessness. This was certainly the case for Lisa, who displayed a sever pessimism about life and her ability to achieve anything like lasting recovery. Her goals to become a beauty therapist seemed unobtainable, and she felt she had no hope of making a new life for herself that was not ‘ruined’ by her previous life. However, Collins and Cutcliffe (2003) recommend CBT for this kind of pessimistic thinking because it focuses the client on establishing ‘hopefulness’ within their thought patterns. Other research shows that suicide risk can be reduced if individuals can experience others showing concern for them (Casey et al, 2006). This was supported by the author’s and the mentor’s firm belief in the efficacy of CBT for clients such as Lisa (Joyce et al, 2007). Thus, it was possible to establish an initial level of trust, and through the therapeutic relationship, the author was able to support Lisa in exploring her conditional assumptions (Curran et al, 2006) which led to the ongoing, spiralling pessimism, and then using CBT, we were able to set goals for each counselling session, set ‘homework’ which focused on self-management, and then reflect on progress as each session followed the previous one (Curran et al, 2006). The sessions focused on relapse prevent ion through changing cognitive patterns and schema, rehearsing relapse drills, and ensuring ongoing compliance with medication (Papakostas et al, 2003. While some authors argue for the need for inclusion of family or carers in therapeutic interventions such as (Chiocca, 2007), this was not possible with Lisa because she had no family and although she had a number of good friends made through her college course, none of them knew of her mental illness. The focus was therefore on health education, developing personal skills, and helping Lisa to cope with issues such as her current socioeconomic status (Jackson et al, 2006; Cutler et al, 2004). . Conclusion If, as Calloway (2007 p 106) suggests â€Å"nursing is defined as a profession that protects, promotes, and restores health and that which prevents illness and injury†, then using such a client-empowering form of therapy, one which is based on the development of realistic coping mechanisms (Salkovskis, 1995; Deakin, 1993), was the right approach with Lisa. Discussion with her revealed that focusing on relapse prevention, within an honest therapeutic relationship which addressed the factors affecting her mental health, and addressed the ways of thinking and behaviours which led to relapse, was the right approach, because these were, fundamentally, her primary needs. The person-centred approach, in particular, seemed to give her the positive, ongoing interpersonal contact she needed, such that she did demonstrate signs of moving into a state of rehabilitation and recovery. References BABCP (2007) CBT Today36 (3) Available form www.babcp.com Accessed 5-1-09 Bozarth, J. and Wilkins, P. (eds) (2001) Rogers’ Therapeutic Conditions: evolution, theory and practice Ross-on-Wye: PCCS Books. In: Bryant-Jeffries, R. (2006) Counselling for Eating Disorders in Women: Person-centred dialogues Oxford: Radcliffe. Bruce, T.J., Spiegel, D.A. and Hegel, M.T. (1999) Cognitive-behavioural therapy helps prevent relapse and recurrence of panic disorder following alprazolam discontinuation. Journal of Consulting and Clinical Psychology 67 (1) 151-156. Bryant-Jeffries, R. (2006) Counselling for Eating Disorders in Women: Person-centred dialogues Oxford: Radcliffe. Calloway, S. (2007) Mental Health Promotion: Is Nursing Dropping the Ball?. Journal of Professional Nursing 23 (2) 105-109. Casey, P.R., Dunn, G., Kelly, B. et al (2006) Factors associated with suicidal ideation in the general population: Five-centre analysis from the ODIN study. The British Journal of Psychiatry 189(5) 410-415. Chiocca, E. (2007) Suicidal ideation Nursing 37(5) 72. Collins, S. and Cutcliffe, J.R. (2003) Addressing hopelessness in people with suicidal ideation: building upon the therapeutic relationship utilizing a cognitive behavioural approach. Journal of Psychiatric and Mental Health Nursing 10 (2) , 175–185 Curran, J., Machin, C. and Gournay, K. (2006) Cognitive behavioural therapy for patients with anxiety and depression. Nursing Standard 21(7) 44-52. Cutler, J.L, Goldyne, A., Markowitz, J.C. et al (2004) Comparing cognitive behaviour therapy, interpersonal psychotherapy and psychodynamic psychotherapy. American Journal of Psychiatry 161 (9) 1569-1578. Deakin, H. G. (1993) Behavioural and Cognitive-Behavioural Approaches. Ch21 pp251-292. In Wright, H and Giddey, M. (1993) Mental Health nursing: From First principles to professional practice London: Chapman and Hall Department of Health (2006) From Values to Action. The Chief Nursing Office’rs Review of Mental Health Nursing London: DOH. Department of Health (2001) Treatment Choice in Psychological Therapies and Counselling: Evidence Based Clinical Practice Guideline London: HMSO. Department of Health (1999) The National Service Framework For Mental Health. Modern Standards and Service Models London: DOH. Diaz-Granados, N. and Steward, D.E. (2007) Using a gender lens to monitor mental health. International Journal of Public Health 52 (4) 197-198. Embling, S. (2002) The effectiveness of cognitive behavioural therapy in depression. Nursing Standard 17(14-15) 33-41. Foreyt, J.P. and Poston, W.S. (1999) What is the role of cognitive-behavior therapy in patient management? Obesity Research 6 18S-22S. Gamble, C. and Curthoys, J. (2004) Psychosocial interventions. In: Norman, I. Ryrie, I. (eds.) (2004) The Art and Science of Mental Health Nursing: A Textbook of Principles and Practice Maidenhead: Open University Press. Gelso, C.J. Carter, J.A. (1985) The Relationship in Counseling and Psychotherapy. The Counselling Psychologist, 13 (2) 155-243 Greenberger, D and Padesky, C.A. (1995) Mind over mood. A cognitive therapy treatment manual for clients. New York: Guilford Press. Jackson, S.F., Perkins, F., Khandor, E. et al (2006) Integrated health promotion strategies: a contribution to tackling current and future health challenges. Health Promotion International 21 (Supplement 1) 75-83. Joyce, O., McKenzie, J.M., Cartern, J.D., et al (2007) Temperament, character and personality disorders as predictors of response to interpersonal psychotherapy and cognitive-behavioural therapy for depression. The British Journal of Psychiatry 190(6) 503-508. Luty, S., Cartern, J., McKenzie, J. et al (2007) Randomised controlled trial of interpersonal psychotherapy and cognitive-behavioural therapy for depression The British Journal of Psychiatry 190(6) 496-502 Moyle, W. (2003) Nurse-patient relationship: A dichotomy of expectations International Journal of Mental Health Nursing 12 (2) 103–109. NACBT (2007) Cognitive Behavioural Therapy http://www.nacbt.org/whatiscbt.htm Accessed 5-1-09 NELMH (2007) Relapse Prevention http://nelmh.org/page_view.asp?c=10did=820fc=001003005. Accessed 5-1-09. NICE (2004) Depression: Management of Primary and Secondary Care Clinical guideline 23 www.nice.org.uk Accessed 5-1-09 Norman, I. Ryrie, I. (eds.) (2004) The Art and Science of Mental Health Nursing: A Textbook of Principles and Practice Maidenhead: Open University Press. Norman, I. Ryrie, I. (2004) Mental health nursing: origins and orientations. In Norman, I. Ryrie, I. (eds.) (2004) The Art and Science of Mental Health Nursing: A Textbook of Principles and Practice Maidenhead: Open University Press. Ormel, J., Koeter, W., Van den Brink, G. and Van de Willige, G. (1991) Recognition, management, and course of anxiety and depression in general practice. Archives of General Psychiatry. 48 (8). Papakostas, G.I., Petersen, T., Pava, J. et al (2003) Hopelessness and suicidal ideation in outpatients with treatment-resistant Depression: prevalence and impact on treatment outcome The Journal of Nervous and Mental Disease 191(7) 444-449 Paykel, E.S., Scott, J., Cornwall, P.L. et al (2005) Duration of relapse prevention after cognitive therapy in residual depression: follow-up of controlled trial. Psychological Medicine 35 59-68. Peplau, H. (1989) Interpersonal constructs for nursing practice in: O’Toole, A.,Welt, S. 9eds) )1989) Interpersonal Theory in Nursing Practice. New York: Springer. Perkins, R. Repper, J. (2004). Rehabilitation and recovery. In: Norman, I. Ryrie, I. (eds.) (2004) The Art and Science of Mental Health Nursing: A Textbook of Principles and Practice Maidenhead: Open University Press. Price, J.L., Hilsenroth, M.J., Petretic-Jackson, P.A. and Bone, D. (2001)A review of individual psychotherapy outcomes for adult survivors of childhood sexual abuse. Clinical Psychology Review 21 (7) 1095-1121 Puentes, W.J. (2004) Cognitive therapy integrated with life review techniques: an eclectic treatment approach for affective symptoms in older adults. Journal of Clinical Nursing 13 (1) 84-89. Putnam, F. (2003) Ten-Year Research Update Review: Child Sexual Abuse. Journal of the American Academy of Child Adolescent Psychiatry. 42 (3) 269-278. RCP (2007) CBT. Available from http://www.rcpsych.ac.uk/mentalhealthinformation/therapies/cognitivebehaviouraltherapy.aspx Accessed 5-1-09 Revicki, D.A., Siddique, J., Chung, J.Y. et al (2005) Cost-effectiveness of evidence based pharmacotherapy or cognitive behaviour therapy combined with community referral for major depression in predominantly low-income minority women. Archives of General Psychiatry. 62 868-875. Rollman, B., Shear, M.K, (2003) Depression and Medical Comorbidity: Red Flags for Current Suicidal Ideation in Primary Care. Psychosomatic Medicine 65(4) 506-507 Salkovskis, P.M. (1995) Cognitive factors in depression, obsessive-compulsive disorder and hypochondriasis. Current Opinion in Psychiatry 8(2) 80-84. Sensky, T., Turkington, D., Kingdon, D. et al (2000). A Randomized Controlled Trial of Cognitive-Behavioral Therapy for Persistent Symptoms in Schizophrenia Resistant to Medication. Arch Gen Psychiatry.57 165-172. Tschudin, V. (1995) Counselling skills for nurses. London: Elsevier.

The meaning and Concepts of Jihad Essay -- Islam Holy War Muslim Relig

The Holy of Holy Wars: Jihad In light of recent events in the global community, one word that is used frequently but rarely truly understood is the Islamic word Jihad. Jihad has become a very volatile word, so it is necessary that those who use it should understand exactly what it means, what it entails, and what significance it has in current global events. There are many interpretations of the word Jihad, but the most common literal translation from Arabic to English is "struggle." Many interpret the idea of a Jihad as a holy war. While holy war may be part of the struggle of Muslims, it is not the entirety of Jihad. In its primary sense, Jihad is an internal struggle to rid oneself of debased actions or inclinations and devote oneself to achieving a higher moral standard through prayer, study, and spreading the Islamic Faith, since it is of universal validity (Peace 2). With the use of the word Jihad by men such as Saddam Hussein or Osama bin Laden, many people believe that Jihad highlights the violent nature of Muslim people. However, in its pure form, Islam is not at all violent. Muslims are taught to fulfill Jihad through four methods: the heart, the tongue, the hand, and the sword (Jihad 2). The first is the internal struggle to cleanse oneself of internal evil. Fulfilling Jihad through heart and hand are directed more toward supporting what is right and correcting which is wrong. Raising the sword in defense of Islam is only prescribed when all other methods have failed and Muslims have come under attack. A passage in the Quran, the holy book of Islam, states, "Fight for the sake of God those that fight against you, but do not attack them first. God does not love the aggressors"(Van Voorst 311). However, there ... ...is true for all people in all areas of life, so expanding the Nation of Islam is a very important goal for all Muslims. To avoid being stopped or pushed back, Jihad can oftentimes become necessary, and despite what popular media may have people believe, Jihad is not evil, it is as pure as Christians saying Grace before eating or Jews wearing yarmulkes. Works Consulted and Cited Jihad. http://www.Quran.org/jihad.htm Peace Encyclopedia. Jihad. http://www.yahoodi.com/peace/jihad.html Last updated March 14 2003 Sherif, Faruq. A Guide to the Contents of the Qur'an. 166-68 Torop, Jonathan. Commentary Magazine. Arafat and the uses of Terror. May 1997. 63-65 VanVoorst, Robert E. Anthology of World Scriptures. Fourth Ed. 2003 Wadsworth Publishing .

Nitrophenol Essay

Abstract: Using a micro scale steam distillation we separated ortho and para-nitrophenol from a mixture that was already made. After the para and ortho were separated we measured their melting points and compared it to the literature values for purity. For ortho-nitrophenol we had 60% recovery and for para 160% recovery. Our melting point ranges were ortho: 45-46Â °C and para 64-95Â °C. Introduction:Â  Nitration: In phenols, -OH group strongly activates the ring system. As a result, phenols are susceptible to oxidation in the presence of concentrated nitric acid (HNO3). Thus, nitration of phenols is carried out with dilute nitric acid and results in the formation of o-nitrophenol and p-nitrophenol. The o-nitrophenol is steam volatile and the mixture of o-nitrophenol and p-nitrophenol is separated by steam distillation, in our case using micro scale measurements for safety and time consumption purposes. (Electrophilic aromatic substitution) We used steam distillation because we are distilling under 100Â °C; above 100Â °C is H2O. Looking at the volatility of o-nitrophenol compared to p-nitrophenol, the p-nitrophenol has intermolecular hydrogen bonding and it occurs due to a large number of molecules are associated together. This association in the p-isomer makes it less volatile. However in o-nitrophenol, intramolecular hydrogen bonding occurs and thus, it exists in a monomolecular state making it more volatile. Results/Discussion: Using a sand bath for transferring of heat through the distillation which was sitting on a hot plate. Using a small round bottom flask which was attached to Hickman’s distillation head and then we attached water through the openings. Using 1.00g of the prepared mixture we placed it in the round bottom flask along with 1.00mL of ethanol and then filled it about 2/3 with water. We added a magnetic spin-vane to the flask as well. We collected the yellow waxy ortho-isomer from groove in Hickman’s distillation head using a Pasteur pipette. We made sure that the solids did not accumulate as this would clog the condenser. If it did we would just turn off the cold water momentarily and the hot vapor would melt the solid. The distillation took about 45 minutes and even though this was the specified time period for distilling the mixture, we felt as though much of the ortho-isomer was left in the small round bottom flask along with the para-isomer and the spin valve. In order to characterize the 2- and 4-nitrophenols, we need to determine their melting points. We compared our results to those in the literature. Data:Â  *some ortho solidified in the Pasteur pipette so there might arise a percent error from this as some ortho was left in there. *we assumed that the starting mixture was about 50% each of o- and p-nitrophenol.

Vacation Spots

Vacation Spots Vacation in paradise is the most important event in one’s life and every place in the world, people find a glorious space where a family can bond and enjoy the time that they have being together. A family is given two vacation spots to choose, Destin, Florida which is local and the other is Palma Resort which is in Surigao, Philippines. Both vacation spots have similarities, the family will face a lot of challenges vacationing outside the United States rather than vacationing locally.One important difference in vacationing between Destin, Florida and Palma Resort is the venue or location. Vacationing in Destin, Florida requires on a family to drive and a choice to fly to reach their destination while going to Palma Resort, Surigao, Philippines, and a family can go there by flying and no other way is available. The family also will be safe to venture around the city while vacationing locally while in Palma Resort the family is only safe if they stay within the bo undaries of the resort otherwise safety is at your own risk.Another difference between vacationing locally in Destin, Florida and Palma Resort is the cost that will come up. Vacationing in Destin, Florida, the cost would be minimal and affordable among middle class family. The family can also use their own car to travel to reach their Kwong 2 destination and this would save a lot on a budgeted vacation. Travel tax is not imposed while vacationing locally. On the other hand vacationing outside the United States in Palma Resort, Surigao, Philippines will incur a higher cost in airfare.It will cost a family of five at least $10,000 just to purchase airfare to the Philippines and this does include the fare to go the resort which is estimated between $1,500 to $2,000 per family of five (5), travel tax is imposed by the airport authorities since the family is just visiting a foreign country. The family has to rent a car or a van to venture out of the resort because there is no public tran sportation available around those areas which is another cost to account for.Vacationing in Palma Resort, Surigao, Philippines can be very expensive and will have to face the hustle of transferring from one airport to another to reach their vacation spot. The time alone to travel will take its toll on the family which is 19 hours of flight time from the United States to the Philippine and another 2 hours of flight time to reach the island while vacationing locally the family would normally spend 14 hours of drive time or 3 hours of flight time one or the other. Also the expectation of what kind of food or dishes being served can also be a factor, dining or having lunch outside the U.S. can be an experience the family would never forget. Destin, Florida and Palma Resort, Surigao, Philippines is two of the best vacation spots a family would possibly go. It is up to the family and their budgets where they want to go, if they prefer to save, then they should choose Destin, Florida and i f they could afford to spend extravagantly then it is recommended that they choose Palma Resort, Surigao, Philippines because they would enjoy the fun and adventure the place would provide and the experience of having authentic dishes being served and the hospitality of local people would show to them.Kwong 3 Vacation Spots Thesis: Both vacation spots are amazing, but staying within the borders of the United States is better than dealing with international complications I. Venue A. Destin 1. Can be driven to 2. Within United States border 3. Safe to venture B. Surigao, Philippines 1. Have to fly 2. Outside the United States-SW Asia 3. Safe within the boundaries of the resort but not outside. II. Cost A. Destin 1. Affordable for family vacation 2. Usage of family car 3.Travel tax not imposed B. Surigao, Philippines 1. High Cost 2. Rental Car or Van 3. Travel Tax imposed Kwong 4 III. Travel Time/Food A. Destin 1. It takes 14 hours drive time 2. Dishes are familiar/American Food 3. Fam iliar Hospitality B. Surigao, Philippines 1. It takes 19 hours fly time to reach the Philippines and another 2 hours fly time to reach Island and additional 2 hours drive time to destination. 2. Native Dishes/Filipino dishes 3. Unfamiliar hospitality or customs.