Review of literature on Brady Plan Research Paper

Review of literature on Brady Plan - Research Paper Example According to Rosen (2008, 102-103), this period built a new government in the U.S. and saw the democratic elections in Uruguay, Chile, Brazil, and Argentina, and the establishment of new administrations in Venezuela and Mexico. Within this setting, cutting down debt was one method to bolster developing economies in Latin America. Consequently, these countries take advantage of democratic transformation as a bargaining ticket to gain more favorable debt arrangements. These countries, as developing democracies, thought that pressing for inflexible strictness and full debt settlement would estrange newly entitled voters and threaten the continued existence of democratic governments (Hiatt 2009, 388). In September 1985, President Garcia remarked quite frankly that â€Å"We are faced with a dramatic choice: it is either debt or democracy† (Maswood 2008, 94). In view of this, the objective of this research paper is to analyze the status of the Brady Plan after 23 years of its implementation with a focus on Brazil and Mexico. In particular, this paper tries to answer the question, how did the Brady Plan help solve the problems faced by Mexico and Brazil as a result of the Latin American debt crisis? The success of the loan industry ended in 1982 due to the emergence of the debt crisis, raising alarm on global markets (Buckley 2009, 54). This bleak condition forced several international financial organizations to generate a remedial program, which may function to prevent a potential disaster. This mission engaged the government of the United States, but not, at the outset, as the major player. Basically, the Brady Plan included a rigorous debt assistance program where industrial banks may select from a list of debt-stock reduction and new currency selections, practiced within the context of policy contingency (Iqbal & Kanbur 1997, 25). In actual fact, not many industrial banks were eager to grant a new

Analyse the way Beatrice and Benedick Essay Example for Free

Analyse the way Beatrice and Benedick Essay The characters Beatrice and Benedick in the William Shakespeare play â€Å"Much Ado About Nothing† can be described as sparring lovers. At the start of the play, it is difficult for them to converse without becoming involved in a â€Å"merry war† or a â€Å"skirmish of wit†. This attitude gradually changes as the play progresses. I shall analyse the way in which this attitude changes as Beatrice and Benedick engage in parlance. From Act One, Scene One, Beatrice demonstrates hypocrisy when to Benedick she says â€Å"I wonder that you will still be talking, Signor Benedick, nobody marks you†. The ironic part of this is that she is actually listening to him. Therefore, as much as she may like to deny it, she is giving the man she â€Å"detests† her undivided attention, and is noticing him. Benedick, in a quick flash of wit answers back â€Å"What, my dear Lady Disdain! Are you yet living? † As Benedick asks Beatrice if she is living, it presents the witty assumption that Benedick has not been aware of Beatrice’s presence. A very well-put reply to this from Beatrice is that â€Å"Disdain† can’t die whilst Benedick is there â€Å"feeding† it to carry on. This battle of wit which occurs between the both of them illustrates the deep loathing that they appear to have for one another. As we shall discover further on in the play, this seems only to be a guise for the immense passion they have for each other. There is, here, however, a suggestion from Beatrice that both of them have had a relationship before: â€Å"You always end with a jade’s trick. I know you of old†. The aforementioned evidence of a possible relationship provides a reason for the skirmish of wit, and also implies there may still be romantic feelings between the two. In Act Two, Scene One, Beatrice is dancing and having a conversation with a masked Benedick. It is not clear, and remains the decision of the reader whether Beatrice truly knows that she is speaking with Benedick. She goes on to describe him as â€Å"the prince’s jester, a very dull fool†. As there is a sense of possession â€Å"the prince’s jester†, it creates the impression that Beatrice sees Benedick as nothing more than a puppet. When speaking with Claudio, Benedick makes it clear he was shocked by this: â€Å"Lady Beatrice should know me, and not know me: the prince’s fool! Hah†¦Ã¢â‚¬  †¦ â€Å"Every word stabs†. Here, Shakespeare has used a dramatic device, ie: the masqued ball, and the inherent identity confusion to make Benedick believe that Beatrice had all along intended to speak ill of him. It is for this reason that I believe that Beatrice knew full well that she was indeed speaking to Benedick. In Act Two, Scene Three, Benedick is successful tricked into thinking that Beatrice is in love with him. However, this trick has not yet been carried out on Beatrice. In the garden, Beatrice approaches Benedick and announces â€Å"I do spy some marks of love in her†. This is ironic because there are none. The passion she shows is one of hate for what she is about to say: â€Å"Against my will I am sent to bid you come in to dinner†. When asked by Benedick if she â€Å"takes pleasure in the message†, she says â€Å"Yea, just so much as you may take upon a knife’s point† (ie: not at all). Benedick has got completely the wrong end of the stick in his soliloquy: â€Å"there’s a double meaning in that†, and thinks that she does not want him to come in, but instead to stay out in the garden with her. Hence, his going inside would not be a pleasurable message for her. However, this is an example of dramatic irony as we know this is not the case at all. Shakespeare points out the truth beneath the characters surface, as well as using language as his tool to juxtapose these feelings, in effect, switching the meaning around so that the connotations are what illuminate the truth. He is also able to use a technique to capture the truth beneath the surface of the characters. Everything that is spoken by the characters seems to have a deeper or double meaning under the words. In Act Four, Scene One, Benedick declares his love for Beatrice. He does this so she will call upon him to right Hero from the terrible injustice that recently occurred at the wedding scene. He asks her if it seems strange that he loves her. This is again an example of dramatic irony, because the audience knows that it’s not strange – she knows already that he loves her. Beatrice, usually extremely able to articulate herself is strangely not able to here. The use of commas and colons break up the following speech, as she is overcome by fierce emotions. She is therefore not able to articulate anything but the fact that she feels sorry for her poor cousin who has been wronged. â€Å"It were as possible for me to say, I loved nothing so well as you, but believe me not, and yet I lie not, I confess nothing, nor I deny nothing. † Beatrice, therefore equivocates here being deliberately ambiguous or unclear in order to mislead or withhold information, ie: her love for Benedick. This is particularly emphasised by the long sentence length. Benedick’s immediate rejection at the idea of killing Claudio â€Å"Not for the wide world! † elicits anger, and impatience in Beatrice who doesn’t wish to converse with Benedick any longer. After much deliberation, knowing it will please Beatrice, Benedick agrees to â€Å"use† his hand â€Å"in some other way than swearing by it†. In other words, he has agreed to engage Claudio in a duel. Beatrice’s reason for wanting him killed is that â€Å"he is now as valiant as Hercules†. This allusion to Hercules implies that Claudio has become too boastful, too big for his boots. In conclusion, it’s clear to see how the attitude between the two changes, and the relationship progresses. Shakespeare employs the use of juxtaposition to mask true feelings. The best illustration of this juxtaposition masking is of the relationship between Beatrice and Benedick. Their incessant banter and wit-battles mask the true feelings each has for the other.

Death Is A Natural Process

Death Is A Natural Process Abstract Death is a natural process experienced by every being. Yet, societys attitude towards death and dying has become one of fear and avoidance. The intention of this essay was to consider factors that account for the gradual shift in social perceptions of death. The exploration of historical experiences of death identified the link between an increased awareness and fear of mortality, with the impact of medicalisation. It acknowledges how the radical improvements within healthcare have limited societys exposure to death by reducing the number of premature deaths. Adaptations to the care of the dying are also associated with the prevalence of the medical profession and the decline of religious influence. The essay highlights sociological concerns over the isolation of the dying, particularly when care provision is confined within the hospital environment, causing death to be hidden from society. The diverse rituals and traditions demonstrated by a variety of cultures were examined, along with the contrast in burial rites between the social classes. The psychological impact of death discussed the potential of creating a perpetual fear of dying, through childhood socialisation of death and grief. Removal of such fear and misconception is associated with the vision of palliative care. Evaluation of its strategy identified its aim to improve quality of life by promoting informed choice and patient focused care. It also acknowledged the limitations of its resources and the restriction of services to specific conditions. The culmination of all factors expressed within the essay is fundamental to the changes in social attitudes. An increased awareness of mortality and the desire to prolong life wherever possible has contributed to a fear and denial of death. Overall, social perceptions of death and dying are subjective to cultural diversity and are adaptive to the dynamics of society. In this world nothing can be said to be certain, except death and taxes (Franklin, 1789, cited in The Phrase Finder, 2013). The words of Benjamin Franklin signify the reality of deaths undeniable role in natural existence. Yet, the subject of death is more widely associated with morbidity than a universal biological process. Prior to the 19th century, very little research or literature featured such a taboo subject. This essay will explore changes in social attitudes to death and dying, with particular focus on changes in historical patterns, rituals and traditions and the progression of the hospice movement. Pre-modern society was well acquainted with death; the event, though tragic, was encountered with little surprise or overwhelming fear. The historical perspectives of death will outline the contrast between such awareness and acceptance of mortality during the Middle Ages, to modern societys focus on prevention and cure. The rituals and traditions surrounding death will consider the burial rites associated with social and economic status and present the symbolic interpretations of diverse cultures within society. The sociological impact of death will appraise the social disruptions caused by grief, and the positive social functions of death that contribute to equilibrium within society. Additional analysis of the shift in attitudes towards death will discuss the notion that society is graduating towards further denial of death. It will examine the medias portrayal of death in society, along with the desire to control and prevent death through medical science and technology. A brief review of the psychological perspective of dying will refer to socially constructed attitudes to grieving. In particular, parental socialisation and childhood experiences of grief that contributes to a perpetuated fear of death. Finally, examination of the research into the growth of the hospice movement will reveal the history behind its evolution and review the pioneering work of Dame Cicely Saunders. Critical analysis of palliative care will attempt to identify limitations of the service, along with the efforts by palliative care councils and charities, to extend services and prevent social exclusions. These services, when implemented effectively, have the potential to change societys perception of death and the dying process. Historically, the risk of death in western societies has reduced significantly over the last few centuries. Improvements within childcare, education and the discovery of antibiotics, has limited societys experience of infant mortality and contributed to an overall increased life expectancy. Premature death of children under the age of five was just 5% between 1990 and 2010, in comparison to the thousands that failed to thrive during the Middle Ages, due to poverty and diseases such as tuberculosis and the Black Death (WHO, 2012, p19). Chronic and terminal illnesses such as cancers, cardiovascular disorders and respiratory diseases account for the majority of deaths among the middle aged in contemporary society. The younger generation tends to be associated with deaths resulting from suicide, Aids and illnesses related to drug and alcohol abuse (Taylor and Field, 2003, p156). Medical technology has contributed to the eradication of many diseases within western countries but it is yet to take effect on a global level. Populations within Africa continue to be affected by cholera, leprosy and malaria. Survival rates are low due to extremes of poverty, unsanitary living conditions and limited access to medical treatment (WHO, 2012, p94). Death and disease was encountered during the Middle Ages with such regularity, it became less feared. Historian Arià ¨s (1974, p7), referred to death in this era as tamed death. Death was experienced on a communal level as friends, family and even children visited the dying on their sick bed, with no theatrics, with no great show of emotion, (Arià ¨s, 1974, p13). Religious influence was prominent during the 11th and 12th century and great emphasis was placed on the judgment of the individual on the last day of their life. A strong allegiance with church was believed to determine resurrection. Thus, the process of Ones own death, (Arià ¨s, 1974, p36) became more personal, indicating a greater awareness of existence and mortality. The 18th century witnessed the most significant change in social attitude towards death. Thy death, as described by Arià ¨s (1974, p66), intensified the emotional aspect of separation. This lead to more pronounced displays of grief through a greater fear of loss. The emotional impact of death contributed to a new desire to withhold the prognosis of death and relocate the dying to the hospital environment. Arià ¨s (1974, pp86-89), refers to this as the Forbidden death as traditional rituals of death were abandoned and replaced by clinical practices of the medical profession. The religious figures responsibility of overseeing the death process was relinquished to the physicians. Sociologists such as Elias (1985, cited in Giddens, 2009, pp320-321), acknowledge that medicalisation has enabled greater management of symptom and pain control. However, in doing so, the dying are pushed behind closed doors through a societal need to civilise the death process. He argues the promise of death free from pain and distress may come at the emotional expense of patients; as dying in hospital is both isolating and lonely. Caring for the terminally ill in hospitals became the cultural norm and was the site of approximately three quarters of all deaths by the 1950s. Ironically, many elderly people are more fearful of the institutionalisation of hospitals and nursing homes than death itself. They feel a loss of identity when removed from social circles and loved ones, to an unfamiliar environment where care is provided by strangers (Kearl, ND). Conversely, many sociologists argue that medicalisation of death has established positive social functions. Kellehear (2000, cited in Howarth, 2007, p135) maintains that good death is subject to a degree of social regulation, reliant on the collaboration of the patient, their family and the medical profession. He claims that if the responsibility of care is placed in medical hands, the patient and their family can be proactive with preparations and the organisation of personal matters. He argues, in certain circumstances the patient may continue to work, promoting self -worth and a valued contribution to society. Continuation of social roles is dependent on the nature and progression of the condition. Illnesses that cause a gradual decline in health and an anticipated death, arguably, have less impact on society. Sudden and premature deaths can evoke more intense reactions within society and require lengthier periods of readjustment (Clark and Seymour, 1999, p11). Diseases such as AIDS can attract negative societal judgment, causing sufferers to withdraw from social interaction. They may experience a loss of identity to the disease and choose to keep the stigma hidden from social view (Moon and Gillespie, 1995, p89). Deaths caused by AIDS and suicide tend to receive less empathy due to the perception of personal responsibility. Yet, some cultures in Japan view suicide as an honourable act with no attachment of religious punishment. The high rates of suicide among Japanese women over the age of 75 are thought to relieve the burden of care and responsibility from loved ones. Although suicide is still perceived negatively by Western societies it does not reflect such extreme attitudes of the Middle Ages. The historical shame attached to suicidal death led to the denial of proper burial rites. Suicide victims were often buried in the same manner as criminals and the poor of society, in unmarked graves and ditches (Howarth, 2007, p65). Burial within the confines of the church was the privilege of the wealthy. Those of high social status endeavoured to secure a burial plot under the flagstones, or within the walls of the church, believing this increased their chance of resurrection (Arià ¨s, 1974, p18). The poor did not qualify for such opportunities. Their burial was of little significance to the churches entrusted with the care of the dead. The poor were buried in either, unmarked graves or large communal ditches. As the pits became piled high with the deceased, older ditches were re-opened and the remaining bones were removed (Arià ¨s, 1974, pp18-22). This was common practice until the 18th century when concerns were raised over the lack of respect shown towards the remains of the deceased. Tombs were introduced to accommodate the dead and reduce the risk of disease from the foul smelling ditches (Arià ¨s, 1974, p70). The evolution of undertaking as a recognised profession and business replaced the primitive role adopted by carpenters and grave diggers. The management of death and burial came at a high price as funeral processions developed into a spectacle of wealth and social status. Little consideration was given to the poor, who, in extreme circumstances would store bodies of their loved ones until able to pay the funeral costs. The poor were also at the mercy of thieves involved in stealing recently expired corpses and selling them to the medical profession for analysis. They could not afford to pay for reinforced coffins or graves that offered protection within the confines of the cemetery. Such was the stigma of a paupers burial, people began to take out burial insurance and often went without food to maintain contributions to their policy (Howarth, pp222-242). The increasing cost and unsanitary nature of burial motivated an influential figure, Sir Henry Thompson, surgeon to Queen Victoria, to propose an alternative method of dealing with deceased. In 1874 he founded the Cremation Society of England and began the lengthy campaign for the legalisation of cremation. Despite continued opposition from the Home Office, it was eventually pronounced legal in 1884 during the trial of Dr William Price in a South Glamorgan courtroom. Price was an 83 year old man who was arrested for attempting to cremate the body of his five month old son. The judge, Mr Justice Stephen, declared cremation would be permitted as long as the process did not impact negatively on others. This gave rise to the construction of crematoriums and the realisation of the cremation movement on a global scale. During the 19th century The Cremation Society of England became The Cremation Society, forcing the Home Office to recognise this as a legal alternative to burial and issue c remation regulations that remain present to date. The Roman Catholic faith was also forced to acknowledge the shift in public opinion towards cremation. This led to the Pope lifting the ban that previously forbade catholic priests from conducting services in crematoriums (Cremation Society of great Britain, 1974). Although cremation has become increasingly popular in contemporary society, many continue to uphold the traditional ritual of burial. The expansion of cemeteries within close proximity of museums and parks has created more accessible environments and a society inclusive of the deceased (Kearl ND). Decorative memorial statues and headstones are more prevalently adorned by floral displays and traditional flower wreaths, symbolising continuity and eternity. Symbolism associated with the rites of passage reflects the varied cultural traditions within society. Colour is a universal symbol of death and grief, yet there are such variations of colour worn by different cultures. Black has been the traditional colour to mark the period of mourning within Britain. A torn black ribbon worn on clothing is also significant to Jewish culture and is worn for the first seven days of their mourning period. Conversely, white is worn by Sikh, Buddhist and some Hindu cultures, symbolising purity and eternal life. (Everplans, ND). Mourning periods are also subject to cultural diversity and social regulation, as normal routines and social interactions adapt to the beliefs and traditions of the individual. The sociological impact of death and its associated mourning period are socially disruptive on a variety of levels. From a functionalist perspective, the societal roles of those close to the deceased may be compromised by extensive grieving periods that can negatively impact upon the equilibrium of society. Whilst the customary ritual of mourning is acknowledged by society, there is a limit to its tolerance. There is an underlying necessity for the individuals to resume their roles and re-integrate with their social groups (Howarth, 2007, p235). The depth of disruption to social order is dependent on the number and circumstances of death and the re-distribution of roles within social groups. Historically, the effects of the Black Death on the working class community were experienced on a far greater scale through the loss of so many lives. Yet, the social groups of the upper class were able to function to some degree. They utilised their wealth and status, retreating to sanctuaries t o protect themselves, whilst continuing their positions and roles from a safe distance. Re-establishment of roles is essential, not only to maintain societys ability to function, but also to limit the financial cost of death (Kearl, ND). As Marx (1964, pp71-73) argued, a capitalist society has little sympathy for the workers, who, in their attempts to meet the demands of the ruling class put themselves at greater risk of death. The focus remains on the potential disruption to work and its threat to capitalism. Working hours lost to grief and mourning reduces production and profits. Death also provides opportunities for financial gain within a capitalist society; insurance policies, funeral and burial costs undoubtedly contribute to capitalist economic wealth. Social mechanisms have evolved throughout history to reduce the disruption of death to society. During the Middle Ages, when childhood mortality was commonplace, people were socialised to refrain from forming a deep attachment to their children. Many did not refer to their children by their names until they reached a certain age, as survival rates were low. Women often gave birth many times to increase the likelihood of the survival of at least one child. Through the effects of medicalisation, premature deaths have been significantly reduced. Medical institutions have increased the promotion of health awareness to minimise the risk of death and its disruption to society. Death itself has become less visible as social systems of modern society have contributed to the institutionalisation of the dying. Funeral arrangements have become a more discrete process through delegation of matters to businesses specialise in the management of death (Kearl, ND). Death, though disruptive, has evident positive social functions. Societys rules of succession allow the social roles of the deceased to be surrendered to family members or the wider community, creating the potential of social mobility. Death also functions to control an ever increasing population, whilst its fear induces a greater level of social control and conformity (Kearl, ND). An increased awareness of mortality can promote reflection on the values of a society. When death is experienced on a large scale, communities demonstrate a collective approach to morals and values. Social bonds are formed as they attempt to cope with tragic circumstances and are united in grief (Howarth, 2007, p112). Tragedies and natural disasters that lead to mass death receive extensive global media coverage. Televised news reports provide visual access to scenes such as the gunfire during the Gulf War and the terrorist attacks on the World Trade Center. Despite the morbid aspect of death, television shows such as ER, Six Feet Under and House, depict scenes of death and dying that have become a part of popular culture. Film productions incorporating death as the underlying theme are presented across a variety of genres such as westerns, horrors and comedy. References to death do not escape the music industry, expressly within the lyrics of rap and heavy metal songs. The description of violent acts, coupled with the murders of well-known musicians within the rap culture, no doubt contribute to the dark and morbid image of death (Durkin, 2003, p44). Sensationalising media reports on the deaths of public figures and celebrities heighten the curiosity of the public and instigate outpouring display s of grief. The term dark tourism outlined by Marchant and Middleton (2007, p2) highlights the increasing phenomenon of visiting scenes of tragic death like the Nazi concentration camps and Ground Zero. It suggests that such behaviour may not simply occur out of grief and sympathy, rather, curiosity and a desire to connect with the event. Fundamentally, the suggestion is that society may be more open to face death than deny or hide from it. Contemporary western societies have been described by some sociologists as death denying, a result of the medicalisation of death. The dynamics of society have become focused on finding cures for illness, disease and the prevention of death wherever possible. Advancements within the medical and pharmaceutical fields have made significant progress in prolonging life. However, the involvement of such specialised medical technology is often limited to clinical environments. Arguably, this contributes to social isolation of the sick. The invisibility of death not only shields the death process, it protects the family members and social groups within society. If medical technologies and tools were not utilised in the management of death, it may be deemed as a capitalist attempt to limit costs within healthcare provision. Many social scientists argue that medicalisation has, in fact, enabled a degree of acceptance towards death. They maintain that the active scientific approach to healthca re increases the acceptance of death when it is beyond the control of science (Zimmerman and Rodin, 2004, p125). Scientific analysis and discoveries have provided western societies with a greater awareness of environmental risks. Natural disasters, often referred to as Acts of God, may not be controlled by science; however, modern technology has increased the accuracy of predicting such events (Howarth, 2007, p77). Whilst, prediction can facilitate a greater level of preparation and reduce the risk of death, it is essentially beyond all control. The nature of death can itself be shaped by society in relation to the cultural, social and economic environment. Durkheims exploration of societal influence on death was examined during his suicide study (Appendix 1). His investigation highlighted the correlation between economic instability during periods of both depression and prosperity and an increase in suicide rates. He maintained that societal forces were of greater influence than an individuals state of mind. The conclusions of Durkheims study were based on official statistics, therefore, it is reasonable to question their true reflection of society (Giddens, 2009, pp16-17). However, his argument that death is a social problem is plausible. It is societys response to death that is reflected in the unique rituals and symbolic meanings established to provide a coping mechanism for death and dying (Howarth, 2007, p15). The high rate of suicide among young males is one of the more significant statistics in modern society. The general perception of the male as the provider may cause increased pressure to compete successfully for social and economic resources. Failure to meet such expectations can make suicide seem like a viable solution to the problem. The pressure to maintain the masculine role and the reluctance to seek assistance is instrumental to the male approach when faced with death and grief (Howarth, 2007, pp64-65). Grief is considered by some social scientists as a universal reaction to the loss of human life. Yet, the subjective nature and extent of grief can vary between culture, social class and gender. During the late 19th century, unlike men, middle class women were encouraged to grieve openly as greater emphasis was placed on the caring and sympathetic disposition of their role. Functionalists, in their perception of the natural division of gender roles, would argue that exhibitions of male grief are a sign weakness and damaging to the masculine role (Howarth, 2007, pp223-231). Prior to medical advancements many women, particularly in the working class, died during childbirth. Husbands often remarried swiftly after the death of their spouse to re-establish the female role of housewife and mother. In modern day society, there have been numerous studies that indicate higher levels of mortality occur within close proximity of the death of a spouse. Objective analysis of these circumstances may identify other contributing factors that have a causal link such as; lack of appetite, a change in lifestyle and the increased emotional and financial stress that accompanies death and loss (Gross and Kinnison, 2007, p372). As mourning has become less of a public display within society, Arià ¨s (1974, p91) suggests that such discretion may influence the high rates of mortality among surviving spouses. He argues that society has become less accepting of grief, causing the bereaved to withhold emotion through fear of judgement. Grief does not always follow death, it can precede it by those facing death. Psychologist Kà ¼bler-Ross developed a framework classifying the five stages of grief; Denial, Anger, Bargaining, Depression and Acceptance, all relating to the anticipation and process of dying (Kà ¼bler-Ross, 1970, pp34-99). Whilst these stages provide an insight and explanation to the emotions experienced, generalisations should not be made concerning the grieving process. The five stage theory (Appendix 2) is to some degree a one size fits all approach and may not reflect the multi-cultural society of today. However, there is room for variation and flexibility within each stage of the Kà ¼bler-Ross framework that may be applicable to certain cultures. Gross and Kinnison (2007, pp378-379) maintain that childhood grief is also subjective to culture and socialisation, rather than a generalised stage process. They argue that children of modern society are often shielded from the realities of death, resulting from parental fear and denial of death. Feelings and emotions expressed by those surrounding them have the potential to shape the childs outlook and ability to contend with death. Kà ¼bler-Ross (1970, p6) argues that children who are present in an environment where death has occurred and are given the opportunity to talk rather than being removed from the environment, can share in the grieving and mourning process. Death then has the potential to be less feared and more accepted as a natural part of life. Nurses and medical staff involved in the care of the dying are far more exposed to all aspects of death and grief than most. Communication with dying patients and sensing the appropriate time to discuss issues of terminal illness is a fundamental, yet challenging part of the role. Consequently, many healthcare professionals utilise a form of behaviour referred to by psychologists as blocking. This enables them to avoid confrontation of such issues by changing the subject and re-directing the focus onto less pessimistic issues. Although the predominant focus of medicine is to cure, the dynamics of nursing terminally ill patients have progressed allowing greater emphasis to be placed on care. This has been motivated by the increasing growth of the hospice movement (Gross and Kinnison, 2007, pp377-378). Evolution of the hospice can be traced back to the Middle Ages when its function was to provide shelter and care for the sick, elderly, orphans and the poor. The progression of medicalisation during the 19th century, led to the establishment of new hospitals that focused on the management and cure of financially profitable illnesses, such as scurvy and leg ulcers. The chronically ill and dying were deemed as undesirable and non-profitable patients. Subsequently, medical and spiritual care was provided in sanctuaries by religious orders (Clark and Seymour, 1999, pp66-67). The 20th century witnessed the greatest change in the provision of care for the terminally ill. In 1967, St. Christophers Hospice was founded by Dame Cicely Saunders. It was the first of its kind, offering management of symptom control and care alongside clinical research. Saunders trained as a nurse, a medical social worker and eventually a physician. She was motivated to work within the care of the terminally ill as the general consensus among clinicians was that little could be offered to these patients. Her pioneering work within the hospice inspired charitable organisations to fund the construction of many more hospices. St. Christophers hospice eventually extended its services to the wider community in 1969 (St.Christophers.org, ND). The expansion of community based care led to an increase in funding from charitable organisations for the provision of specialist cancer nurses. As the hospice movement gathered momentum, there was an alteration in the terminology of this division of care, from terminal to palliative care. Distancing the association of terminal with imminent death aimed to address the misconception that patients qualifying for palliative services were at the end stages of life. Although hospices were initially reliant on charitable funds, the elevating costs of clinical treatments and increased life expectancy forced many to apply for NHS state funding. The involvement of the NHS not only induced financial support but also an element of regulation (Clark and Seymour, 1999, pp74-78). The influence of government funding within hospices has generated concern among some sociologists, who fear the hospice movement is in danger of losing sight of its original vision. The focus on professionalism and qualit y audits has led to comparisons of hospices with large organisational institutions, guilty of routinisation (James and Field, 1992, pp1363-1375). Palliative care services are difficult to measure as the nature of the service is to manage care and symptom control rather than to cure. Palliative care focuses on the value of quality of life rather than the medical model of quantity of life (Appendix 2). Palliative care and the hospice movement have predominantly been associated with terminal diseases such as cancer, AIDS and motor neurone disease. Yet, there has been an increasing demand for services to be inclusive of other lesser known conditions (Seymour, 2007). Many organisations are now actively working towards the provision of services across a wider spectrum, through data analysis and interaction with government agencies and politicians (National Council for Palliative Care, 2012). A key issue is the limitation of available resources and funds to meet the increased demand. Support and guidance extends to the family affected by the illness, exerting further pressure on the service to adapt the delivery of care in accordance to the family structure and dynamics. Consideration of varying traditions within a multi-cultural society is fundamental to the success of the service (Becker, 2009). The demographic changes to society and increased life expectancy have intensified the expectation of services to be available for extended periods. Access to palliative care in a modern capitalist society has led to a postcode lottery. The poor of society are at greater risk of being deprived of services if they reside in damp, cold and lower quality housing, deemed an unsuitable environment for community based care (Seymour, 2007). Less affluent areas of society with a high proportion of ethnic minorities are also significantly under-represented as palliative care service users. The language barrier and lack of information is a significant issue as patients and families are not fully aware of the referral procedure. For many cultures accepting a provision of care from outside agencies removes the responsibility from the extended family (Beresford, Adshead, Croft, 2006, pp146-151). Palliative care services are not easily accessible to the homeless of society. They are often reluctant to attend appointments in an unfamiliar environment, for fear of judgment or isolation. New initiatives such as St. Mungos Palliative Care Project, aim to tackle this issue by offering support and guidance to homeless sufferers and the professionals who work alongside them (National Council for Palliative Care, 2012). St. Christophers have also collaborated with the University of Baths Centre for Death and Society, to promote services. Through the utilisation of media resources and technology they are able to extend services to non-resident patients and prevent social exclusions (Centre for Death and Society, 2012). Professor Ilora Finlay has become a modern day pioneer of the hospice movement. Her role as the first consultant in Palliative Medicine at Cardiff University and work within parliament has led to the implementation of her palliative care strategy. This strategy has facilitated the enhancement of patient-focused services across Wales. Finlay is also responsible for the establishment of distance learning courses in palliative care, achieving international recognition and contributing to the increasing number of palliative care clinicians (Finlay, 2009, pp349-351). There is a recognised need for re-investment in palliative care to develop professional skills across a wide range of services. The benefits will not only improve patients quality of life but also reduce unnecessary NHS hospital admissions and the financial cost to the economy (Association for Palliative Medicine, 2010). Arguably, there would be less expectation of society to change its attitude towards dying, if, the focus r emained on the provision of resources to prevent anxiety and facilitate a good death (Zimm

The Beginning or the End :: Eliot Wasteland Maddy Essays

The Beginning or the End Throughout the history of the human race, there have been many unknowns that have been investigated and many obstacles that have been overcome. However, possibly the most mysterious question to people still stands unknown to everyone after all of these years. That is the question of what happens after life. What kind of transition, if any, is there to a new life or whatever may occur after death? Many people have many different ideas and feelings regarding death. Some people have rituals that are performed after a person’s demise which theoretically have the purpose of providing them with a good "afterlife" or at least making sure that they go "there" at the end of their life on earth. Regardless of what is envisioned occurring at the end of our lives here on earth, it remains that death is the biggest unknown that is left to all of mankind. And at least with our current technology, and probably that which we will have in the near future, we have no way of solving the biggest mystery of life. "I will show you fear in a handful of dust." This probably wouldn’t have ever become a famous or noticeable quote, or even a meaningful one for that matter, had it not been for the poem, The Wasteland, and also the context in which it was written. However, it is very insightful and a very deep thought which can provoke a lot of detailed and heated discussion simply because of the issue that it surrounds. This quote is applied to the poem, The Wasteland, and also, No Past, No Present, No Future, and is tied deeply into the plot of the story. Regardless of how it is brought up or whether it is used to analyze another piece of work though, this universal concept of life, death, and whatever occurs after death is a very difficult one to approach. Excluding a few brave individuals and some remote cultures that both may welcome death or at least be open to it for spiritual reasons or otherwise, the majority of the human population has an immense fear of death, of the unknown. In light of this it should come as no surprise that a deep appreciation of life could be presented in any writing in which it would be appropriate. The Wasteland and No Past No Present No Future are two completely different pieces of literature that very few similarities and relations to each other, especially in context and style. The Beginning or the End :: Eliot Wasteland Maddy Essays The Beginning or the End Throughout the history of the human race, there have been many unknowns that have been investigated and many obstacles that have been overcome. However, possibly the most mysterious question to people still stands unknown to everyone after all of these years. That is the question of what happens after life. What kind of transition, if any, is there to a new life or whatever may occur after death? Many people have many different ideas and feelings regarding death. Some people have rituals that are performed after a person’s demise which theoretically have the purpose of providing them with a good "afterlife" or at least making sure that they go "there" at the end of their life on earth. Regardless of what is envisioned occurring at the end of our lives here on earth, it remains that death is the biggest unknown that is left to all of mankind. And at least with our current technology, and probably that which we will have in the near future, we have no way of solving the biggest mystery of life. "I will show you fear in a handful of dust." This probably wouldn’t have ever become a famous or noticeable quote, or even a meaningful one for that matter, had it not been for the poem, The Wasteland, and also the context in which it was written. However, it is very insightful and a very deep thought which can provoke a lot of detailed and heated discussion simply because of the issue that it surrounds. This quote is applied to the poem, The Wasteland, and also, No Past, No Present, No Future, and is tied deeply into the plot of the story. Regardless of how it is brought up or whether it is used to analyze another piece of work though, this universal concept of life, death, and whatever occurs after death is a very difficult one to approach. Excluding a few brave individuals and some remote cultures that both may welcome death or at least be open to it for spiritual reasons or otherwise, the majority of the human population has an immense fear of death, of the unknown. In light of this it should come as no surprise that a deep appreciation of life could be presented in any writing in which it would be appropriate. The Wasteland and No Past No Present No Future are two completely different pieces of literature that very few similarities and relations to each other, especially in context and style.

The Psychodynamics of Depression

Depression – Psychodynamic Theory I have been interested in the mechanics of depression since childhood, when my mother ‘suffered with her nerves’ – her explanation of what I now recognise as a very severe melancholia defined by Burton in 1621 as â€Å"a kind of dotage without a fever, having for his ordinary companions fear and sadness, without any apparent occasion† (p739). My interest was further compounded by my clients, Valerie and Jo, when it become apparent to me that depression is one of the most common and debilitating phenomenon that I will probably have to encounter in my role as a Counsellor. Before beginning, it may be useful to briefly consider Freud’s warning that depression is not a homogenous group of conditions and that it probably involves more than one aetiology (Freud 1917). It can reflect underlying cultural and environmental trends in addition to physiological factors. (Desjerlais et al. 1995) A review of the literature reveals that research relating to the nature and origins of the psychodynamic theory of depression is rich in contributions to the theme, thus this essay of necessity represents a high-altitude skim over a massive topic. I will concentrate on authors who have made some of the most seminal contributions to the development of the theory, namely Abraham, Freud, Jacobson, Klein and Mahler. (There are, in actuality, numerous other pioneers in the cultivation of this theory, such as Malan, Sandler, Spiz, Bibring, Rado, Blatt, Benedek, Lindemann, Kohut, some of which, due to word limit, I have not included). Bowlby‘s theory of attachment, although not psychodynamic per se, is also considered, because the way in which people relate to loss of attachment appears relevant to our understanding of depression. Schore, who describes the neuroscience of attachment and how the brain of the parent and infant interact, has also been included The first thing we need to do is to be clear about four quite different ways that we may talk about depression. Jacobson referred to them as normal, neurotic, psychotic and grief reactions (1971 p19). What Jacobson (1971) referred to as normal depression, appears to be akin to what Klein referred to as the depressive position (Segal 1973). She, who it appears from my literature search (Klein 1940, Meltzer 1989, Spillius 1983, Money Kyle 1964), more than any other psychoanalytic pioneer viewed the infant as a miniature adult, found evidence of a â€Å"depressive position† from birth (Klein 1932 in Meltzer 1989 p37). This is essentially a state of health, a capacity to bear guilt, stay in touch with mental pain and emotional problems and bring thinking to bear on situations (Meltzer 1998). According to Klein we oscillate between our ability to stay with painful situations or seek temporary relief through splitting and projection (defence mechanisms), returning to the paranoid-schizoid position – the state of mind existing in babies ; one that is constantly returned to throughout life to greater or lesser degrees (Klein 1932 in Money Kyle 1964). Defence mechanisms are defined as tactics which the Ego develops to help deal with the ID and the Super Ego (Freud 1923). Freud introduced the term ‘ego' in â€Å"The Ego and The Id† (1923). He holds that only a portion of the mind is conscious and the rest lies hidden deep within the subconscious, ruled by conflicting forces of a super-strong libido (id) and super-controlling morality (superego) all translated through the ego, which attempts to balance the two through rationality (1923). Libido is described as the ‘energy of the sexual instincts‘ (Frued 1925). Neurotic depression or reactive depression can be understood as an exaggerated response to stress due to a weak state of ego strength combined with a failure of the external support system. Neurotic depression consists of a fall in self esteem after the ego has been abandoned by its ideal (Sandler 1965)). In modern day terminology, Jacobson's psychotic depression could be termed a severe depressive episode with psychotic symptoms (WHO 1992). Brown and Harris’ studies state that early loss appears tied to the emergence of psychotic versus neurotic symptom patterns (1986). Bowlby thought a mother-child attachment could not be broken in the first years of life without permanent and serious damage to the child’s future development (Bowlby 1973). Jacobson said there is fusion of the self and the object[1] epresentation within the ego and superego, â€Å"calling forth attack from an extremely pathological sadistic and idealised superego on a fused and highly devalued selfâ€Å" (Lund 1991, p533). The capacity for sadness is absent because the object and its representation are â€Å"devalued and united with the devalued representation of selfâ€Å" (p534). Th is appears to be evidenced by Jo who was referred for treatment of â€Å"severe anxiety and panic attacks,† and whose symptoms include extreme suspiciousness and intolerance of her peers, and delusional ideas relative to her mother. These psychotic-like symptoms could be related to the treatment she received from her mother who maltreated her and ultimately abandoned her when she was a toddler. Freud contrasted the mental processes involved in mourning with those of depression which he termed melancholia (1917); the latter could now be referred to as a severe depressive episode (WHO 1992). He regarded both mourning and depression as grief reactions to the loss of someone or something loved (1917). The distinction between the two conditions he described with the statement that in contrast to the mourner, the melancholic suffers â€Å"an extraordinary diminution in his self regard, and impoverishment of his ego on a grand scale† (1917 p 153). The explanation of this key difference appears to rest on the psychological concept of identification. Freud argued that part of the self had undergone a change in depression through its becoming identified with the lost object (1917). Object loss refers to traumatic separation from significant objects of attachment, usually mother (Bowlby 1973). In relation to the regressive identification Freud said â€Å"Thus the shadow of the object fell upon the ego†¦. † implying that the low self esteem of the melancholic is directly related to the condition of the introjected[2] object (Freud 1917 p243 ). Abraham also stressed the importance of introjection in melancholia (1911). Whereas mourning recognises the loss of an object that was â€Å"good† and â€Å"loved,† the melancholic’s relationship to the lost object is necessarily more ambivalent, i. e. a dense complex of love and hate (Klein 1940 in Money-Kyle 1998 p 142). Freud stressed the importance of heightened ambivalence in melancholia. He suggests that melancholia involves a regression to the oral narcissism phase of the libido, when an identification with the lost object occurs (1917). At the very early oral stage, described by Freud as primary narcissism ( 1914) and by Fairbairn as â€Å"mouth ego with a breast,† (1952 p87 ), the mouth feeds on the breast and is temporarily content. However, disturbances in feeding and other related irritations generate the agony of want and pains of anxiety. Consequently, fixation at the early oral phase results in the registration of a painful (bad) internal wanting and a nourishing (good) something somewhere in the vague uncharted outside of the child. Narcissism is described as an orientation towards internal objects, characterised by self-preoccupation, lack of empathy, and unconscious deficits in self-esteem (Kernburg 1969). Jo’s refusal to eat when in a severely depressed state could be viewed as her regression to oral narcissism. Freud also believed too many positive experiences during the first year of life could set an individual up for developing depression later on in life (Comer, 1992). He posited that if an individual is nurtured too much as an infant, she will not develop beyond the oral stage of development because there was never a need to. Although his theories emphasised the importance of early experience on later development, I understand from the literature it was Abraham (1911) who first made this distinction. He defined melancholia as an ambivalent feeling of love and hate toward the self that arises from an early infantile disappointment in love (1911). He too connected loss at the oral stage to maladaptive coping during subsequent losses later in life (1924). Abraham tells us that melancholic clients are inaccessible to any criticism of their mode of thinking (1924). In them can be seen the narcissistic character of thought and disregard for people who confront them with reality as in the case of Jo who missed a session following my interpretation about her eating habits. Expanding on this theme, Abraham summarised the dynamic factors underlying depression, as follows (1924): 1. A constitutional factor of an over accentuation of oral eroticism. 2. A special fixation of the libido at the oral stage. 3. A severe injury to infantile narcissism. 4. Occurrence of the primary disappointment pre-oedipal. [3] 5. Repetition of the primary disappointment in later life. These points appear to be evidenced by Valerie, my client in her late forties. Her husband died four years ago and she was referred by her GP because of â€Å"troublesome feelings of depression, isolation and lack of identityâ€Å". Her developmental history revealed that her mother had always been a source of tension, and had been severely depressed while Valerie was growing up. Valerie felt neglected and abandoned by her. She had been left with a negligent nanny after she was born and was ill with jaundice and gastro-enteritis. It took three months for the neglect to be discovered and for her to be returned home. Throughout her childhood, her mother remained predominantly in a withdrawn state in bed. However, she remained very dominating and ridiculing in manner of her daughter. In response to Valerie’s traumatic bereavement, her mother again seemed preoccupied and self-absorbed. Valerie’s opening remark to me was striking, â€Å"I want to be a calm sensible person with no feelingsâ€Å". Since her mother spent her time criticising Valerie and ridiculing her separate thinking (her mother resented Valerie’s creativity having thrown the contents of the rubbish bin on one of her prize paintings), this comment appears to represent her wish to conform to her mother's requirements. However, this statement appears to underline the central dynamic to understanding depression, for with the desire for identification with an ideal object, there appears no room for separate thinking or expression of needy feelings (Jacobson 1964). All tensions related to one’s own needs and how the idealised object is ignoring them gets projected and then experienced somatically (Abraham 1924). The lack of availability of a containing mother[4] was graphically illustrated in a dream, where Valerie went to get food from a supermarket. There was no basket and she came out, arms full of tin cans. Suddenly, her mother's sister shouted from a house window: â€Å"Where is your mother? † Valerie dropped the cans and opened her mouth to speak. It was full of blood and bits of glass. Valerie also reported to me another dream where she swallowed two â€Å"tablets of stones† that lay heavy on her stomach. This could be symbolic of the unresponsive stone breasts of her mother. Also it reminds me of the Ten Commandments, two tablets of stone not to be disobeyed (her mother). The oral origins seem apparent, with the brittleness of the breast and the aggressiveness to it. This history seems to confirm all Abraham's points. The constitutionally inherited family history of depression, her mother having a breakdown when Valerie was born; The fixation of the libido at the oral level, with the sensation of having swallowed the tablets of stone breasts when depressed and also the oral aggressiveness, with the cut glass in the mouth. The severe injury to infantile narcissism was evidenced by her mother's unresponsiveness. The first disappointment pre-oedipally, starting at birth with being left with the neglectful nanny; with the repetition of the primary disappointment in later life and with her mother's lack of support at the time of her husband’s bereavement. Valerie told me she felt ‘guilt and shame’ about ‘being depressed‘. To explain the peculiar intensity of the sense of guilt in melancholia, Freud suggested that the destructive component of the instincts had entered the superego and turned against it (1917). He also noted in some depressed people a high proneness to guilt; ‘that tendency toward self-reproach which death invariably leaves among the survivors. ’ (Freud 1925 in Stengel 1969 p 237). He pointed out the increased severity of moral judgement that occurs in depression, and described the setting up of a ‘critical agency’ as part of child development, which ‘henceforth will judge the ego’ (Freud 1923 in O'Shaughnessy 1999 p861). This is the superego and Freud suggested that â€Å"the relationship between the ego and the superego (see definition page 1) becomes completely intelligible if they are carried back to the child’s attitude towards his parentsâ€Å" (p861). The superego is coloured by the child’s own hostile and rivalrous feelings, so that ‘the more a child controls his aggression towards another, the more tyrannical does his superego subsequently become’ (p862). The self-recriminations seen clinically are recriminations made of a loved object that has been displaced (Freud 1923) as the following exchange between Valerie and myself appears to illustrate: V. Life sucks T. It sucks? V. Yeah, but then why should it be any different? I’m so ghastly and useless – I don’t deserve to be happy. When Valerie announces ‘I’m so ghastly and useless – I don’t deserve to be happy,’ she is perhaps not really criticising herself, but a purported ideal that has let her down. The self-tormenting is then a tormenting of the ideal object (mother) that had abandoned her at a time of need. The sadomasochistic process of self-criticism, that so dominates depression, goes on in a relentless fashion. No true mourning, with relinquishment of the object, can occur because of the unresolved ambivalent dependence on an ideal object (Freud 1923). Valerie’s grief at her husband’s death could be seen as an extension of her more hidden yearning for her mother’s love. Her unrealistic hopes based on compensatory exaggerations of unsatisfied wishes and needs, may have laid down a vulnerability to depressive illness because these are unsustainable in adulthood. Klein described an early ore-oedipal stage to the formation of the superego, with a very harsh superego in evidence at the oral stage, which becomes modified over time, with experiences, to becoming more benign, less demanding and more tolerant towards human frailities (Money-Kyle 1964). She comments on clinging to the pathological early severe superego as: â€Å"the idea of perfection is so compelling as it disproves the idea of disintegration† (Klein 1932 in Meltzer 1989 p270). In healthy development the superego may take on, over time, a benign guiding role, but in those with a predisposition to depression, the superego can be â€Å"a pure culture of the death instinct which often succeeds in driving the ego into death† (Freud 1917, p332). This may have been the case with Valerie’s deceased husband who was also diagnosed as depressed; she feels his death may have been suicide. It is interesting that he told her his body was â€Å"tired of livingâ€Å", perhaps suggesting that the ego was located in the body awaiting to be attacked by the superego. The ego can only kill itself if, as a result of a return to the object-cathexis, it can treat itself as an object (1917). Object cathexis occurs in the Id and is the investment of energy in the image of an object. Suicide also harbours murderous feelings towards others (Campbell & Hale 1991). Kohut viewed depression as coming from a lack of good experiences with what he termed the mirroring self-object[5], such as having interested and involved parents (1971); this results in problems with self-esteem regulation. Parkin considers that a fall in self esteem is the hallmark of ‘all simple depression’ (by this, I imagine, he means what Jacobson referred to as neurotic depression), and a heightening of self criticism to be the hallmark of melancholia (I imagine, he is referring to Freud’s theory. ) (Parkin 1976). It is the loss of self-esteem, many psychodynamic theorists claim, that starts a person down the path of depression (Comer, 1992). Jacobson stresses the crucial importance in depression of the loss of self esteem and the feelings of impoverishment, helplessness, weakness and inferiority (1971). Freud believed feelings of anger and self-hatred develop from thoughts about unresolved conflicts. As a result of feelings of self-hatred, the individual feels shameful and worthless and loses her self-esteem (Comer, 1992). Jo suffers shameful feelings about herself including taking anxiolytic medication to ‘dampen down my distress‘. She commented that her self esteem is ‘as low as my socks. ’ She lost her job as a result of her panic attacks. Gaylin (1968) reasons, if a person is depressed over the loss of a job it is not because the job symbolizes a loved object but, like a loved object, â€Å"it can symbolize one's self-esteem† (p. 7). Klein said that whether an individual loses her self-esteem depends on the quality of her relationship as an infant with her caregiver during the first year of life (Wetzel 1984). She claimed the Oedipus Complex to be a part of the depressive position, occurring at the oral stage of development (Segal, 1984). Her work was criticized, especially by Anna Freud, but the significance of her theory appears to be that, if individuals have not had the early experiences that enable them to internalise a good object, then mourning as adults will be complicated by significant depression (Wetzel 1984). Klein's interpretation to the origin of depression closely resembles that of Abraham and Freud's theories that an individual can develop a predisposition for the illness, but her contributions appear to have been criticised on the grounds of seeking to establish an exact parallel between the child’s developmental stages and adult depressive illness (Spillius 1983). I understand from the literature that most psychoanalysts accept infantile precursors to depressive illness but stop short of Klein’s view. Mahler acknowledged that the mother-child relationship is crucial in the development of basic moods, including depression (1966). However, in contrast to Klein, she believed the depressive position does not occur at the oral stage, but later in toddler-hood, during the separation-individuation period[6] (1966). More recently other authors have been trying to differentiate two types of depression basing themselves in part on the writings of Freud on the processes of oral incorporation and superego formation, and considering that it would not be fruitful to integrate these two mechanisms from such distinct phases of psychic development (Spitz 1947 p 723). Blatt subsequently conceptualised depression in accordance with the child’s level of object representations and made the distinction between anaclitic depression and introjective depression. Anaclitic is oral where there is relatively low evidence of guilt. Introjective depression is more oedipal based where the sufferer may harbour intense feelings of guilt because the superego is overly harsh (Blatt 1974). Bowlby thought depression resulted from a failure of secure attachment early in life (1973). He described a series of attachment and protest behaviours which, if not responded to, would proceed to a state of despair in infants and finally to states of detachment. This work has burgeoned into the field now known as attachment research. To summarize this extensive body of research very briefly, we now know the attachment that the child establishes with the caregiver during development may be the prototype for all subsequent bonds with other objects (1973). The capacity to develop close and loving relationships in adulthood protects against depression and this is influenced by the attachment patterns developed in childhood. Anxiously attached individuals seek interpersonal contact and are excessively dependant on others. Compulsively self-reliant individuals are excessively autonomous and avoid close intimate interpersonal relationships (1973). Both of these preoccupations can create a vulnerability to depression. In agreement with Klein, Bowlby suggests that anger and guilt are part of mourning reactions. It is not the presence of anger or guilt that is pathological in mourning but their appropriateness that is the crucial issue (1969). Schore describes the neuroscience of attachment and how the brain of the parent and infant interact (2003 ). He speaks in depth about the neurobiology of the developing mind during the first three years of life and how the right brain processes are integrally involved in attachments and the development of the self. He spells out very clearly how insensitive parenting leads to emotion dysregulation patterns in childhood and later in adulthood. He understands insecure attachment as emotion dysregulation and that psychotherapy is the process of changing neural patterns in the brain, the right brain in particular. There are clear points of contact between the attachment perspective and some psychodynamic ideas. As mentioned, one of Klein’s hypotheses was that the reaction to loss occurring later in the life cycle will be influenced by revived aspects of losses experienced at the earliest stages in development (Segal 1973). The early loss of the maternal object may result in depression later in life if the infant has not yet been able to establish a representation of a loved object securely within herself (Segal 1973). There appear to be clear parallels between this formulation and the idea of maladaptive internal working models of attachment in Bowlby’s thinking about early loss and depression. Evaluation Each of the theories probably has a contribution to make to the overall picture especially when we recollect that depression is a complex rather than a unitary phenomenon (Freud 1917). Common to all these theories is their invoking of the crucial role of the infantile phase of development. Each of them asserts that problems in the trajectory to eventual adulthood commence in early childhood and can constitute a vulnerability to depression. Following my research, I am hopefully better placed to help my clients. For instance during our sessions Valerie is able to reflect how her deceased husband had provided her with an experience of being loved and cared for that she had longed for from her mother. Working through unresolved feelings of loss arising from initial losses and disentangling them from feelings related to present losses may be invaluable in the resolution of her depression As for Jo, we have spent considerable time exploring her panic attacks and her fear of expressing her depressive feelings. She fears that ‘If I start crying, I may never stop’ and that nobody will be able to bear her pain. This links with Bion’s concept of containment (Bion 1962) as defined on page 5. If I can contain her pain and grief then this may help Jo internalise a sense that her pain can be borne and thought about. Finally, I am reminded that my own experiences of depression can either interfere with or enhance my capacity to help. Self reflection and supervision are crucial if I am to make the best use of my humanity. REFERENCES ICD-10. Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines: World Health Organization, 1992. Abraham K. 1911-1968)Selected papers of Karl Abraham. New York: Basic Books Inc. Bion WR. (1962)Learning from Experience. London: Karnac. 97. Blatt S. (1974). Levels of object representation in anaclitic and introjective depression. The Psychoanalytic Study of the Child, 29, 107-157. Bowlby, J. (1969). Attachment and loss, Vol. 1: Attachment. New York: Basic Books. Bowlby, J. (1973). Attachment and loss, Vol. 2: Separation -anxiety and anger. New York: Basic Books Brown & Harris (1986). Life events and illness. New York: The Guilford Press. Burton R. (1920)Anatomy of Melancholy. New York: Tudor Campbell & Hale (1991). Suicidal acts. In J. Holmes (Ed. ), Textbook of psychotherapy in psychiatric practice (pp. 287-306). Comer R. (1992). Abnormal psychology. New York: W. H. Freeman & Company Desjerlais et al (1995) World Mental Health: Problems and Priorities in Low-Income Countries. London: Oxford University Press. Fairbairn W. (1952)Psychoanalytic Studies of the Personality. London: Routledge Freud S. (1917). Mourning and melancholia. In J. Strachey (Ed. ), The standard edition of the complete psychological works of Sigmund Freud London: Hogarth Press Freud S. (1914). On Narcisism. The standard edition of the complete psychological works of Sigmund Freud V. 14. London: Hogarth Press Freud S. (1923/1960). The ego and the id. J. Riviere (Trans. ), J. Strachey (Ed. ). New York: W. W. Norton. Freud S. (1914). Beyond the Pleasure Principle. The standard edition of the complete psychological works of Sigmund Freud V. 14. London: Hogarth Press Freud S. (1925)(trans. J. Riviere) Collected Papers. Vol. I. , London: Hogarth. Jacobson, E. (1964) The Self and the Object World. New York, International Universities Press Jacobson E. 1971)Depression: Comparative Studies of Normal, Neurotic & Psychotic Conditions. New York: International Universities Press Kernberg O, (1969)A contribution to the Ego-psychological critique of the Kleinian school. Int J Psychoanal 50: 317 – 33 Klein M. (1940). Writings of Melanie Klein. London: Hogarth. Vol. 1. p344-369. Klein M. (1932). The psycho-analysis of children. London: Hogarth Press. Roger Money-Kyl e The Writings of Melanie Klein. (Ed. ). 4 Vols. New York, Free (1964-75)Press. Kohut H. (1971)The Analysis of the Self. New York, International Universities Press Lund C (1991)Psychotic depression: psychoanalytic psychopathology in relation to treatment and management, B J Psychiatry 158: 523 – 8 Mahler M. (1966). Some preliminary notes on the development of basic moods, including depression. Canadian Psychiatric Association Journal, 250-258. Meltzer, D. (1998)The Kleinian Development (New Edition). London: Karnac Books O'Shaughnessy E. (1999)Relating to the Superego. Int. J. Psychoanal; 80, p861-870. Parkin A (1976)Melancholia: A reconsideration, J Am Psychoanalytical Assoc. 24: 123 – 39 Parkes C. 1972) Bereavement: Studies of grief in adult life. New York: International Universities Press. Rubin R 1989Neuroendocrine aspects of primary endogenous depressiion VIII. Psychoneuroendocrinology; 14(3):217–29. Sandler J (1965)Notes on childhood depression. Int J Psychoanal 46: 88 – 96 Schore A (2003)Affect Regulation and The Repair of the Self New York: WW Norton & Co, Inc. Segal H. (1973)Introduction to the work of Melan ie Klein. London: Hogarth Press. Spitz R. (1946) Anaclitic depression: An inquiry into the genesis of psychiatric conditions in early childhood II. Psychoanalytical Study of the Child, 2, 53. Spillius, E. (1983). Some developments from the work of Melanie Klein. , Int. J. Psychoanal. , 64:321-332. Stengel E (1969). Suicide and Attempted Suicide. Harmondsworth: Pelican Books. Wetzel, J. W. (1984). Clinical handbook of depression. New York: Gardner Press. ———————– [1]Objects are primarily formed from early interactions with (usually) parents. (Klein 1940) [2] introjection means to incorporate (characteristics of a person or object) into one’s own psychic unconsciously (Klein 1940). 3] Oedipal can be described as unconscious sexual desire in a child, especially a male child, for the parent of the opposite sex, usually occurring around the age of 3 – 5 years and accompanied by hostility to the parent of the same sex. Pre-oedipal means prior to the oedipal phase in development (Freud 1923). [4] containing mother refers to the process whereby the infant’s emo tions can be held in mind and ‘digested’ by the mother, who can then return them in a more manageable form. Infants need repeated experiences of containment (Bion 1962), in order to develop ways of dealing with their own distress, i. . before they can introject the containing ‘good enough mother’ (Winnicott 1960a) and feel the mother as a definite internalized presence (Bion 1962). [5] â€Å"mirroring self object† is loosely translated as â€Å"mother,† for in the external world it is most often the mother who performs the function. The gleam in her eye mirrors the infant’s self. (Bion 1962). [6] Mahler described separation-individuation as the steps through which the infant passes in developing a more stable awareness of separateness from the mother (1966).

External marketing environment Essay Example

External marketing environment Essay Example External marketing environment Paper External marketing environment Paper Marketing environment is that which is external to he marketing management function, largely uncontrollable, potentially relevant to marketing decision making and changing or constraining in nature. The marketing environment is more important to management today than ever before, this is both because the rate of environmental change has increased and because there are more types of important environmental changes. The rate of environmental change should be remembered that all of the development experienced by humankind has occurred within a mere moment of history. New types of environmental change have come to the forefront, economic factors go to the core business activity and satirically they have always been important to marketing management. The word Environment is associated with our physical environment such as air quality, water pollution, solid waste disposal and natural resource conservation. An organization operates within an external environment that it generally cannot control. At the same time, marketing and non- marketing resources exist within the organization that generally can be controlled by its executives. The external marketing environment consists of social, demographic, economic, technological, political and legal, and competitive variables. Marketers generally cannot control the elements of the external environment. Instead, they must understand how the external environment is changing and the impact of that change on the target market. Then marketing managers can create a marketing mix to effectively meet the needs of target customers. Within the external environment, social factors are perhaps the most difficult for marketers to anticipate. Several major social trends are currently shaping marketing strategies. First, people of all ages have a broader range of interests, defying traditional consumer profiles. Second, changing gender oleos are bringing more women into the workforce and increasing the number of men who shop. Third, a greater number of dual-career families have created demand for time-saving goods and services. The social or cultural forces refers to the structure and dynamics of individuals and groups and their behavior, believes, thought patterns and lifestyles, friendship and many of this trends goes a long way to affect your marketing operations. Demographic trends Today, several basic demographic patterns are influencing marketing mixes. Because the population is growing at a slower rate, marketers can no longer Ely on profits from generally expanding markets. Marketers are also faced with increasingly experienced consumers among the younger generations such as toupees and teens. And because the population is also growing older, marketers are offering more products that appeal to middle-aged and elderly markets. Demography refers to study of people, such as their age, sex, marital status, occupation, family size. Though, demography is uncontrollable because you cannot control the sex, age, marital status in your external environment, but accurate forecast of it goes a long way to enabling you as a racketeer forecast future trend and consumptions of your product. Economic conditions The 2007-2013 recessions has drastically reduced the spending power of many people. During a time of inflation, marketers generally attempt to maintain level pricing to avoid losing customer brand loyalty. During times of recession, many marketers maintain or reduce prices to counter the effects of decreased demand; they also concentrate on increasing production efficiency and improving customer service. The economic environment is a significant force that affects the marketing activities of just about any organization. A marketing program is affected especially by economic factors as the current and anticipated stage of the business cycle, as well as inflation and interest rates. Inflation a rise in prices of goods and services represents inflation. When prices rise at a faster rate than personal incomes, consumer buying power declines. Inflation rates affect government policies, consumer psychology and also marketing programs. Interest rates when interest rates are high, for instance, consumers tend not to make long-term purchases such as housing. Some marketers offer below-market interest rates as a rumination device to increase business. Monitoring new technology is essential to keeping up with competitors in todays marketing environment. The United States excels in basic research and, in recent years, has dramatically improved its track record in applied research. Innovation is increasingly becoming a global process. Without innovation, the companies cant compete in global markets. Technology post much challenges to marketers, it affects the kind of product that you as a marketer can Offer, For instance, technology have changed products like typewriting machines into a more proficient computer systems. We cannot stop the advancement of technology, but we can learn to adapt to it changes. All marketing activities are subject to state and federal laws and the rulings of regulatory agencies. Marketers are responsible for remaining aware of and abiding by such regulations. Many laws, including privacy laws, have been passed to protect the consumer as well. The Consumer Product Safety Commission, the Federal Trade Commission, and the Food and Drug Administration are the three federal agencies most involved in regulating marketing activities. The government policies refers to the laws and legality hat guilds the land, they go a long way to affect your business operations as a marketer. For instance, government restriction on the importation of a particular product might hinder the marketers playing in that particular field. Competition Competition refers to the numbers of similar competitive product brands marketers in your industry, their size and market capitalizations. As a marketer might not have direct influence On them, but its important that you monitor their activities, and then design effective strategies using your controllable variables. Competitors actions affect the ability of the business o make profits, because competitors will continually seek to gain an advantage over each other, by differentiating their product and service, and by seeking to provide better value for money. Three types of competition: credit cards. Substitute products satisfy the same need. Example growing numbers of homeowners have been choosing wood flooring instead of carpeting, causing carpet sales to stagnate. Every company a rival for the customers limited buying power. Hence, skilful marketer constantly monitors al aspects of competitors marketing activities, their products, pricing, distribution systems and promotional programs. CONCLUSION The element of the marketing environment involves factors that for the most part are beyond the control of the company. Thus the company adapt to these factors. It is important to observe how the environment changes so that a firm can adapt its strategies appropriately. The environmental system is the natural system in which life takes place. Increasingly businesses have become aware of the relationship between their economic activity for example making odds and services for profits and the effect that this has on the environmental system. The external environment of marketing is comprises of those uncontrollable forces outside of your organization. These forces that can influence your business are uncontrollable because you do not have any control over them, but yet, you can respond and adapt to their treats and influences with your controllable mix element from your internal environment. However, it should be noted that while an external environmental force affect one business. It may create an opportunity to another business. So as a marketer need be on look out to forecasting Seibel changes in external environment and also to design effective strategies on how to adapt the business to it.

A Rose For Emily Essays

A Rose For Emily Essays A Rose For Emily Essay A Rose For Emily Essay A Rose for Emily, Reader Response Critique Using reader response criticism, the reader can analyze William Faulkners A Rose for Emily through characters, action, and secrets or hidden meanings. The reader can analyze a lot about A Rose for Emily through the characters and make many connections to them and the story. For example, for a period of the story William Faulkner described Emilys appearance as bloated, like a body long submerged in motionless water and of that pallid hue. This appearance made it seem like Emily as already dead so it can be said that she was very depressed. Another character that some people can relate to is Homer. In the story he could be considered the opposite of Emily. Emily being quite and dignified, Homer himself had remarked he liked men, and it was known that he drank with the younger men in the Elks club that he was not a marrying man. He is the complete opposite of Emily who is a refined lady. Some people could see this and know it wouldnt work out because of the type of person Homer is. What is additionally needed for the reader to analyze A Rose for Emily is the action. A decent grasp of the type of person Emily is can be gained based on how she reacted when her father died. Instead of going into depression or getting angry like some people, she denied it. She told them that her father was not dead. She did that for three days, , trying to persuade her to let them dispose of the body. A large quantity of people when faced with something bad want to ignore it and hope it goes away. The towns peoples personality can also be een though their action. During the story a weird smell started to emanate from Emilys house and the people did what you least would expect of them. The first thing someone did was A neighbor, a woman, complained to the mayor, Judge Stevens, eighty years old. This woman went behind Emilys back by complaining to the city instead of telling her. Using reader response criticism, the reader can analyze William Faulkners A Rose for Emily through characters, action, and secrets or hidden meanings. From reading A Rose for Emily, people will better understand how to nalyze people and Judge someone based on their actions and what caused them to do that action. If the reader seriously analyses and connects to the story they will also get a better understanding of how people think and understand hidden meanings behind things in life. A Rose for Emily helps people understand that there are many different people in the world and you must change how you deal with each of these people. Its even more significant that readers can learn from this story and hopefully do better and use what they learned in real life. A Rose For Emily By lizziedurrett

Critical Essay on Cathedral by Raymond Carver

Critical Essay on Cathedral by Raymond Carver Critical Essay on Cathedral by Raymond Carver A first glance of Carver’s Cathedral gives one the impression that a religious theme is involved in the story. However, this perception is far from the actual content of the story. For instance, no cathedrals are mentioned until in the story’s third section. Even when a cathedral is introduced into the story, it is clear that no single character is actively religious. From this, one can argue that the title does not fit this particular story. Furthermore, the narrator in Carver’s story uses a conspiratorial tone to present his thoughts and experiences. To the reader, the story appears as if the narrator merely talks to the reader, not to pass any vital message, but rather to keep the reader amused. Additionally, from the narrator’s tone, one gets the feeling that the narrator is attempting to relate certain happenings in terms that are clear as well as precise. In recounting his feelings, the narrator does not get emotional or attempt to persuade the reader to develop a liking for him. A further implication from the narrator’s tone is that the story is about relating the incidents from a particular time, without influencing the reader’s feelings concerning the incidents. However, the reader can detect some sincerity in the narrator’s tone. The narrator does not attempt to hide the desperate situation he is in, nor does he attempt to deceive the reader into thinking that he is highly opti mistic about recovering from what befalls him. Thirdly, Carver’s story has a simple conclusion that leaves the reader highly intrigued. Although the ending is in one way or another predictable, it, nonetheless, gives the reader something to meditate upon long after finishing the story. The reader is left in suspense concerning whether the narrator’s feelings will endure, or whether his and Robert’s relationship will continue after the ending of the story. Furthermore, the reader is left to guess whether there will be significant improvements in the narrator’s bond with his spouse. There is nothing wrong with this suspense, though, since it helps to promote the idea of an intriguing story. The story’s most important theme is to savor the beauty of the moment. In addition to this, other elements in Carver’s story are perfect, such as the plot, setting, and the narrator’s point of view. Tips on critical essay writing: Critical essays are very interesting both to read and to write. Specifically, when critiquing the work of another person, it is unacceptable to solely concentrate on the negative aspects of the literary piece. It is impossible that a published work will to adhere to all the desired features of written work. For this reason, the writer should include a combination of the praiseworthy aspects and the deficient ones when discussing a work. Critical comments must be based on authentic evidence from the literary piece and from other resources as well. The second tip to writing good critical essays is to incorporate one’s own insight or original thoughts so that the reader will find the article interesting.

A Critical Review in the Contemporary Themes in Youth Work Practice, Essay - 1

A Critical Review in the Contemporary Themes in Youth Work Practice, Thematic Area Mental Health and Emotional Wellbeing - Essay Example It is in this respect that a critical review in the contemporary themes in youth work practice becomes important. It is therefore imperative to critically assess and discuss the key principles of Neurodevelopment and microbiology and their applicability in solving the rapidly growing mental disorders among the young generation. In addressing the above mentioned issue, the following discourse focuses on journal publications. The idea being advanced by Gomez (2013) asserts that the world has made major strides in terms of technological advancement and socio-political reforms aimed at improving the general social welfare of the people. It is however worrying that social justice towards children and the young generation is in a shamble. There are a number of cases where children are exposed to abuse in various ways and this leads to mental disorientation that originates from the structural and functional organization of the brain. This issue is raising concern and that explains why medical specialists, psychiatrists, psychologists, sociologists and the parents have to resort into research to establish the remedial measures that are effective to curb the problem (Brendtro,2009). In this regard, neurosequential model was formulated to work alongside therapeutic intervention. What most researchers say about this problem is not eventual recovery but the time lag and mechanisms of instituting the treatment meas ures. It is worth to note that critical assessment is imperative to establish the central idea advanced by many researchers on this issue.Children across the world develop mental health problems due to various environmental factors. Cases of neglect, traumatization, chaos, and threat are some of the major contributory factors in the observed mental ill health among the youth which they extend even to the other units of the society like the working place. These experiences gradually realign the mental aspect of children and as

Executive Interview Assignment Example | Topics and Well Written Essays - 1500 words

Executive Interview - Assignment Example In other words, the person has a certain ideal that is used to measure the correctness of each action. Another point that should be mentioned is that the subject draws a direct connection between the notions of ought and can (Doviak, 2011, p. 262). As a result, the ethical rules are not something that exists in the abstract environment, but something that should be applied to everyday interactions with the people. This is particularly important since it shows that the person in question actually engages ethical consideration in the everyday practice. That is why his behavior should be praised as it as directly effected by the ideals and is performed is close relation to the ethical framework that the person has developed. By far, this is a big difference if compared to the majority of the people who do not engage Ethics in the daily life. One would make no mistake suggesting that person has experienced some problem in the course of professional activity. It was noted that one of the biggest ones was to save the integrity and make sure that the ethical standards are not compromised (Constantin, 2014, p. 432). This is rather important since it shows that a person truly wants to live to his expectations and make sure that his image in the workplace serves as a role model for other people. It is quite obvious that the question of integrity is significant for the people who are in the military since it is one of the values that is being highly praised in their environment. That is why keeping it was named among the major challenges in the work place. Another challenge which was mentioned focused on making sure that people who are not able to conduct according to the high ethical standards do not get away with it. One might suggest that this not only goes contrary to the notion of justice, but also undermines the ground on which the military stands. Thus, the latter greatly relies on the

Cadbury and Mobil Management Organization Case Study

Cadbury and Mobil Management Organization - Case Study Example But as the technology evolved and organization faced more competition in the marketplace then the need for the new system implementation has increased. This new project for the implementation of the SAP R/3 will completely change the structure for the working of organization and also provide them the competitive edge. The second company is the Mobil Oil Australia Limited that is previously using Sap system for the data processing and as a core back-office system. But the company is not feeling well with this system implementation because the present working is still heavily paper-based. So they have aimed to implement the SAP R/3 project for the better organizational working and management. The most common factor in both companies’ projects is the renovation of the old organizational working environment to a new and efficient ERP system. In this scenario, both companies are aimed to implement the new fully automatic system for the better organizational information management. They also have the common aim regarding the gaining the competitive adage through the technology-based organizational system. Another common goal settled by both organizations is the adaptation of new IT-based system as a tool to transform our business processes. They want to the implementation of mySAP.com to create a standard IT platform and in doing so develop new transparent organizational processes. Another of the similarities in both companies project is the implementation of the process re-engineering for their already SAP based organizational management system. This re-engineering process will change and improve the functionalities of the already present SAP-based system to enhance the organizational working. Now I will discuss the main dissimilarities in both organizational projects.

Yellow wall paper Essay Example | Topics and Well Written Essays - 1000 words

Yellow wall paper - Essay Example He impulsively yelled at Mary asking her why she had to tear up the paint, and an argument picked up. Mary was surprised as to why removing paint picture from the wall could get the man so worked up and shaken to the extent of fainting. It did not take long before Jane came in the room, alarmed by the noise. She banged the door shouting while asking, â€Å"May I know what is going on here?† The two just gazed at her; no one gave her an answer. She then turned to Mary whose eyes were already filled up with tears and was reluctant to answer but turned around her head and pointed at the tattered papers of the drawing. Little did Jane; Mary’s sister in-law, started to resolve the situation than they heard Mary scream, â€Å"My baby†¦No...No†¦ No, it cannot be†, and blood was all overfilling the floor. Mary lost her infant, and she was so much in despair not knowing what to do. John, who was astounded, came back into senses and immediately rushed to his wives’ rescue. He hastily called a taxi, sobbing and looking so confused. They slowly took her outside the compound to meet the taxi, and after a short while, it was already there. John, being a doctor, he still could not do anything. He was baffled and could not believe that it was a miscarriage, and he still had hopes that his baby was alive. After the doctor had checked up the wife, the terrible news was delivered; Mary had lost the baby. The report was too much for John to take, and he had to sit down on a bench at the hospital, tears undulating down the cheeks. Jane was left with nothing else to do, but comfort he r brother. The narrator had to spend two nights in the hospital to receive further treatment, and her husband stood up with her, spending all day and night watching over for his beloved wife. It is at this moment that Mary realized that her husband truly loved her. At the same time, John thought of hoe he sometimes mistreated the

Strategic Management of Quest Diagnostics Essay

Strategic Management of Quest Diagnostics - Essay Example Ideally, the diagnosis is established with beyond a reasonable doubt certainty, but substantial uncertainty or frank diagnostic error can afflict the diagnostic process for a variety of reasons. Many of these diagnostic problems are explained by failures of decision-making. Their main strategic approach, competency, and challenges are explained herewith. Quest Diagnostics is the nation’s leading provider of diagnostic testing, information, and services. They are the largest providers of global central laboratory services performed in connection with clinical research trials on new drugs and these trials assess the safety and efficiency of these new drugs. Quest Diagnostics operates 24 hours a day, 7 days a week, 365 days a year providing their customers with a comprehensive menu of routine and specialty laboratory tests and services. Their major services include laboratory health care services, featured lab tests, online services and medical research etc. In New York City by 1967 Dr. Paul Brown launched the clinical laboratory industry with his vision to offer the high quality, highly automated and cost-effective clinical testing. Corning Incorporated purchased Met Path in 1982 and continued to build the company. The business continued to expand and additional companies were acquired, including Damon in 1993, Maryland Medical Laboratory in 1994 and Bioran in 1994. Also in 1994, Corning acquired Nichols Institute, world-renowned for esoteric testing. On December 31, 1996, Corning Incorporated spun off the laboratory testing business to its shareholders, establishing Quest Diagnostics as an independent company trading on the New York Stock Exchange under the Symbol "DGX.†. The acquisition enabled the company to enter into a testing related business, providing services to the life insurance industry.

Summary for -Understanding The Role of Networking in Organizations Coursework

Summary for -Understanding The Role of Networking in Organizations Article- - Coursework Example In relation to this, political skill is related to networking in that it is also a goal-directed behavior and it concentrates on interpersonal relationships. (Agronoff R) It is situations whereby individuals control the impressions others form of them. Nevertheless networking has been more driven by purpose on the other hand impression management is a less focused action. It’s the sort of relationship that exists between individuals, group and systems that relates to interdependencies Including visions, values, social contacts, ideas and joint memberships. Among other issues covered by networking include; Mentoring, Measurement of networking, Job level and Organizational level The article is rated to be of high quality, because of the strategies that the author employed while writing the article. Moreover, the author ensured that all sectors of networking are properly covered that is the merits and demerits of networking to the life of an individual, as well as to the organization at