Describe and assess the listener's experience of two different Assignment - 1

Describe and assess the listener's experience of two different composition or two performances of the same composition - Assignment Example In this way, each epoch left its aims and values in music. This essay will focus on the art of Beethoven and Satie to show how different music can be in its aims and purposes. Beethoven’s Symphony No. 5 is a legend in the world of classical music. It represents inner fight of as man who has to choose its further way in life. It is not surprising that the second title of the symphony is Fate. Beethoven’s fate is not the music for relaxation. It is dull of controversies and opposition which cannot leave anybody indifferent. The melody transforms from the nervous passages from the first movement to the calm and moderate moods in the second one. This music shows inner hesitation of people when they need to make their life choices. Gravy full chords in the beginning of the piece quickly transform into the light passages which remind thoughtfulness young people who cannot focus on the most important things in their lives. At the same time, the fate theme interrupts any light process in one’s thinking making everything more complicated. The second movement of the symphony is totally opposite to the first one. It reminds of a place when all people can feel calm. Harmony and calmness are two general values which are recognized by different world cultures and people. In this way, the symphony meets their standards and becomes universal in the context of global community. Overall, the music by Beethoven is never simple. It is full of controversy, hesitation and fear. At the same time, it represents great feeling of optimism, harmony and happiness. Perception of Beethoven depends on one’s mood to the great extent. All people are free to find reflections of their life problems in this complicated, controversial and beautiful music. Music by Erik Satie traces a totally different message for its listeners. For instance, Hypnomedie â„â€" 1 by Erik Satie is music of modernity. It is less certain than

Negotiating in a three-dimensional world Essay Example | Topics and Well Written Essays - 750 words

Negotiating in a three-dimensional world - Essay Example Haggling is one of the most common types of negotiation in everyday business transactions. The aim of negotiation is mainly to establish a middle-ground with which either party is comfortable and contented. For a long time, people have always seen negotiation as a social theory that requires only skills and tactics during the round table meeting. However, modern day negotiators are using the revolutionary process of negotiation referred to as the 3-dimensional negotiation. This paper seeks to explain the elements of three dimensional negotiations as explained by Lax and Sebenius (2006). According to lax and Sebenius (2006), negotiation is not effective if given the usual one dimension style. They argue that traditionally, negotiations entailed the use of tactics to either gain the advantage under the topic of conflict or have such benefit distributed among the concerned parties. The usual one dimensional approach to negotiations sought either a win-win result or a win-lose outcome. H owever, practically speaking, such outcomes could only create more conflict where the parties to the clash were more than two. Lax and Sebenius (2006) explain that one-dimensional approaches only stimulate more conflict and yield unsatisfactory deals. Much like a gambling game, one-dimensional techniques are not appropriate where the other party is the holder of all the cards. It is for this reason that the two scholars came up with the three dimensional approach. The three dimensional system is a method of handling negotiations from three perspectives. According to the consultants, the three aspects of this approach are, The Tactics Dimension, The Deal Design Dimension and the Set up Dimension. In addition to these dimensions, Lax and Sebenius (2006) explained a final aspect referred to as the three dimensional audit. The three aspects of the strategy are designed in such a way that they cover the period before the negotiations, during the actual discussion and after the deal are s ealed. The set up dimension takes place away from the negotiation grounds. The side concerns itself with the parties to conflict and the subject matter of the conflict. In evaluating this dimension, the planner or the negotiator focuses on the actual parties involved in the conflict as well as the potential participants. In addressing the issue of the parties expected to attend the negotiation proceedings, the negotiator finds information on which to rely when planning the tactics. The set-up dimension is as well concerned with the subject matter of the negotiator. The negotiator seeks to establish ways in which the subject matter can be useful to them and how valuable they can be to the other party. The essence of this aspect then can be said to be the evaluation of the pie to be shared. Being a preliminary stage, the set-up section concerns itself with estimating the possible outcomes and expected maximum costs. Lax and Sebenius (2006) argue that, in every negotiation procedure, t here are unavoidable costs. Either party should make a provision for such costs prior to the actual negotiation process. Among the essential preliminary steps are the arrangements to hold private consultations with the key parties to the actual negotiations. This may involve the process of identifying the correct sequence of events, as well as, the hierarchy to be observed. Lax and Sebenius (2006) summarized this aspect as the process that concerns itself w

Compare and contrast the Right to Remain Silent in the US and the UK Essay

Compare and contrast the Right to Remain Silent in the US and the UK - Essay Example On March 13th 1963 Ernesto Miranda was arrested in Arizona and taken to the Phoenix Police Station where he was then identified by the complaint-filing witness. Without being notified of his rights, Miranda was led into the interrogation room and questioned by police officers. In two hour’s time the officers had succeeded in obtaining a written and signed confession from Miranda. The signed statement claimed he signed it â€Å"with full knowledge of my legal rights, understanding any statement I make may be used against me.† When the case went to trial the prosecution used Miranda’s statement of confession against him and despite objections from the defense, the judge allowed for the confession to be admitted as evidence. Miranda appealed and the Supreme Court of Arizona ruled his rights were not violated because Miranda never requested council to be present during questioning. Miranda’s case went before the Supreme Court who acknowledged Miranda was never informed of his right to council or the right he had not to â€Å"be compelled to incriminate himself.† The Supreme Court ruled since Miranda did not have full knowledge of his rights all statements made by Miranda were inadmissible in court since they were not legally received. Furthermore the Supreme Court justified that since interrogation is intimidating, a suspect must first be given their rights to lessen the intimidation they experience. The Miranda Rights must be read before a suspect is to be questioned or interrogated in any way. The Miranda rights are read as followed: â€Å"You have the right to remain silent and refuse to answer questions. Do you understand? Anything you do say can and will be used against you in a court of law. Do you understand? You have the right to consult an attorney before speaking to the police and to have an attorney present during questioning now or in the future. Do you understand? If you cannot afford an attorney, one will be appoint ed for you before any questioning if you wish. Do you understand? If you do decide to answer questions now without an attorney present you will still have the right to stop answering at any time until you talk to an attorney. Do you understand? Knowing and understanding your rights as I have explained them to you, are you willing to answer my questions without an attorney present?† (essortment.com) The 5th Amendment to the US Constitution’s Bill of Rights is â€Å"No person shall be compelled in any criminal case to be a witness against himself or be deprived of life, liberty or property without due process of law.† The 6th Amendment Right to Counsel Clause coincides with the 5th intricately and was instituted in 1964 from the case of Escobedo vs. Illinois by the Supreme Court’s insistence that police allow council to be present during questioning. â€Å"In all criminal proceedings, the accused shall enjoy the right to have the assistance of counsel for h is defense.† (flexyourrights.org). In historic times, such a notion as the right to silence did not exist. In the 18th century English Criminal procedure made it impossible for a suspect of a crime to protect themselves from self-incrimination. Common law refused a criminal the right to be defended by a lawyer therefore persons suspected of a crime had little choice but to speak for themselves because no one else was going to. Refusal to speak and answer questions was quite the same

Terrorism In Pakistan Essay Example for Free

Terrorism In Pakistan Essay Pakistan has been facing major and destructive phenomenon due to the terrorist. It had been common since 1999, like bomb blast and suicides attacks. This has great impact on our social and moral life. Many lives are gone away due to the terrorism in Pakistan, This is not only in Pakistan but also spread in all over the countries. Terrorism has a destructive impact on the life of human beings. No doubt our country has been progressed by making power full nuclear weapons. And Pakistan also has a nuclear power like the other countries, but in our countries some agents are making their wrong use by bomb blasting. They target the Holy places and historical building without cares of anyone life. And many human beings loss their life in this type of incidents like bomb blasting. It was commonly found in Pakistan during the late 1999. Every channel and newspaper have the same and common news about bomb blasting and suicide attacks. Terrorism in Pakistan just destroy the economy in Pakistan. Accident of Lal Masjid took place 1999 militants and religious flower lost in this incident. There were many other incidents during last years just because of the terrorist. Suicide attacks are also found in many cities. Nobody cares about his life and ready for death due to the illiteracy in our country. Mostly parents don’t prefer their children to give them education from the starting years, the result is that they lost their interest in studying and never like to go to school for getting education. This spread unemployment among the nation, and when they have not any jobs for the satisfaction and fulfillment of their life they choose the wrong way through which they can earn well. Therefore they do not afraid by taking any risk, even some are going to be ready for suicidal attacks the reason is just money, moreover they have lost their interest to live a perfect and normal life. In the last there are some suggestion about the terrorist. It should be completely finished. Our nation and citizen should be given knowledge about the importance of life. People who are living in the Pakistan should be given maximum chances to get the employment, and most important education should be must and equal for every one.

The Nhs In England Health And Social Care Essay

The Nhs In England Health And Social Care Essay National Health Service had been created in 1948 and for the last decades it has been facing numerous reforms and structural changes in attempt to raise its effectiveness and competitiveness and to reduce costs. This report focuses on STEP analysis of major external factors and trends that might influence future activity of NHS and shape its structure. Findings of the report are: Social: Population of England has increased by 7% in last 4 decades and with average age of 38.8 years (from 34.1 years in 1971)  [1]  . Overweight/obesity, ethnic differences in health care approach and high treatment costs for immigrants present main social challenges for the NHS. Citizen participation, social inclusion and partnership programs are seen as possible answer to these challenges. Technological: Coalitional government ended National Programme for IT in England and is preparing new Information Revolution. Recent reforms that include abolition of primary-care trusts and establishment of GP commission require new IT solutions. Increasing community and home based health care are based on efficient telehealth and telecare services and require further development of IT technologies. Additional investment in research and development of IT technologies is necessary in order to cope with development of modern health care services. Economical: NHS will receive significantly lower annual budget increase, compared to previous years and it is expected to present  £20bn (GBP) in savings by 2013-14. With the abolition of PCT budget of roughly  £80bn (GBP) will be transferred to management by GP commission. Political: Coalitional government presented new reforms that focus on implementing administrative and structural changes in NHS. Emphasis of the reforms is on giving more power and choice to the consumers, decentralising management and significantly reducing administrative costs. Introduction This management report is a STEP analysis of the NHS in England. The report sets out the key issues within each STEP for the organisation and can be used as the basis for further analysis. A conclusion identifies the key issues arising from the STEP analysis for the NHS in England and also sets out the strengths and weaknesses of the STEP approach and the challenges encountered when undertaking the analysis. STEP 1: Social The majority of the population in England and Wales use the services of the NHS (about 8% of the population use private health care). The NHS needs to be aware of demographics changes as this will have a significant impact on demand for NHS services as a whole and on demand for particular products and services. The key social issues that the NHS in England needs to consider are: Population growth rate and age profile Health of the general population Issues related to ethnicity Issues related to immigration Governance patterns, social inclusion and partnerships building. Population growth rate and age profile The UK population reached 59.8 million in 2004; its highest ever level. It has increased in size by 7 per cent in the three decades since 1971, when the figure was 55.9 million. But this population growth has not occurred at all ages. In fact, some age groups have shrunk and so have become a smaller proportion of the whole population.   The ageing of the population will affect the types of services required and the way in which they are provided. Population health About 46% of men in England and 32% of women are overweight (a body mass index of 25-30 kg/m2), and an additional 17% of men and 21% of women are obese (a body mass index of more than 30 kg/m2 ). Overweight and obesity increase with age. About 28% of men and 27% of women aged 16-24 are overweight or obese but 76% of men and 68% of women aged 55-64 are overweight or obese. Overweight and obesity are increasing. The percentage of adults who are obese has roughly doubled since the mid-1980s. The effect of these trends is increasing requirements for different types of equipment (eg. stronger beds). Ethnicity Pakistani and Bangladeshi men and women in England and Wales reported the highest rates of not good health in 2001. Pakistanis had age-standardised rates of not good health of 13 per cent (men) and 17 per cent (women). The age-standardised rates for Bangladeshis were 14 per cent (men) and 15 per cent (women). These rates, which take account of the difference in age structures between the ethnic groups, were around twice that of their White British counterparts. Chinese men and women were the least likely to report their health as not good. Women were more likely than men to rate their health as not good across all groups, apart from the White Irish and those from Other ethnic groups. Reporting poor health has been shown to be strongly associated with use of health services and mortality. White Irish and Pakistani women in England had higher GP contact rates than women in the general population. Bangladeshi men were three times as likely to visit their GP than men in the general popul ation after standardising for age. Immigration Since 2004, a record 1.8 million foreign workers have come to Britain, including an estimated 700,000 from Eastern Europe. And yes there have been problems. Migrants have put pressure on the NHS by using casualty departments as GP surgeries. TB rates are also up and the cost of translators in hospitals to deal with foreign patients can be crippling for health authorities. Governance patterns, social inclusion and partnerships building Citizens participation becomes more and more important to fill the gaps of governments failure. Many initiatives related to public health issues, for example reducing the incidence of drug misuse, can never be achieved without involving citizens. The UK is a pioneer in deliberative democracy, which is an ideal vehicle for the promotion of health based voluntary / statutory sector partnerships. STEP 2: Technological The increasing efficiency and effectiveness of the NHS in England is dependent upon the appropriate use of technology, and affects both the acute and primary care sectors. The key technological issues currently facing the NHS in England are: The IT impact of the abolition of Primary Care Trusts (PCTs) and the move to GP Commissioning How to address the results of the UK Governments changing national health IT policy Continuing the development of teleheath and telecare to shift the balance of care from the acute to the community sector In general, continuing to fund and integrate technological developments in service provision that offer improvements in economy, effectiveness and efficiency. The abolition of Primary Care Trusts The abolition of PCTs and the move to GP Commissioning means there is a need to ensure effective IT structures are in place to support the move. PCTs will need support to ensure the data they hold is dealt with appropriately be it destruction or move to other organisations. There may be a need to consider national guidance. GPs and service providers will also need support to ensure their IT systems are able to communicate with each other effectively and have the capacity to deal with increased records. There may be a need to consider national guidance. National health IT policy The new coalition government ended the National Programme for IT in England and has just finished consultation on its new Information Revolution.  [2]  3The previous programme aimed at providing a number of national IT services, such as Choose and Book (the national electronic referral system); PACS (central picture archiving service for eg x-rays); and the national electronic subscriptions service. Some of these programmes were completed under the previous government, however, many are still in development. The coalition government has expressed their desire for local IT solutions, however, many of the programmes are tied to national contracts with the private sector. The NHS in England needs to examine the cost of termination (and the costs of providing alternative local solutions) vs continuing with the existing contracts, contrary to government policy. There is a need for further clarification from the government and continued engagements from the NHS with the coalition. The development of telehealth and telecare Moving care into the community and supporting people to live in their own homes for longer requires increasing use of telehealth and telecare technology. There are numerous benefits for the NHS in England and its users, for example those in rural communities able to access consultant appointments via computer rather than travelling large distances, and more people living longer in their own homes. These developments need continuing support from the centre if health bodies are to continue to develop these. Central funding may also be required to continue research into this area and technological development. Continuing technological developments The NHS in England needs to continue promoting the benefits of new technologies to health bodies and providing support (small scale funding, guidance) to help trusts implement these. The 2009 NHS IMT Investment Survey indicated that capital investment at local level has remained static over the past 5 years, it is only the injection of central funding that has led to increases in this area. Emphasis needs placed on health trusts to continue to fund developments.  [4]   STEP 3: Economic The key economic issues facing the NHS are: The outlook for public sector finances The effect of GP commissioning The impact of staff pay and conditions (cost of labour) The cost of capital/diminishing capital resource and investment Public sector finances As a result of the coalition governments desire to address the effects of the global economic crisis and its attempt to quickly reduce the budget deficit, resources available from central government are projected to increase less quickly than in recent years. The rise for 2011 of just 0.1% represents a significant decrease in funding compared to increases in recent years. This is further compounded by cuts in the levels of cash received by hospitals for treating patients. Commentators suggest that the effect of the cuts will require the identification of  £20bn (GBP) in savings by 2013-14. The NHS in England needs to quickly identify how it will continue to provide care with reduced levels of funding. This may include actions such as reducing staffing levels and increasing out-sourcing of services. Effect of GP Commissioning The abolition of Primary Care Trusts and the move to GP commissioning brings both opportunities and risks associated with the handover of almost  £80bn (GBP) from central to local control. While previous experience would suggest that GP commissioning improves efficient use of resources (efficiency fell by 1.6% after the abolition of internal markets in 1997) (see reference 1) it is possible that individual hospitals, patients and the GPs themselves may lose out. GPs may spend more time involved in administrative tasks and less time with patients; patients may be affected by the level of engagement with commissioning on the part of their GP and some hospitals will fare better than others under the revised arrangements. Retaining control of NHS spending is a significant challenge when accountability for the use of public funds essentially lies in the hands of private contractors. Effective financial controls will be necessary to ensure demand management is not simply left on the shel f and that resources are used both effectively and efficiently. Pay and conditions Staff costs as a proportion of total costs are high within the NHS. The effects of minimum wage and, more recently, the implementation of the European Working Time Directive continue to drive costs up, even as staffing levels remain static or fall. Efforts to ensure trusts comply with the Working Time Directive have backfired by ensuring staff record hours worked more accurately leading to increased overtime payments and identification of additional need. In addition, the effect of cuts in staffing both through voluntary and compulsory redundancies will place additional (albeit relatively short-term) pressure on finances in the form of pay-offs and pensions. Capital assets and investments Many PCTs acknowledge that the current period imposes reductions in capital investment. Short term savings accrued by delaying investment may lead to increased costs in the future. In addition, numerous trusts have sold off capital assets to remain competitive in recent years, thereby reducing asset value now and for the future. The use of PFI/PPP/DBO may offer short-term benefits (by reducing direct capital expenditure) but risks remain with regard to the long-term commitment and associated cost of such contracts. STEP 4: Political The change in government from Labour to Conservative/Liberal Democrat in 2010 resulted in a significant shift in political attitudes towards the NHS in England. The drive to reduce centralised control and increase local responsibility has resulted in a number of key policy initiatives. Coalition programme The coalition programme for healthcare included the following subjects:  [5]   Greater financial autonomy for local bodies Involvement of GPs in tackling health care problems Improved access to preventive healthcare for disadvantaged areas Reduction of long-term costs. The specific programme for the NHS included the following:  [6]   Real term budget increase for next 5 years. Reduction of quasi-non-government-organizations (quangos). Cut administrative costs by 30% and use these resources to support doctors and nurses. Discontinue closure of AE units and of maternity wards. Restructure health system giving more power and freedom of choice to patients and transferring commissioning powers from PCTs to GPs. Development of monitoring system to oversee aspects of access, competition and price-setting in NHS. Establishment external and independent board to allocate resources and provide commissioning guidelines. Introduction of rating system for health care providers that will allow patients contributions and will be accessible online. Reform NICE into value-based pricing, to allow broader access to drugs and treatments for those who need them. Introduction of per-patient funding for hospices and providers of palliative care, and allocation of additional 10 million pounds a year from the budget to support these childrens hospices. Improvement of service quality through involvement of independent and voluntary providers and through giving patients ability to choose provider that suits them most. Reforms Andrew Lansley, the health secretary, introduced plans for NHS reform in August 2010 (White Paper of announced reforms is available here). The main topics were:  [7]  8 Delivering commissioning power to purchase health care for the patients to GPs who are to join consortia by 2013. Abolishment of 10 strategic health authorities and of approximately 150 primary-care trusts and transfer some of their services to external non-for-profit outfits. NHS hospitals are to become foundation trusts and to enjoy greater autonomy in revenues and funding. Patients will be available to choose GPs regardless to their geographical areas, to make shared decisions on their health treatments and to enjoy published data on hospitals and doctors (results, waiting times, rates, etc.). NHS funding will increase in real terms for the following 5 years but it will have to do more for its money: reduction of managerial costs by 45%; efficiency savings of 20 billion pounds, which are to be reinvested to support quality and outcomes. Establishment of an independent NHS Commissioning Board, which will allocate and account for NHS resources and will audit on implementation of quality improvement and patient involvement and choice. Conclusion The NHS in England is currently facing a period of change that will affect all aspects of its operation. Delivering the required political reforms within the constraints of the current financial climate will be challenging. Coupling this with increasing demand for services caused by an ageing population and the associated technological developments that need to be put in place for this to be managed means the NHS in England must be clear on its purpose, its direction and its strategy for achieving these. Recommendations Re-examine the purpose, direction and over-arching strategy of the NHS in England to ensure they remain fit-for-purpose Develop appropriate national strategies for each element of the organisation (eg IMT) to ensure there is clarity about what is required of trusts. Emphasise citizen involvement and partnership programs. Develop appropriate IT and technological infrastructures to support new reforms. Strengths and weaknesses of the STEP approach STEP analysis has strengths and weaknesses. The key issues identified by the group are: Strengths The analysis can help focus an organisation on the key factors in each environment ensuring they think about each step. It is quite a simple process that allows consideration of many variables. It enables the organisation/unit to look outwith their immediate environment to consider important external factors The approach can be linked with other models (typically SWOT) to increase its usefulness It encourages strategic thinking and planning and allows the organisation to anticipate future issues. Weaknesses Assessing the importance of issues can be challenging if appropriate and robust data is not available. Accessing useful data can be time consuming and therefore has a cost attached. The use of the four steps can mean a pigeon-holing of some issues that span across other themes (such as the impact of government policy) It is a task perhaps best done with a group in person rather than in isolation so that ideas can immediately be discussed/challenged and priorities for the issues included are agreed by consensus Considering the factors in isolation makes it difficult to identify linkages between the various elements It may be useful to keep the focus of the analysis specific as then the outputs may be more useful rather than general statements Forecasting leads to multiple possible futures; there is a danger of assuming hypotheses are truth The exercise needs to be repeated to remain useful to account for pace of change/changing realities. Challenges encountered by the group in conducting the analysis The group encountered the following challenges: considering the factors in isolation made it difficult to identify linkages between the various elements. It may have been useful to circulate our lists in advance to encourage cross-fertilisation and consistency across the 4 factors (Delphi approach) undertaking an analysis of an institution with which some members of the group had little familiarity led to increasing reliance on assumptions we ended up with quite a broad target topic, if we had narrowed our focus the results may have been more useful accessing relevant data was difficult in some areas and hence time-consuming. References for STEP: http://rapidbi.com/management/created/the-PESTLE-analysis-tool/ http://www.healthknowledge.org.uk/public-health-textbook/organisation-management/5b-understanding-ofs/assessing-impact-external-influences http://www.nhsemployers.org/EmploymentPolicyAndPractice/EqualityAndDiversity/e-d-in-practice/get-to/IdentifyingTheObjectivesAndOutcomes/Pages/PEST_Analysis.aspx http://www.herefordhospital.nhs.uk/Portals/0/MembersArea/IBP/Appendix%20X%20-%20PEST%20and%20SWOT.pdf http://newsfan.typepad.co.uk/pestle/2009/03/pestle-summary-united-kingdom.html http://www.coursework4you.co.uk/essays-and-dissertations/pest-analysis.php http://www.statistics.gov.uk/downloads/theme_compendia/fom2005/04_FOPM_AgeStructure.pdf http://www.annecollins.com/obesity/uk-obesity-statistics.htm http://www.medwaypct.nhs.uk/explore-nhs-medway/news/media-releases/proposed-changes-to-workforce-and-education-in-the-nhs-making-our-views-count/ Does the British media hate the NHS? http://www.guardian.co.uk/society/2001/jun/14/NHS.conferences http://www.mirror.co.uk/news/top-stories/2007/10/18/immigration-the-true-cost-to-britain-115875-19969602/

Christopher Columbus Essay -- Christopher Columbus Essays

Christopher Columbus was born in Genoa, Italy in 1451. He was named Christofero Columbo, after the patron saint. His father was Donenico Columbo, a weaver and wool dealer. Columbus had two brothers, Diego and Bartolome. Historians are certain that Columbus was not a noble. Columbus's crew on the first voyage were not a bunch of cutthroats. They were mostly hometown boys' from Andalusia, and nearly all experienced seamen. Of the four voyages of Columbus, only the crew of the first voyage is completely known. Alice Bache Gould spent decades combing various archives in Spain, and eventually came up with the list of the 87 crewmen of the Nià ±a, Pinta, and Santa Maria. In 1465 Columbus started accompanying his father when he went to sea to sell his cloth.   Ã‚  Ã‚  Ã‚  Ã‚  In 1465-1475 Columbus learned how to handle a ship and became aware of the risks of navigation. By 1475, Columbus grew up to be a well-spoken young man. Columbus went on an expedition to the island of Chios in 1475, a Genoese possession in the Aegean Sea. Columbus then stayed there for many months defending from Turkish attack, a business that extracted gum mastic from trees, which was used as a painkiller. French pirates attacked Columbus when he was on a ship carrying a shipment of gum mastic.   Ã‚  Ã‚  Ã‚  Ã‚  In 1476 Columbus moved to Lisbon with his brother, Bartholomew who also was a sailor. Between 1476-1479 Columbus sailed out on various sailing expeditions. In 1479 Columbus ma...

Fear and Anxiety

Phobia comes from the Greek word ‘phobos’ meaning morbid fear (wikipedia). But what exactly is a phobia? The direct denotation of a phobia is â€Å"a persistent, irrational fear of a specific object, activity, or situation that leads to a compelling desire to avoid it† (dictionary). A phobia falls under the category of an anxiety disorder. An anxiety disorder is often â€Å"a harmful chronic condition, which can be present from an early age or begin suddenly after a triggering event.They are prone to flare up at times of high stress and are frequently accompanied by physiological symptoms such as headache, sweating, muscle spasms, palpitations, and hypertension, which in some cases lead to fatigue or even exhaustion† (wikipedia). According to healthline. com, if there is any exposure to the object that is feared, the stimulus may provoke extreme anxiety or a panic attack. † Phobias are mainly and tend to be caused by a traumatic event or experience th at happened prior in a person’s life.Other factors that may increase the likelihood of a phobia developing include cultural factors and possibly even genetics. â€Å"Phobias are actually quite common, affecting more than ten percent of the U. S. population. Phobias are the most common mental disorder in the United States, but far more women than men are affected by phobias† (about. com). Approximately six point three million American adults ages eighteen to fifty four, or about four point four percent of people in this age group in a given year, have some type of specific phobia (Heering).This anxiety disorder affects more than one in ten people in the word and they are usually present as a panic attack or a severe episode of anxiety and start during adolescence or adulthood (Frapwell). The percent of people that are diagnosed of having a phobia tend to be constant year to year; there has not been a dramatic increase or decrease over the years. Phobias can be divided i nto three main categories: social phobias, agoraphobia, and specific phobias. Social phobias deal with fear of social situations. People who have or had social phobia tend to stay in a solitary environment or just stay home alone where they are most comfortable.This does affect a person’s life because it prevents them from functioning in daily life. People do need to interact with others, especially in need of help. These people do not go to social events or outings because then they would feel like they are in danger and it is more likely that they will have a panic attack. A previous negative social experience can be the trigger to having a social phobia perhaps particularly for individuals who have an intrapersonality. Someone with an intrapersonality tend to stay away from groups and would rather stay and work alone.The cultural factors that have been related to social anxiety disorder include a society's attitude towards shyness and avoidance, affecting someone’s ability to form relationships and access employment or education. One study found that the effects of parenting are different depending on the culture – American children appear more likely to develop social anxiety disorder if their parents emphasize the importance of other's opinions and use shame as a disciplinary strategy, but this association was not found for Chinese American children.In China, research has indicated that shy-inhibited children are more accepted than their peers and more likely to be considered for leadership and considered competent, in contrast to the findings in Western countries. There is an increased amount or a decreased amount that social phobia affects depending on where the country is located, showing that cultur does make a difference (wikipedia). Agoraphobia is defined as an abnormal fear of being in crowds, public places, or open areas, sometimes accompanied by anxiety attacks (dictionary).The severity of agoraphobia varies, they can live ab solutely normal lives avoiding potential anxiety-provoking situations or they can stay at home practically all day and be homebound trying to stay away from anything that will cause them to be anxious. People with a less severe version of agoraphobia are more likely to buy a luxuorious automobile because they do not walk to their destination or take public transportation. This does make sense because the person with agoraphobia would be more comfortable in a luxuorious automobile where they can be alone.The causes of agoraphobia are currrently unknown, but the cultural factors that could be related to agoraphobia include the population of where a person lived while growing up. If the person was raised on a farm isolated from the world around them is more likely to develop the fear of public places than someone who lives in the city who is used to that type of environment. A scary experience or event in a person’s life can also be a major tribute to having this phobia. Agoraph obia occurs twice as commonly in women as it does in men.This is not very accurate considering that most men would not report that they have agoraphobia due to there stereotypical image of being strong and having no fear (Heering). Specific phobias deal with fear of a specific objects such as snakes or spiders. There are four major types of specific phobias. The four major types of specific phobias include the fear of natural environment, the fear of animals, medical related fear, and situational fear. The most common specific phobia of the natural environment include the fear of lightning, storms, and water. Fear of spiders, snakes, and mice are the most common specific fear with animals.People with a medical related phobia tend to have a fear of going to the doctor or hospital, fear of getting injured, and an irrational fear of seeing any amount of blood. Situational fear tend to involve a fear of specific situations, such as flying, driving, going over bridges or driving through tunnels, and even being in enclosed places like an elevator. There is a higher percentage of people with a specific type of phobia than agoraphobia and social phobia (nih, National Institute of Mental Health). The first diagnosis of any type of phobia was in the year of nineteen seventy.The diagnosis was related to social phobia and it was discussed as a clinical syndrome distinct from other anxiety disorders. Social phobia was not offically recognized until the third edition of the Diagnostic and Statistical Manual of Mental Disorder (webMD). Symptoms for acknowledging that someone has a phobia vary depending on the type of phobia, but some symptoms apply to just having some type of phobia. Symptoms regarding all phobias include excessive or irrational fear of a specific object or situation and the avoidance of the object or situation, or enduring it with great distress.Physical symptoms of anxiety or a panic attack, such as a pounding heart, nausea or diarrhea, sweating, trembling or shaking, numbness or tingling, problems with breathing, shortness of breath, feeling dizzy or lightheaded, and feeling like you are choking. Anticipatory anxiety is another symptom regarding all phobias. Anticipatory anxiety involves becoming nervous ahead of time about being in certain situations or coming into contact with the object of your phobia. An example of this would be smilar to a person with a fear of dogs and how that person may become anxious about going for a walk because he or she may see a dog along the way.Children react differently with recognition of there phobias, which makes their symptoms of having a phobia different to the adult symptoms. Children with a specific phobia may express their anxiety by crying, clinging to a parent, or throwing a tantrum (webMD). Diagnosis of a phobia is an evaluation of the patient and the symptoms or anxiety they have. There is not really a diagnostic laboratory test for phobias. Diagnosis is based on the patient's account of their experiences. If symptoms of a specific phobia are present, the doctor will begin an evaluation by performing a complete medical history and physical exam.Although there are no laboratory tests to specifically diagnose specific phobias, the doctor may use various tests to make sure that a physical illness isn't the cause of the symptoms. If no physical illness is found, a person may be referred to a psychiatrist or psychologist, mental health professionals who are specially trained to diagnose and treat mental illnesses. Psychiatrists and psychologists use specially designed interview and assessment tools to evaluate a person for a specific phobia. The doctor bases his or her diagnosis of specific phobias on reported symptoms, including any problems with functioning caused by the symptoms.A specific phobia is diagnosed if the person's fear and anxiety are particularly distressing or if they interfere with his or her daily routine, including school, work, social activities, and relationships (webMD). Diagnostic criteria differs between the three main types of phobias. According to the 4th edition of Diagnostic and Statistical Manual of Mental Disorders, â€Å"the most difficult aspect of diagnosing phobias is sorting them out from other psychiatric disorders such as paranoia, schizophrenia, or obsessive-compulsive disorder, in which fear is associated with situations or specific objects. The diagnostic criteria for a specific phobia â€Å"is if the patient experiences excessive or irrational fear of a specific object or situation, has exposure to the object or situation and it causes an immediate anxiety response or a panic attack, the person knows that the fear is excessive and irrational, the object or situation is endured with distress or avoided, and avoidance, anticipatory anxiety, or distress during exposure to the feared object or situation interferes with the person's ability to function in normal daily activities. The person may have distress a bout having the phobia† (American Psychiatric Association).Social phobia has the most criteria for diagnosis compared to agoraphobia and a specific phobia. According to the 4th edition of Diagnostic and Statistical Manual of Mental Disorders, the criteria for a social phobia is as follow: â€Å"the person fears or is anxious about experiencing public embarrassment or humiliation in social or performance situations, being in such situations creates intense anxiety and possibly a panic attack, the patient knows that the fear is excessive and irrational, and social or performance situations are avoided or endured with great distress.This condition disrupts the patient’s ability to function at work or school and causes them to withdraw from social activities and/or relationships, or the fact that they have the phobia causes them distress. This condition has been led on for at least 6 months in people over the age of 18 and fear and avoidance are not caused by other mental disorders, a medical condition, or the effects of a drug. † Agoraphobia and its criteria is very basic. If the patient can not stand being trapped in a place or is stuck in a difficult situation which leads to a panic attack is a hint of having agoraphobia.If the patient tries to avoid a difficult situation at all costs and nearly has a panic attack thinking about being in a difficult situation or trapped in a place. Lastly, the avoidance is not caused by any type of drug or other psychotic illness or disorder. (American Psychiatric Association). There are a couple different methods on how to treat and cure phobias. There are different methods of treatment for each main category of phobias: agoraphobia, social phobia, and specific phobia.Any phobia that interferes with daily living and creates extreme disability should be treated. With proper treatment, the vast majority of phobia patients can completely overcome their fears and be symptom-free for years, if not for life. Effe ctive relief can usually be gained through either cognitive behavior therapy, medication, or a combination of both. Cognitive Behavioral Therapy regards to all phobias within all the main categories. â€Å"Cognitive-Behavioral Therapy, CBT, is highly effective in treating phobias.Cognitive-Behavioral Therapy techniques help people recognize the events or items that trigger the patient’s reactions. The recognition of the events or items that triggers the patient’s reactions is the cognitive piece of the puzzle. The behavioral piece is the teaching of ways of coping with anxious feelings and physical symptoms through exposure and desensitization† (discovery health). Some therapists use virtual reality or imagery exercise to desensitize patients to the feared entity. These are parts of systematic desensitization therapy.Hypnotherapy is another type of treatment for phobias. Hypnotherapy cooperating with neuro-linguistic programming can also be used to help remove t he associations that trigger a phobic reaction. However, lack of research and scientific testing compromises its status as an effective treatment. A different type of treatment is the Eye Movement Desensitization and Reprocessing, EMDR. Eye Movement Desensitization and Reprocessing has been demonstrated in peer-reviewed clinical trials to be effective in treating some phobias.Eye Movement Desensitization and Reprocessing has been demonstrated as effective in easing phobia symptoms following a specific trauma, such as a fear of dogs following a dog bite. Emotional Freedom Technique, a psychotherapeutic alternative medicine tool, also considered to be pseudoscience by the mainstream medicine, is somewhat useful for patients, also. Medications are used to control the panic experienced during a phobic situation, as well as the anxiety caused by anticipation of that situation and are often used to treat social phobia and agoraphobia.According to wikipedia, â€Å"antidepressant medicatio ns such as SSRIs and MAOIs may be helpful in some cases of phobia. Benzodiazepines may be useful in acute treatment of severe symptoms but the risk benefit ratio is against their long-term use in phobic disorders. † Through treatment, you gain more control over an anxiety disorder. By developing good coping skills, you have a better chance of preventing future anxiety attacks. But, treatment always varies from person to person because others may benefit from one type of treatment more than another person. Living with a phobia can be difficult.Even if the feared object or situation does not regularly appear in the patient’s daily life, the patient may find that a lot of their time is spent worrying that it may appear or figuring out how to avoid it. Although you will find primary support from your therapist and closest friends or relatives, you may discover that additional support makes coping easier. Many people find it helpful to read first-person accounts of peopleâ⠂¬â„¢s personal struggles with phobias. Others search for the latest treatment information. Many find that simply speaking with someone who has been there makes things a bit easier to handle.Although many phobia sufferers experience similar concerns despite the type of phobia they have, each type of phobia also brings with it specific concerns (Heering). Telling someone that you have been diagnosed with a phobia could be very emotional for you because you do not want to be made fun of or be judged. It could also be hard because after you tell them what you have been diagnosed with you might be treated differently. You could be treated as a sick patient, which would probably make it worse for you making you think of the phobia more.Phobias do have psychological and emotional effects on you. You could wonder if what you are thinking is normal or not, which can mess with your thoughts (Heering). A phobia affects your life, but does it affect the people around you? This depends on what type of phobia you are diagnosed with. If you are diagnosed with a social phobia, you have most likely lost most or even all of your close relationships. If you are diagnosed with a specific phobia, then you are likely to still have relationships with the people close to you.Yes, there may some limits, such as if a person is afraid of flying and their friend wants them to go on a vacation with them, the person with the phobia is not going to go. Sometimes the question of phobias be prevented comes up and the answer is no a phobia can not be prevented. â€Å"Although many specific phobias cannot be prevented, early intervention and treatment following a traumatic experience, such as an animal attack, may prevent the person from developing severe anxiety† (webMD). There are many types of phobias including some strange and ironic types f phobias. The most common types of phobias mostly fall under the specific phobias category. Some common phobias are â€Å"arachnophobia, ophidi ophobia, acrophobia, agoraphobia, cynophobia, astraphobia, trypanophobia, social phobias, pteromerhanophobia, mysophobia, belonephobia, claustrophobia, odontiatophobia, phasmophobia, phobophobia, trypanophobia, zoophobia† (about). There are many interesting facts of these phobias. Arachnophobia is the fear of spiders and is twice as more likely to occur with women having this phobia than men.Ophidiophobia is the fear of snakes and it is often attributed by a traumatic experience or by cultural factors. Acrophobia is the fear of heights and usually leads to panic attacks and avoidance on anything in relation to height. Cynophobia is the fear of dogs and is usually caused by a not so good specific experience with a dog. Astraphobia is the fear of thunder and lightening, which also has three other names: brontophobia, tonitrophobia, and ceraunophobia. Trypanophobia is the fear of injections and this fear goes untreated because people avoid the triggering object and situation.Pter omerhanophobia is the fear of flying and is often treated using exposure therapy, in which the patient is gradually and progressively introduced to flying. Mysophobia is the fear of germs or dirt and could possibly be related to obsessive compulsive disorder. Belonephobia is the fear of pins and needles, claustrophobia is the fear of an enclosed space, odontiatophobia is the fear of dentists, phasmophobia is the fear of seeing a ghost or a phantom, phobophobia is the fear of having a phobia, and zoophobia is the fear of going to a zoo. The latest type of phobia now is a food phobia.There are a few amounts of people that are scared of mayonnaise or ketchup (about). Yes, there are many phobias out there that are strange and scientists are starting to wonder if it really is a phobia or just an excuse. You would never think that celebrities have phobias because we all think that they are just glitz and glam and perfect, but in reality some celebrities do have phobias. Did you know that Nicole Kidman has a fear of butterflies? Jennifer Aniston, Cher, Michael Jackson, and Whoopi Goldberg have a fear of flying. Orlando Bloom has a fear of pigs.Daniel Radcliffe, Johnny Depp, and Sean â€Å"Diddy† Combs have a fear of clowns (about). It is so weird that the people other people look up to and think they are scared of nothing are normal people and fear thing regular people fear. There are three main categories of a phobia: social phobia, which is the fear of any type of a social situation, agoraphobia, which is the fear of being in crowds or public places, and specific phobia which is the fear of a specific object. What it all comes down to be is that fear runs the life of a person with phobia.It affects the person emotionally and psychologically and depending on the severity and what type of phobia the person has, it could affect the people around you and your relationships with them. Not all phobias have a treatment unless if the person is willing to go through with the treatment. A phobia can be a serious anxiety disorder.Works Cited About. com. Web. Craske, Michelle, Martin M. Antony, and David H. Barlow. Mastering Your Fears and Phobias. Madison Avenue, New York, New York: Oxford UP, 2006. Print. Emery, Gary, Ruth Greenberg, and Aaron T. Beck. Anxiety Disorders and Phobias: A Cognitive Perspective. Basic, 1990. Print. Frapwell, Mark, and Grace Tsai, Ph. D. Discoveryhealth. com. Web. Heering, Jan. Phobia-fear-release. com. 23 Nov. 2009. Web. Moore, D. P. â€Å"Phoba- Simple/Specific. † Healthline. com. Web. Nimh. nih. gov. National Institute of Mental Health. Web. â€Å"Phobia†, â€Å"Anxiety Disorder. † Dictionary. com. Web. â€Å"Phobias. † Webmd. com. Healthwise, Incorporated, 1995. Web. Todd, Jr. , Dr. D. B. Mmc. edu. Meharry Medical College. Web. Wikipedia. com. Web. .