Psychosocial Treatment of Schizophrenia free essay sample

The early psychosocial treatments of first episode psychosis is of crucial importance in the improvement of the prognosis of the illness. When ensuring successful care, timely maintenance of treatment response is optimal in regards to better long term outcomes. The appropriate use of psychotherapeutic drugs to suit each individual can be a difficult task as the side effects of the medication can impact on adherence to treatment. Psycho-education in regard to illness and medication. The treatment of more established schizophrenia has significant differences compared to first episode psychosis. Treatment options and medications can differ as can dosages of antipsychotic medication. The aim of this essay is to discuss the differences between treatment of first episode psychosis and more established schizophrenia. The average age for onset of schizophrenia differs between the sexes. The average age for males is between 15 and 25 years with 39% of males having their first episode of psychosis before the age of 19 years. We will write a custom essay sample on Psychosocial Treatment of Schizophrenia or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Twenty-three percent of females with schizophrenia have their first episode of psychosis before the age of 19 and the average onset is between 25 and 35 years (Gearing Charach, 2009). Gearing and Charach (2009) state the primary reason for hospitalisation in psychiatric institutions is for psychotic disorders. The average length of stay for adolescents is between 25 to 45 days. Perkins, Gu, Boteva and Leiberman (2005) state there are at least two reasons why it is important to understand the causes and consequences of untreated psychosis. Firstly, the period of untreated psychosis is a potentially variable prognostic factor, and understanding its relation to outcome could guide the way to enhanced therapeutic strategies and public health schemes. Second, a relationship of duration of untreated psychosis to outcome may indicate a neurodegenerative process and so have significant implications for understanding the pathophysiology of schizophrenia. On the other hand, the duration of initially untreated psychosis could possibly be associated with the severity of illness and as a result may be a marker rather than a determinant of outcome (Perkins, Gu, Boteva, Leiberman, 2005). Perkins et al (2005) state the possibility of relapse, even with total recovery from a first psychotic episode, is especially high. Within five years of initial treatment response, more than 90% of these patients will experience a relapse of psychotic symptoms (Perkins et al. , 2005). The major results from a meta-analysis and review by Perkins et al. found that a long-lasting episode of psychosis experienced prior to the commencement of antipsychotic treatment is linked with poorer levels of symptomatic and functional recovery from the first psychotic episode. It was also found that period of initially untreated psychosis is connected with severity of negative symptoms but not with severity of positive symptoms or general psychopathology at the primary clinical evaluation (Perkins et al. , 2005). The decision on which antipsychotic drug to prescribe first for a patient with psychosis can be difficult as there are no clear recommendations that exist for this choice (Johnsen, Kroken, Wentzel-Larsen, Jorgensen, 2010; Kumra et al. , 2007) . Second generation antipsychotic drugs are usually considered first line agents for people with first episode psychosis. This is based on their ability to alleviate not only positive symptoms but also negative symptoms of schizophrenia (Abbasi et al. , 2010; Johnsen et al. , 2010). Rosenheck (2008) found little or no advantage for the use of atypical antipsychotics as compared to the older typical antipsychotics, for use with patients suffering chronic schizophrenia. When atypical antipsychotic drugs were compared to typical antipsychotic drugs like intermediate-potency perphenazine or high potency antipsychotics which were used in low doses or used with prophylactic anticholinergics, there were no advantages found (Rosenheck, 2008). Kumra et al. (2007) state there are concerns about the severity of side effects and the lack of efficacy of first generation antipsychotics (FGAs) for use with children and adolescents with first episode psychosis. This prompted a search to find an agent which was more effective, was tolerated better and had fewer side effects, for use with younger, antipsychotic naive, patients. Second generation antipsychotics (SGAs) include drugs such as risperidone, olanzepine, quetiapine, ziprasidone and clozapine. These drugs, as a class, have reduced tendency to cause adverse motor side effects and prolactin increase when they are compared to FGAs of similar strength (Kumra et al. , 2007). Maguire (2002) states an increase in prolactin levels can result in serious short and long term problems. Short term problems include depression, menstrual irregularities and sexual dysfunction and long term problems include osteoporosis and decreased bone density. These short term problems can be a cause of non-adherence due to the sexual dysfunction and depression. Relapse   psychosis can occur due to non-adherence (Maguire, 2002). Other factors such as impaired cognition, other side effects, and lack of insight are all associated with non-adherence among young people with psychosis. Another important determinant of patients and families attitude toward treatment is the quality of the relationship they have with their clinicians during acute admission of first episode psychosis (Kumra et al, 2007). Non adherence to medications are being acknowledged as the other drug problem, as stated by Robinson, Harris, Harrigan, Henry, Farrelly, Prosser, et al. 2010). Non adherence to antipsychotic medication is associated with negative clinical outcomes and occurs in 20-56% of people with a first episode of psychosis (Cassidy, Rabinovitch, Schmitz, Joober, Malla, 2010). The rising costs associated with non-adherence and subsequent relapse and readmission to hospital extends into tens of billions of dollars annually (Robinson et al. , 2010). A study by Petersen, Jeppersen, Thorup, Abel, Ohlenschaeger, Christensen et al. 2005) compared integrated treatment with standard treatment to find whether there were any positive effects on clinical and social outcomes for patients with first episode psychosis. It was found that the integrated treatment enhanced clinical outcome and compliance to treatment. The integrated treatment was assertive community treatment. The treatment was provided by two multidisciplinary teams and included specific family involvement and social skills training. It was offered to each patient for two years. It also included psycho-educational family treatment for 18 months, in a multi family group with two therapists. This focused on problem solving and development of specific skills designed to help patients and families cope with the illness (Petersen et al. , 2005). Compliance with treatment ought to be associated with lessening in symptoms during the early phase of treatment, and therefore, symptom change offers a construct which can be used to confirm different measures of compliance.

Sample of MLA Format Outline Narrative Essay

Sample of MLA Format Outline Narrative EssayYou need to use the sample of MLA format outline narrative essay in order to be sure that your essay is well structured. You should be able to find a sample of an outline on the internet or in one of the many textbooks used to teach English composition. The outline should contain a lot of information, which is necessary for you to write an acceptable essay. It should also include any other features that you might need in order to be successful.The MLA format outline outlines are designed so that students have all the information that they need to work from the beginning through the end of the paper. The important parts of the outline are shown in the sample of the outline. You should be able to understand it without any problems so that you can begin your writing from this point on.The sample of the outline of MLA format outlines includes examples of various formats. It also includes an explanation of the material that is required to comple te the project. The outline explains the format and also how the writer should proceed. If the outline contains any diagrams, then they will be explained in the document.In the sample of the outline of MLA format outlines, there are times when the writer needs to be guided in the right direction. In these cases, the writer is given some useful tips that will help them succeed. The author also has a lot of examples to choose from. This helps to keep a level of consistency throughout the paper, and also to determine what works and what does not.The sample of the outline also includes instructions for the writer. There are places where the writer will need to include supporting information in order to succeed. The author will also be told to make changes if necessary. These instructions will help the writer to get things organized in the proper way.The purpose of the sample of the outline of MLA format is to help the writer to learn the correct structure that will be required for a suc cessful essay. The information provided will help to ensure that the author will be able to prepare a paper that will be enjoyable to read. The student will also be able to gain a greater understanding of the rules that are used in the MLA format. The writer will be able to move forward with confidence.If you are studying the MLA format, then you will need to be familiar with the outline of the document. You will also need to be familiar with the instructions that are included in the outline. These are great resources for any writer. You will be able to get the most from your writing experience when you are able to develop your own knowledge of the format.The sample of the outline of MLA format outlines will help to ensure that you are able to succeed with your essay. You will need to be familiar with the format and instructions, but you will also need to be able to discover the different ways that it can be used to help you succeed. This will allow you to learn as you go, and will enable you to become an effective writer. The MLA format outline will help you be successful in your writing.

Globish Language Definition and Examples

Globish Language Definition and Examples Globish is a simplified version of Anglo-American English used as a worldwide  lingua franca. (See Panglish.)  The trademarked term Globish, a blend of the words  global  and  English, was coined by French businessman Jean-Paul Nerrià ¨re in the mid-1990s. In his 2004 book Parlez Globish, Nerrià ¨re included a Globish vocabulary of 1,500 words. Globish is not quite a pidgin, says linguist  Harriet Joseph Ottenheimer. Globish appears to be English without idioms, making it easier for non-Anglophones to understand and to communicate with one another (The Anthropology of Language, 2008). Examples and Observations [Globish] is not a language, it is a tool. . . . A language is the vehicle of a culture. Globish doesnt want to be that at all. It is a means of communication.(Jean-Paul Nerrià ¨re, quoted by Mary Blume in If You Cant Master English, Try Globish. The New York Times, April 22, 2005) How to Learn Globish in a WeekGlobish [is]  the newest and most widely spoken language in the world. Globish is not like  Esperanto or Volapuk; this is not a formally constructed language, but rather an organic patois, constantly adapting, emerging solely from practical usage, and spoken in some form or other by about 88 per cent of mankind. . . .Starting from scratch, anyone in the world should be able to learn Globish in about one week. [Jean-Paul] Nerrià ¨res website [globish.com] . . . recommends that students use plenty of gesticulation when words fail, and listen to popular songs to aid pronunciation . . ..Incorrect English can be extraordinarily rich, and non-standard forms of the language are developing outside the West in ways that are as lively and diverse as Chaucerian or Dickensian English.(Ben MacIntyre, The Last Word: Tales From the Tip of the Mother Tongue. Bloomsbury, 2011)   Examples of Globish[Globish] dispenses with idioms, literary language and complex grammar. . . . [Nerrià ¨res] books are about turning complicated English into useful English. For example, chat becomes speak casually to each other in Globish; and kitchen is the room in which you cook your food. Siblings, rather clumsily, are the other children of my parents. But pizza is still pizza, as it has an international currency, like taxi and police.(J. P. Davidson, Planet Word. Penguin, 2011) Is Globish the Future of English?Globish is a cultural and media phenomenon, one whose infrastructure is economic. Boom or bust, it is a story of Follow the money. Globish remains based on trade, advertising and the global market. Traders in Singapore inevitably communicate in local languages at home; internationally they default to Globish. . . .Much gloomy American thinking about the future of its language and culture revolves around the assumption that it will inevitably become challenged by Mandarin Chinese or Spanish or even Arabic. What if the real threatactually, no more than a challengeis closer to home, and lies with this Globish supranational lingua franca, one that all Americans can identify with?(Robert McCrum, Globish: How the English Language Became the Worlds Language. W.W. Norton, 2010) The Language of EuropeWhat language does Europe speak? France has lost its battle for French. Europeans now overwhelmingly opt for English. The Eurovision song contest, won this month by an Austrian cross-dresser, is mostly English-speaking, even if the votes are translated into French. The European Union conducts ever more business in English. Interpreters sometimes feel they are speaking to themselves. Last year Germany’s president, Joachim Gauck, argued for an English-speaking Europe: national languages would be cherished for spirituality and poetry alongside a workable English for all of life’s situations and all age groups.Some detect a European form of global English (globish): a  patois  with English physiognomy, cross-dressed with continental cadences and syntax, a train of EU institutional jargon and sequins of linguistic false friends (mostly French). . . .Philippe Van Parijs, a professor at Louvain University, argues that European-level democracy does not require a homogenous culture, or  ethnos; a common political community, or  demos, needs only a lingua franca. . . .  The answer to Europe’s democratic deficit, says Mr Van Parijs, is to accelerate the process so that English is not just the language of an elite but also the means for poorer Europeans to be heard. An approximate version of English, with a limited vocabulary of just a few hundred words, would suffice.(Charlemagne, The Globish-Speaking Union. The Economist, May 24, 2014)

Barack Obama - Victory Speech in South Carolina

Barack Obama South Carolina Democratic Primary Victory Speech delivered 26 January 2008 Thank you, South Carolina. Thank you to the rock of my life, Michelle Obama. Thank you to Malia and Sasha Obama, who havent seen their daddy in a week. Thank you to Pete Skidmore for his outstanding service to our country and being such a great supporter of this campaign. You know, over two weeks ago we saw the people of Iowa proclaim that our time for change has come. But there were those who doubted this countrys desire for something new, who said Iowa was a fluke, not to be repeated again. Well, tonight the cynics who believed that what began in the snows of Iowa was just an illusion were told a different story by the good people of South Carolina. After four great contests in every corner of this country, we have the most votes, the most delegates and the most diverse coalition of Americans that weve seen in a long, long time. You can see it in the faces here tonight. There are young and old, rich and poor. They are black and white, Latino and Asian and Native American. They are Democrats from Des Moines and independents from Concord and, yes, some Republicans from rural Nevada. And weve got young people all across this country whove never had a reason to participate until now. And in nine days, in nine short days, nearly half the nation will have the chance to join us in saying that we are tired of business as usual in Washington. We are hungry for change, and we are ready to believe again. But if theres anything, though, that weve been reminded of since Iowa, its that the kind of change we seek will not come easy. Now, partly because we have fine candidates in this field, fierce competitors who are worthy of our respect and our admiration and as contentious as this campaign may get, we have to remember that this is a contest for the Democratic nomination and that all of us share an abiding desire to end the disastrous policies of the current administration. But there are real differences between the candidates. We are looking for more than just a change of party in the White House. Were looking to fundamentally change the status quo in Washington. Its a status quo that extends beyond any particular party. And right now that status quo is fighting back with everything its got, with the same old tactics that divide and distract us from solving the problems people face, whether those problems are health care that folks cant afford or a mortgage they cannot pay. So this will not be easy. Make no mistake about what were up against. Were up against the belief that its all right for lobbyists to dominate our government, that they are just part of the system in Washington. But we know that the undue influence of lobbyists is part of the problem, and this election is our chance to say that we are not going to let them stand in our way anymore. Were up against the conventional thinking that says your ability to lead as president comes from longevity in Washington or proximity to the White House. But we know that real leadership is about candor and judgment and the ability to rally Americans from all walks of life around a common purpose, a higher purpose. Were up against decades of bitter partisanship that cause politicians to demonize their opponents instead of coming together to make college affordable or energy cleaner. Its the kind of partisanship where youre not even allowed to say that a Republican had an idea, even if its one you never agreed with. Thats the kind of politics that is bad for our party. It is bad for our country. And this is our chance to end it once and for all. Were up against the idea that its acceptable to say anything and do anything to win an election. But we know that this is exactly whats wrong with our politics. This is why people dont believe what their leaders say anymore. This is why they tune out. And this election is our chance to give the American people a reason to believe again. But let me say this, South Carolina. What weve seen in these last weeks is that were also up against forces that are not the fault of any one campaign but feed the habits that prevent us from being who we want to be as a nation. Its a politics that uses religion as a wedge and patriotism as a bludgeon, a politics that tells us that we have to think, act, and even vote within the confines of the categories that supposedly define us, the assumption that young people are apathetic, the assumption that Republicans wont cross over, the assumption that the wealthy care nothing for the poor and that the poor dont vote, the assumption that African-Americans cant support the white candidate, whites cant support the African-American candidate, blacks and Latinos cannot come together. We are here tonight to say that that is not the America we believe in. I did not travel around this state over the last year and see a white South Carolina or a black South Carolina. I saw South Carolina because in the end, were not up just against the ingrained and destructive habits of Washington. Were also struggling with our own doubts, our own fears, our own cynicism. The change we seek has always required great struggle and great sacrifice. And so this is a battle in our own hearts and minds about what kind of country we want and how hard were willing to work for it. So let me remind you tonight that change will not be easy. Change will take time. There will be setbacks and false starts, and sometimes well make mistakes. But as hard as it may seem, we cannot lose hope, because there are people all across this great nation who are counting on us, who cant afford another four years without health care. They cant afford another four years without good schools. They cant afford another four years without decent wages because our leaders couldnt come together and get it done. Theirs are the stories and voices we carry on from South Carolina the mother who cant get Medicaid to cover all the needs of her sick child. She needs us to pass a health care plan that cuts costs and makes health care available and affordable for every single American. Thats what shes looking for. The teacher who works another shift at Dunkin Donuts after school just to make ends meet she needs us to reform our education system so that she gets better pay and more support and that students get the resources that they need to achieve their dreams. The Maytag worker whos now competing with his own teenager for a $7-an-hour job at the local Wal-Mart because the factory he gave his life to shut its doors he needs us to stop giving tax breaks to companies that ship our jobs overseas and start putting them in the pockets of working Americans who deserve it and put them in the pockets of struggling homeowners who are having a tough time, and looking after seniors who should retire with dignity and respect. That woman who told me that she hasnt been able to breathe since the day her nephew left for Iraq, or the soldier who doesnt know his child because hes on his third or fourth or even fifth tour of duty they need us to come together and put an end to a war that should have never been authorized and should have never been waged. So understand this, South Carolina. The choice in this election is not between regions or religions or genders. Its not about rich versus poor, young versus old, and it is not about black versus white. This election is about the past versus the future. Its about whether we settle for the same divisions and distractions and drama that passes for politics today or whether we reach for a politics of common sense and innovation, a politics of shared sacrifice and shared prosperity. There are those who will continue to tell us that we cant do this, that we cant have what were looking for, that we cant have what we want, that were peddling false hopes. But heres what I know. I know that when people say we cant overcome all the big money and influence in Washington, I think of that elderly woman who sent me a contribution the other day, an envelope that had a money order for $3.01 along with a verse of Scripture tucked inside the envelope. So dont tell us change isnt possible. That woman knows change is possible. When I hear the cynical talk that blacks and whites and Latinos cant join together and work together, Im reminded of the Latino brothers and sisters I organized with and stood with and fought with side by side for jobs and justice on the streets of Chicago. So dont tell us change cant happen. When I hear that well never overcome the racial divide in our politics, I think about that Republican woman who used to work for Strom Thurmond, whos now devoted to educating inner-city children, and who went out into the streets of South Carolina and knocked on doors for this campaign. Dont tell me we cant change. Yes, we can. Yes, we can change. Yes, we can. Yes, we can heal this nation. Yes, we can seize our future. And as we leave this great state with a new wind at our backs, and we take this journey across this great country, a country we love, with the message weve carried from the plains of Iowa to the hills of New Hampshire, from the Nevada desert to the South Carolina coast, the same message we had when we were up and when we were down, that out of many we are one, that while we breathe we will hope, and where we are met with cynicism and doubt and fear and those who tell us that we cant, we will respond with that timeless creed that sums up the spirit of the American people in three simple words: Yes, we can. Thank you, South Carolina. I love you.

The Civil Rights Movement Essay Example | Topics and Well Written Essays - 500 words

The Civil Rights Movement - Essay Example The movements were different in their cultural focus, racial ideals, and strategy. The 1920s saw the emergence of the New Negro movement and its focus on African-American culture. While there were militant protests, mainly led by the NAACP under the direction of WEB DuBois, much of the movement was directed at celebrating African-American culture. Faced with segregation and the legal denial of the right to vote African-Americans turned to their own community for support. The Harlem Renaissance brought forth writers and artists that defined the African-American culture and popularized black art, music, and literature. This would form the backbone of future organizations that were based on black culture. The 1920s were ushered in with a nation that was tense from the riots of 1919 and African-American leaders were faced with the task of framing the new movement. The goal of the New Negro movement was to codify a set of ideals that would organize the African-Americans as a group with a common cause. Racism was rampant in many parts of the country as groups such as the Ku Klux Klan violently intimidated African-Americans from gaining any political power. While there were attempts to rise up against the violence, the goal of the movement was to define and organize the African-Americans as a cohesive political and social unit. During the 1920s a large number of African-Americans migrated from the South

How did bay of pigs lead to cuban missle crisis Research Paper

How did bay of pigs lead to cuban missle crisis - Research Paper Example The situation that followed the Second World War was the period of Cold war that lasted up to early 1990s and when the Soviet republic disintegrated. During the period of the Cold War, many political and economic developments were realized ideologically. Thought there were no direct military combat in the Cold War, the period was characterized by many serious allegation of the two blocs; the US and USSR. Propaganda was one of the weapons used during this period, this made tension to build up within the two countries and at one point during the cold war, it almost sparked to a direct military confrontation but this never was. This was the Invasion of the Bays of Pig and the subsequent Cuban Missile crisis. Scholars and policy makers undoubtedly believe that the occurrence of the two scenarios in the 1961-62 constituted cold war peak since US and USSR almost faced one another in what could easily turn to be Third World War (Jones, 2008). Bay of Pigs is situated in the South Cost of Cuba; the development that took place in the coastal part of Cuba necessitated the missile crisis. A military revolution took place in Cuba in 1959 in which Fidel Castro overthrew Fulgencio Batista and developed very close ties with the then Soviet leader Nikita Khrushchev (Henriksen, 2006). During this time US was not in good books with USSR and the Cuban association with USSR alarmed US. The cause of the tension was all about the attempt of USSR to use Cuba as their proxy to propagate the socialism policy in the whole of Latin America. America was worried following this move and wanted to oust Fidel Castro in a military disguise. During the tenure of Eisenhower, a plan was hatched that accepted to train the Cuban exiles in the US to attack and overthrow Fidel’s administration through the support of the Cuban people that America thought were also anti the Fidel’ administration. The plan failed and Nikita having realized that his sympathizer was attacked,

Censoring Of A Free Nation :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Does the American public enjoy paying exorbitant rates for gasoline? Airplane Tickets? Food? The truth is that no one enjoys paying these grossly inflated prices just to line the pockets of money- hungry capitalists. The United States government, in an effort to control the industrialists, has created laws that contribute to the very thing they are trying to control. The nation’s main concern should be to help the â€Å"working man,† 85% of the nation, by not controlling the corporations that supply them with the products they desire, but by controlling the prices at which these items are sold. The current anti-trust laws are doing this very thing. The U.S. government is forbidding the American people from choosing who and what they want to spend their hard earned money on. With the creation of monopolies lies the future of this country, not the downfall as many Americans are led to believe. The people of this wonderful nation, this Free nation, sho uld demand the immediate revocation of the current anti-trust regulations.   Ã‚  Ã‚  Ã‚  Ã‚  Many people are of the opinion that ungoverned capitalism will lead to the downfall of American society, from an economic standpoint. This viewpoint, while based on a very true precedent, is merely a projection of falsified ideals from an ill-informed public. The very laws that you feel are protecting you are actually destroying your right of choice. Yes, everyday the American people buy a corporation’s product and consequently show they believe that product, or corporation, to be superior to the competition. It is with this overwhelming consumer support that the company comes to monopolize a market. Due to the manufacturing of a superior product the company is forced to dissolve, and yet another fine American corporation is destroyed.   Ã‚  Ã‚  Ã‚  Ã‚  Some may say that a monopoly destroys the small, family owned businesses, and in the process kills the spirit of entrepreneurship all together. This is but a small price to pay, since the creation of conglomerates would begin a new era of technological advancement. The increase in allocation of funds for research along with the drive to beat out the competition could lead the world into the new age renaissance. The theories of Darwinism would be of great use in the business environment. If left to compete with no restrictions the superior companies would emerge victorious, thus creating a more stable, more efficient business world. The progress of the nation could be increased two-fold with the right motivation and resources.