Sunday, September 22, 2019

Health Care Roles in Communication Essay Example for Free

Health Care Roles in Communication Essay Elisabeth Kubler-Ross once said, â€Å"We have to ask ourselves whether medicine is to remain a humanitarian and respected profession or a new but depersonalized science in the service of prolonging life rather than diminishing human suffering.† In the health care field there are many roles that balance each other. Whether it is the doctor, patient, or medical assistant all play a vital role in the care of others. The purpose of this paper is to compare the differences in communication between the different roles in the hospital. This paper will also be providing an appropriate solution for the scenario provided. The scenario provided is about a young Asian girl named Lena. She was taken to the emergency room by her friend Susie after she fainted in class. Raised in a culture, which has made Lena independent, She verbally attacks her friend yelling about how she is not weak. When she tries to leave, Susie retrieves the medical assistant. The medical assistant restrains Lena and is then sent away by the doctor. The doctor tries to reason with Lena and explain why she is there, but gets no response from her. Finally, the doctor leaves to care for other patients. For this scenario I will be examining the role of the doctor first. From the perspective of the doctor, Lena is very stubborn. This doctor has to see dozens of patients a day and does not have time to argue with one patient who does not want to be there. A doctors time is precious, especially in the emergency room. Although the doctor sees many cases which are easy, such as a runny nose or a broken finger, there are many emergencies that require immediate attention. If there was a call for a doctor to assist in a patient from a major auto accident , this doctor may choose to put a fainting girl on the sideline to assist with the trauma. On the other hand, the doctor should still attempt to treat the patient to the best of his or her abilities in the short time allowed. There are other ways to gain  information regarding Lenas situation, which will be discussed later. The medical assistant was the first medical professional to confront Lena after she woke up. From the tone of voice portrayed in the scenario, the medical assistant wanted to help the patient. The assistant rushed to the patients side, knowing she was very sick and needed medical attention. Unfortunately, Lena could not be reasoned with between the time the medical assistant arrived and the time the doctor walked in. The medical assistant was not given enough time to calm the patient or explain the situation. Susie seems concerned for her best friends health and safety. Even though Susie knows her friend has an independent attitude, there has to be a reason she brought Lena to the emergency room. Unless Lena had been sick for a while or had fainted before, there would be no cause for Susie to rush her to the hospital. Susie also shows her concern for Lena by rushing to get the attention of the medical assistant when Lena tries to leave. Susie must believe that Lenas health is important enough to bring her to a place where she can get the medical help she needs to get better. Finally, there is Lena, the patient. Lena was brought up to be independent and strong. Many residents raised in Southeast Asia that find it hard to conform to western medicine. Even though Lena has lived in the United States for 10 years, which means she has spent the majority of life around the medicinal practices of her parents and her culture. As an example, if Lena is from Vietnam her knowledge of medicine would be vastly different (Schultz, 1980). In most areas of Vietnam, residents and medical practitioners steer away from prescription medicine and favor herbs instead. Eastern medicine relies heavily on the spiritual element in the human body as much as western medicine relies on the chemical makeup (Vietnam National Administration Of Tourism, 2010). If Lena was used to Vietnamese eastern medicine her reaction to being in the hospital is not surprising. Her idea of medicine may come in the form of a root instead of a bottle. Within the scenario are many complications with the communication between individuals. First, there is the confrontation between Lena and Susie. Lena  instantly blames Susie for taking her to the hospital. While Susie is her best friend and is the one sitting in the room with her, it may not have been Susies choice to send Lena to the emergency room. Because Lena fainted in class, it would be the responsibility of her instructor to make sure she was taken care of. The instructors reaction may have been to call the paramedics to make sure the student received proper medical attention. There would have been nothing Susie could have said to prevent the paramedics and medical professionals from making the decision to take Lena to see a doctor. Once at the hospital, Susie could have worked to calm her friend down before rushing to find the medical assistant to restrain her. She could have also provided some insight, to the doctor, regarding Lenas recent medical problems leading to the fainting. This may have softened the doctors approach to Lenas silence. While the medical professional was doing her job by keeping the patient in the hospital, extra empathy should have been given. The initial approach was rough and direct. Each patient should be given the same consideration regardless of the circumstances. Instead of verbally attacking Lena, the medical assistant should have approached Lena in a different manner. Being too direct will put the patient in a defensive position rather than a position to listen. When the medical assistant states she doesnt have time to deal with Lena, it lowers the value of the patients worth as someone who needs care. It is like saying the person with a bloody nose should take priority over someone who has fainted and may have a serious underlying condition. Admonishing a patient and telling them they are sick is worthless. Lena knows she is sick. She just wants to prove she can cure herself without the interference of doctors. Had the medical assistant shown more empathy and expressed her understanding of Lenas situation it may have diffused the angry encounter. Many communication conflicts with the doctor in regard to everyone else in the room. First is the treatment of the medical assistant by the doctor. From the scenario we can see that the doctor was close behind the assistant as she came through the door. The medical assistant did not have enough time to do her job before the doctor told her to leave the room. Had the doctor  allowed the medical assistant to stay in the room it may have had a positive effect on the patient. If the doctor is a male, Lena may have felt uncomfortable around him and the presence of a female assistant may ease the worry. The doctor could have gained immeasurable information about Lenas condition from Susie. Had the doctor questioned the best friend it could have revealed how long this had been going on and what other symptoms Lena had been exhibiting. Instead the doctor completely ignores Susie and turns attention to Lena. When the doctor tells Lena what is going on he does not pay attention to how, she is reacting, only that she is not answering the questions. The doctor makes the assumption that Lena is quite on purpose and leaves to go treat other patients. In the scenario are a few key points that the doctor missed and misinterpreted. Just like with the medical assistant, more care should have been given to calming Lena down instead of becoming defensive. By being understanding, the doctor would have caught the signs of something more serious going on with Lenas health. The blank look on her face may not have given much away, depending on her age. Many people who look blank or vacant when someone is telling him or her about a topic they know little about. However, her eyes may have helped the doctor realize something serious was happening. A blank look may mean nothing, but a glassy eyed stare could mean something. Lena had started to sweat profusely. Most hospitals keep the complex cooler than normal to help stave off nausea and fever in most patients. The sweating, blank stare, and non-responsiveness could have signaled the doctor there was something worse than just fainting in Lenas condition. With just the few symptoms exhibited in the scenario, Lena could be suffering anything from heat exhaustion to a deadly pulmonary embolism (WebMD, LLC, 2010). Last, there is the patient, Lena. Her lack of communication is born from family traditions that go back hundreds of years. Even so, Lena has lived in the United States for 10 years. It would be impossible for her to live in this country and go to school here without seeing a western medicine doctor. She could be used to smaller clinics; however, her reaction to the emergency room is unwarranted. The scenario made it seem as if Lena did not want to  talk to the doctor because she resented being in the hospital. Her outburst upon waking, and her non-responsiveness to the doctor, may have been a part of her illness. She might not have been aware of where she was by the time the doctor was through explaining her condition. An appropriate solution for the situation should be patience and empathy. The medical assistant and the doctor should have been more understanding toward the patient. There should have been compassion toward a young girl who was upset and confused. More attention to detail was needed by the doctor. Susie should have spoken up when Lena could not. Her information could help her friend from getting worse. Lena, having lived in the United States for 10 years, should have been willing to hear what the doctor had found before making the decision to leave. I have been in the customer service field for 13 years. From Banking, to telecommunication, to healthcare, the only factor that changes is the service provided. There will always be someone else who needs the attention of the representative. The key to communicating to a customer is empathy. Allowing a person to realize you understand their situation and showing a willingness to help, makes the difference. When you have a patient who is screaming and upset, you cannot take it personally. They are hurt, confused, and afraid. A caregiver cannot treat patients the same if they take everything personally. Lena was not yelling because she hated the assistant or the doctor. She was yelling because she did not think she was as sick as the doctor did. Both the doctor and the assistant treated Lena as if she were wasting their time, instead of looking at the situation rationally. In conclusion, communication all comes down to how a person handles customer service. Each role in this scenario is a tough one to have. First, the patient, who is full of fear and has been raised to think differently. Next, the best friend, who is afraid of losing her friend to illness but is too scared to speak up. Third, the assistant, who has many other patients to see. Last, the doctor, who is skilled in what he does, but fails to see the obvious signs of something worse. All of these roles are true, from day to day. They are in every hospital, clinic, and emergency room. There should be  more classes within medical schooling that teach caregivers how to show empathy and understanding to their patients. There should also be continuing education for all caregivers to refresh what they have been taught. References WebMD, LLC. (2010). WebMD Symptom Checker. Retrieved from http://symptoms.webmd.com/symptomchecker Vietnam National Administration Of Tourism. (2010). Vietnam Traditional Medicine. Retrieved from http://www.vietvisiontravel.com/vietnam/travel-guide/Traditional_medicine/ Schultz, S. L. (1980, August). Southeast Asian Health Beliefs and Practices. Education Resources Information Center

Saturday, September 21, 2019

Racial Formation Categories Essay Example for Free

Racial Formation Categories Essay Answer the following questions in 150 to 350 words each: Throughout most of U.S. history in most locations, what race has been the majority? What is the common ancestral background of most members of this group? The white race has been the majority race in most locations throughout history in the United States. It is still the majority race in this country today. Most members of this group share German ancestry. The second is Irish and the third is English. This makes sense to me because it seems like most of the time when you ask what country someones ancestors came from they usually say German, Irish, or both. At least for me those are the answers I have got the most from people. Some regions of the United States have higher Italian American populations such as the North Eastern region. As far as I know, I am 100% English. What are some of the larger racial minorities in U.S. history? What have been the common ancestral backgrounds of each of these groups? When did each become a significant or notable minority group? In what ways have laws been used to enforce discrimination? Provide examples. These laws were intended against which racial minorities? In what ways have laws been used to eliminate discrimination? Provide examples. Did the laws work to eliminate discrimination?

Friday, September 20, 2019

Concepts of Abnormal Behaviour

Concepts of Abnormal Behaviour 1.1 Normal behavior is known as behavior that is widely accepted as the prescribed norms of a particular society. For example, it is normal for an American to greet someone by shaking hands. Adhering to normal behavior satisfies individuals’ need to fit into society. The ability to behave normally also allows one to fulfill the innate need to interact with others. Abnormal behavior contrasts normal behavior in that it is unacceptable behavior which is outside of the norm of functioning behavior. Abnormal behaviors could range from minor deviations from societal norms to very severe behaviors that are considered taboo, or forbidden. There is a dilemma in defining how these concepts are defined in that behaviors which are known to be acceptable in one culture may not be tolerated in another. No single culture can determine a paradigm for normalcy within another society, since this would imply that another culture’s societal rules are incorrect. Instead, it is necessary to consider behaviors in the appropriate cultural context, as suggested in an article entitled, Epidemiology of major depression in four cities in Mexico. [1] 1.2 To effectively treat the underlying pathological disorders that cause abnormal behaviors, researchers have created paradigms that describe possible explanations for psychopathology. The Biological Paradigm of abnormal behavior states that mental disorders are the result of biological processes. For instance, research in the field of Behavior Genetics describes how genes play a significant role in individuals’ behavior. Also, irregularity in the amount of neurotransmitters released between neurons is the root of some disorders, such as Depression and Manic Disorder. Another model is the Humanistic and Existential Paradigm. It holds that people who suffer from abnormal behavior lack insight into their life issues (Davison et. al., 2003). [2] Paradigms such as the ones described above are invaluable in working with individuals who suffer from pathological behavior. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a universal diagnostic tool that categorizes models of abnormal behavior and provides clinicians with information about a client’s mental functioning (American Psychiatric Association, 2000).[3] The DSM lists specific criteria that are required for an individual to either have features of a particular mental disorder or further, be diagnosed with one. The DSM also incorporates portions of the International Classification of Diseases (ICD) manual that pertain to mental disorders. The ICD is typically used by medical professionals. The Diagnostic and Statistical Manual of Mental Disorders (DSM) outlines categories of disorders according to the Multiaxial Assessment Model, which breaks up disorders into five axes of functioning. Axis I includes clinical disorders such as Depression, Manic Disorder and Schizophrenia. Axis II encompasses personality disorders such as Histrionic Personality Disorder and Borderline Personality Disorder. It also includes Mental Retardation. Axis III is comprised of medical disorders. Axis IV contains Psychosocial and Environmental Problems such as life problems not attributed to a clinical, personality or medical disorder. The last axis encapsulates an individual’s Global Assessment of Functioning, which is a rating system that represents a person’s overall level of mental health. The classification system for mental disorders is comprehensive in covering various areas of mental disorders and symptomology. However, most studies that have assisted researchers in gathering the information included in the DSM were performed by homogenous researchers and did not include diverse study participants. Thus, applicability of the DSM to other cultures is disputed by professionals. Details about the inapplicability of Western cultural values upon other cultures are displayed in an article titled, Mental health issues for Asian Americans, by Lin and Cheung.[4] In order to attempt to deflect this shortcoming, DSM collaborators decided to include popular disorders of other cultures within the DSM. For example, the DSM incorporates Taijin kyofusho, a Japanese disorder described in an article titled, The place of culture in psychiatric nosology: Taijin kyofusho and DSM-III-R.[5] Although this approach is somewhat helpful, results of a study titled, The place of culture in DSM -IV, focused on better integrating diverse populations encourages statisticians to integrate multicultural issues into diagnostic systems.[6] 1.3 One of the greatest struggles a mental health professional faces in diagnosing a client is differentiating which disorder a client may potentially have. Spitzer portrays this difficulty through research titled, The DSM-III-R field trial of disruptive behavior disorders.[7] The difficulty lies in categorizing symptoms into only one disorder. For example, â€Å"sleep disturbance† is both a symptom of depression and anxiety. Although there are notable difficulties in diagnosing a client, differentiation is an important component of diagnosis, and eventually in administrating the appropriate treatment. If a client is misdiagnosed due to lack of scrutiny during the assessment and diagnosis period, the results could be detrimental. 2.1 Mental illness is a complex subject with various facets. However, there is a major similarity in the mode of treatment options allowed to people suffering from mental illness. In many cases a person’s quality of life can be sustained by managing the illness through therapeutic means and possibly psychotropic medication. Regrettably, however, there are a percentage of people who may not receive the full benefits of treatment. An examination of the differences within mental illness is required in order to grasp a better understanding of why this is so. Mental illness is divided into two major categories: neuroses and psychoses. Neuroses represent those mental illnesses that cause a person distress; however, there is opportunity to remedy the source of distress based on a person’s level of insight into the illness. Mood, anxiety, attachment, eating, and personality disorders are some of the illnesses encapsulated under the category of neuroses. Psychoses are similar to neuroses in that they also cause a level of distress that hampers daily functioning. Conversely, however, psychoses also encompass disorders that include delusional and hallucinatory features. In result, a person suffering from a psychosis lacks the insight to understand that these psychotic features are of a pathological nature (American Psychiatric Association, 2000). Disorders under the neuroses category include schizophrenia, delusional disorder, and psychotic disorder. While treatment options for neurotic disorders are vast and prognosis for long-term ment al health possible, the outlook for treatment and prognosis of psychotic disorders is not optimistic in many cases, as suggested in the article, Recovery from mental illness.[8] 2.2 Several types of psychopathological disorders have been identified over time. These disorders are now categorized in the DSM according to what areas of functioning are affected and symptomology. For instance, one category includes mood disorders. Bipolar Disorder, Anxiety Disorder and Depression are found under this heading because all of them affect mood. A second category, eating disorders, includes anorexia and bulimia. Psychotic Disorders are most severe and include disorders such as Schizophrenia and Delusional Disorder. Schizophrenia is one of the most studied psychotic disorders and deserves further explanation. Based on the DSM, criteria for diagnosing a person with the disorder are that it last for at least six months and contain at least one month of active-phase symptoms. These symptoms include one or more of the following: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, and negative symptoms (such as affective flattening). Other symptomology that is common with Schizophrenia is severe social and occupational dysfunction, which incapacitates important daily living skills. Additionally, there are three subtypes that more clearly identify which symptoms are most prominent within individual sufferers: Paranoid Schizophrenia causes the sufferer to experience delusions and hallucinations in a paranoid state. In result, the person may accuse another entity or person of wanting to harm the sufferer. Disorganized Schizophrenia is diagnosed when a client is ha ving difficulty expressing himself properly. Both thought and speech may be disorganized and incomprehensible. A person with Catatonic Type Schizophrenia displays very little facial expressions, body movements or other normal physical movements and speech. Every client’s symptoms and any applicable subtype may vary. This variation within the disorder makes diagnosis and treatment a difficult task. 3.1 Based on the severity of symptomology, the forecast for effective treatment is not hopeful. However, some treatment options are available. One approach is called Psychosocial Rehabilitation, and is a popular form of treatment for sufferers of schizophrenia, as described in the study, Psychosocial rehabilitation services in community support systems.[9] This model consists of reintroducing clients to basic living skills in order to function in society and in effect, avoid being institutionalized, as stated in the study, Psychiatric and social reasons for frequent rehospitalization.[10] Additionally, the Humanistic Theory is utilized often with this population due to its introspective nature. Theorists who utilize this modality attempt to teach the client to become increasingly self-aware and gain insight into their behaviors and illness. The irony in using this approach is that it is precisely the type of treatment the client needs but has most difficulty applying. Medication is also used as a mode of treatment, mainly to decrease psychotic symptoms. In The Texas medication algorithm project, a study by Chiles et. al, the researchers created an algorithm for administering medication to patients with Schizophrenia.[11] The article details the type of psychotropic medication that should be used, including a â€Å"decision tree† model for administration. The article also details various types of medication used with patients with Schizophrenia. Medication such as Risperidone and haloperidol is mainly used for psychotic symptoms while __________ is used for symptoms related to depressive symptoms as a result of the schizophrenia. 3.2 The types of therapy outlined above can be relatively effective for clients with schizophrenia based on extensive research and application. However, some important factors regarding the implications of therapies and treatment should be considered, particularly due to the nature of the client’s symptoms. Most importantly, it is crucial that there be a positive client-therapist match. The therapist should have the ability to build rapport with the client, be knowledgeable about Schizophrenia, and remain professional in spite of irrational thoughts and processes displayed by the client. Moreover, the therapist should be invested in the client long-term, due to the nature of this type of therapy. There is no timeline for resolution of the client’s problem in the case of Schizophrenia, but rather maintenance of well-being and management of symptoms. This tedious therapeutic process could become increasingly frustrating. However, the onus is upon the therapist to handle this frustration with a sense of beneficence, thereby, remaining emotionally available and dedicated to the client. Once a trusting relationship is established, it is important for the therapist to consider what therapies will realistically be effective. Many modalities can be used, such as group, family and individual therapy; support groups; and various others. However, great importance must be placed on the individual client’s needs. As stated earlier, people who suffer from schizophrenia have very little insight into their behaviors and symptoms. It is important to address the client’s current stressors in a practical and resourceful manner. For instance, if a therapist is dealing with someone who suffers from paranoid schizophrenia, a group setting may be difficult for this client. In many cases, medication is also applied as a treatment approach, although carefully. Though many of the recommended medication that exists for schizophrenia seems to work quite effectively, there are long-term side effects. Because schizophrenia is a life long disorder, medication may only make matters worse by igniting damaging side effects. Additionaly, it is important to know whether clients can accurately assess whether a certain medication is helping or hurting. At times, they may not be able to determine this objectively. Professionals have the responsibility of advocating for their clients so that clients are not misled or disadvantaged. Also, both clinicians and psychiatrists must collaborate closely due to for client’s need for both medication and long term therapy. As several studies show, any of the two given alone would not be as effective (Chiles, 1999). Ultimately, professionals must make decisions that are most beneficial for the client. There is opportunity for this population to be taken advantage of quite easily due to their lack of understanding about their circumstances. Unfortunately, sometimes therapists decide not to terminate therapy even though they believe the client has learned appropriate life skills and does not need therapy at the time. Psychiatrists can prescribe medication to a client only because they are promoting a certain type at the time, although the medication might not be the most compatible. Due to disheartening situations such as these, it is important for professionals who are dedicated to the field to work beneficently for the client while considering the most practical and ethical modalities of treatment (Davison, 2003). Bibliography American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association. Anthony WA. (1993). Recovery from mental illness: the guiding vision of the mental health system in the 1990s. Innovations and Research 2(3):17-24. Chiles, J, Miller, A., Crismon, M., Rush, A., Krasnoff, A., and Shon,S. (1999). The Texas Medication Algorithm Project: Development and Implementation of the Schizophrenia Algorithm. Psychiatric Services, 50:69-74. Davison, G; Neale, J., Kring, A. (2003). Abnormal Psychology with Cases, 9th Edition. California: John Wiley Sons, Inc. DeSisto MJ, Harding CM, McCormack RV, et al. (1995). The Maine and Vermont three-decade studies of serious mental illness. British Journal of Psychiatry 167:331-342. Harding CM, Zahniser JH. (1994). Empirical correction of seven myths about schizophrenia with implications for treatment. Acta Psychiatrica Scandinavica 90:140-146. Kent S, Yellowlees PM. (1994). Psychiatric and social reasons for frequent rehospitalization. Hospital and Community Psychiatry 45:347-350. Kirmayer L.J. (1991). The place of culture in psychiatric nosology: Taijin kyofusho and DSM-III-R. Journal of Nervous Mental Disorders. 179(1):19-28. Lin, K., Cheung, F. (1999). Mental health issues for Asian Americans. Psychiatric Services 50:774-780. Mezzich JE, Kirmayer LJ, Kleinman A, Fabrega H Jr, Parron DL, Good BJ, Lin KM, Manson SM. (1999). The place of culture in DSM-IV. Journal of Nervous Mental Disorders, 187(8):457-64. Rogler LH. (1996). Framing research on culture in psychiatric diagnosis: the case of the DSM-IV. Psychiatry, 59(2):145-55. Roshel Lenroot, M.D., Juan R. Bustillo, M.D., John Lauriello, M.D. and Samuel J. Keith. (2003). Integration of Care: Integrated Treatment of Schizophrenia. Psychiatric Services 54:1499-1507. Slone LB, Norris FH, Murphy AD, Baker CK, Perilla JL, Diaz D, Rodriguez FG, de Jesus Gutierrez Rodriguez J. (2006). Epidemiology of major depression in four cities in Mexico. Journal of Depression and Anxiety. Spitzer RL, Davies M, Barkley RA. (1990). The DSM-III-R field trial of disruptive behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 29(5); 690-7. Thakker J, Ward T. (1998). Culture and classification: the cross-cultural application of the DSM-IV. Clinical Psychology Review, 18(5):501-29. Footnotes [1] Slone LB, Norris FH, Murphy AD, Baker CK, Perilla JL, Diaz D, Rodriguez FG, de Jesus Gutierrez Rodriguez J. (2006). Epidemiology of major depression in four cities in Mexico. Journal of Depression and Anxiety. [2] Davison, G; Neale, J., Kring, A. (2003). Abnormal Psychology With Cases, 9th Edition. California: John Wiley Sons, Inc. [3] American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association. [4] Lin, K., Cheung, F. (1999). Mental health issues for Asian Americans. Psychiatric Services 50:774-780. [5] Kirmayer L.J. (1991). The place of culture in psychiatric nosology: Taijin kyofusho and DSM-III-R. Journal of Nervous Mental Disorders. 179(1):19-28. [6] Mezzich JE, Kirmayer LJ, Kleinman A, Fabrega H Jr, Parron DL, Good BJ, Lin KM, Manson SM. (1999). The place of culture in DSM-IV. Journal of Nervous Mental Disorders, 187(8):457-64. [7] Spitzer RL, Davies M, Barkley RA. (1990). The DSM-III-R field trial of disruptive behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 29(5); 690-7. [8] Anthony, W. (1993). Recovery from mental illness: the guiding vision of the mental health system in the 1990s. Innovations and Research 2(3):17-24. [9] Barton, R. (1999). Psychosocial rehabilitation services in community support systems: a review of outcomes and policy recommendations. Psychiatric Services, 50:525-534. [10] Kent S, Yellowlees PM. (1994). Psychiatric and social reasons for frequent rehospitalization. Hospital and Community Psychiatry 45:347-350. [11] Chiles, J, Miller, A., Crismon, M., Rush, A., Krasnoff, A., and Shon,S. (1999). The Texas Medication Algorithm Project: Development and Implementation of the Schizophrenia Algorithm. Psychiatric Services, 50:69-74.

Thursday, September 19, 2019

Personal Narrative - A Journey :: Personal Narrative Writing

A Journey I am by myself wearing my blue jeans and an old flannel shirt. It is cool outside but I decided to leave my gloves at home, feeling comfortable with my warm shirt and my sturdy boots. It is just me and the woods. I take nothing with me when I leave, because I know that I won't be gone too long. It is early fall so it is cool outside but not cold. I am back on teh east coast walking through the woods of the Appalachins. The leaves have begun turning colors so there is a beautiful aray of oranges, yellows, greens, and reds. The red colors of the leaves remind me of the maple trees that used to be outside of my house. I remember looking at the red leaves on those trees the evening of our homecoming football game when Paul came over. The floor of the forest is damp but not muddy. There are moss covered stones that litter the path I am walking. Some of them are loose, and others are firmly embedded in the ground. For the most part they are the rocks that you have to watch out for when your are running a cross-country race so that you do not sprain your ankle. They are the type of rocks that are annoying at picnics and camp fires because they are not big enough to sit on and too big to move. I keep walking because I know that ahead of me is a small stream where I can quietly sit and listen to the water. It is small enough that some rocks portrude above the water and I could walk across if I wanted to. As I walk towards the stream I see a bottle that is empty and crushed. At one point it had been a bottle filled with mineral water for someone who had been hiking through the woods on a health trip. When I see it I don't stop to pick it up, but I make a mental note of its locations so I can grab it on my way back. Once I reach the stream I sit on a rock and watch the water tumble over and around the stones in the creek bed. As I sit there a deer appears on the other side of the stream. Not a buck, but just a standard doe.

Wednesday, September 18, 2019

Andrew Jackson :: essays research papers

Andrew Jackson became the nation’s seventh president in 1829. He made significant changes in American politics at that time. He was very popular with the people because of the fact that he was a hero of the War of 1812. He had also served in the senate and was a tough man who had manifested the spirit of the frontier. One change Jackson brought about was the steadily increasing power of the west. He happened to be the first president to come from the west of the Appalachians. Jackson was also the start of a new era of democracy in American politics. He didn’t belong to a party but rather had much popular support.   Ã‚  Ã‚  Ã‚  Ã‚  Jackson supporters were poor and relatively new voters. Unlike other races (besides that of 1824) all white men were allowed to vote rather than just white male property owners. The election of Jackson in 1828 tripled the votes cast from 356,000 in 1824 to 1.1 million in 1828. Most of those new voters gave their votes to the man of the people, Jackson. The power of the voters was evident. Jackson had won 178 electoral votes to Adam’s 83. The election also stirred another change; the revival of the two-party system. This race gave voters a choice between two candidates with sharply differing views. An opposition party had arisen and with it came many conflicts but the new party would also strengthen the democratic process by stirring debates on key issues and giving two different views on matters.   Ã‚  Ã‚  Ã‚  Ã‚  Many newly elected officials elected to office used a practice called patronage. Jackson made the practice official by dismissing more than 200 presidential employees and about 2,000 other officeholders. They were replaced with 2,000 Jacksonian Democrats. The term spoils system was soon derived for the patronage system under Jackson. The spoils or pillage (jobs of previous appointees and officeholders) were taken from a defeated enemy. Jackson stated, in defense of the spoils system that any intelligent man could hold a public office. His support for the system made him popular with the common man.   Ã‚  Ã‚  Ã‚  Ã‚  Jackson did not approve of a overpowering or controlling federal government. He felt the national government should be the least involved as possible. He vetoed many acts of congress in his term as president, one being a road from Maysville, Kentucky to Lexington, Kentucky. He felt the state should build the road and not the national government.

Tuesday, September 17, 2019

A Futile Task- the Catcher in the Rye Essay

The teenager stands on a hill in complete solitude, watching the nearby football game, and contemplating if he should say a final farewell to the school. Ambivalent, the melancholy teenager leaves himself in a confused and vulnerable position to the lonely and corrupt reality of the world. In an attempt to endure the vices that alter the blissful spirit, he feels the need to make things right by saving what little recognizable evidence of purity that the world has not already desecrated. All throughout the novel The Catcher in the Rye, author J. D. Salinger establishes Holden’s bizarre attraction toward particular places, objects, and experiences, past and present. The author concurrently sets out the subtle, tender concern that Holden has for the preservation of innocence and where life will ultimately end up. At essential points in the plot, Salinger embodies these two motifs, which metaphorically represent each other, in order to uncover the true sadness that lurks in an abandoned Holden. By doing this, the author reveals the greater theme that unlike artifacts of history, constrained the human spirit would severely stunt any opportunity of development for people. Salinger constantly highlights the motif of Holden’s endeavors to preserve innocence from being tainted by corruption. The author first presents this through the objects that Holden develops a bond with. To demonstrate that bond, Salinger produces a scene in which Holden visits his old teacher, Mr. Spencer, one of the few concerned about the boy. The teacher asks Holden to read his paper about Egyptian mummifying aloud. Salinger first demonstrates Holden’s obsession for the preservation of life when Holden divulges that â€Å"Modern science would still like to know what the secret ingredients were that the Egyptians used when they wrapped up dead people so that their faces would not rot for innumerable centuries† (Salinger 16). Implying the deep interest that Holden possesses for this subject, Salinger underscores that the teenager may have experienced a harrowing event relating to the matter. Because Holden would still dearly like to know the â€Å"secret† of maintaining life in such a state, the author also exposes Holden’s unawareness of the topic altogether. Leaving Holden in an unaware state, the author then inserts the minor motif of Holden’s younger brother’s baseball mitt to clear the confusion. When asked to write a composition for a classmate, of all the topics Holden decides to write about, the nostalgic adolescent distinguishes his younger brother’s baseball mitt. With this sacred object, Salinger links it to Holden’s goal for conserving the unharmed and the aesthetic, as the glove had poems scribed all over it in ink. The author represents the ink as the permanence in which the item endures. Similar to the beloved baseball mitt, Holden finds solidity in a Little Shirley Beans record that he purchases. Identifying the song eternally preserved on the record, the writer elucidates that Holden still preserves things in the state that they are left, never allowing them to change. Salinger also represents Holden’s remembrance of the innocence of childhood, the record reminding him of that period. In addition to the revered objects, the author exhibits a pattern in Holden’s experiences and anecdotes that motivate Holden in the direction of making events like those last for an eternity. One of Holden’s recollections that Salinger touches on briefly involves Holden playing checkers with a childhood friend, Jane Gallagher. At one point in the game, Jane cries, and sensing this, Holden drives his efforts to console with her, kissing her all over her face, avoiding her mouth. Symbolizing the need to protect Jane and her virginity, the author portrays Holden comforting her instead of violating her, revealing the tender empathy that Holden possesses. Prior to reflecting this memory, Holden underwent an instance of rejection at a bar, and seeing what little empathy people have, Holden tries to remember a positive memory to keep his motivation alive. One of Holden’s fondest memories stems from the remembrance of his younger brother. When given time to ruminate upon his past, Allie stands out as the ideal brother that Holden would never find in any other person. Salinger distinguishes Allie as â€Å"terrifically intelligent† and that â€Å"he was also the nicest†¦ he never got mad at anybody. People with red hair are supposed to get mad very easily, but Allie never did, and he had very red hair† (Salinger 50). Portraying Allie as the epitome of childhood innocence, the author juxtaposes this to Holden’s thoughts of preserving purity. Because his sibling passed away at an extremely young age, Holden’s sole coping strategy involves the thought of bringing back his brother, thinking that someone as magnanimous as Allie deserves to live on. Despite Holden’s naive point of view toward what troubles him, he finally begins to subtly realize something about his brother. Salinger weaves a scene of Holden conversing with Phoebe, his younger sister, and the teenager mentions that he loves Allie, thinking that he still exists. Following Phoebe’s comment that Allie is dead, Holden refuses to accept and reveals that â€Å"Just because somebody’s dead, you don’t just stop liking them, for God’s sake—especially if they were about a thousand times nicer than the people you know that’re alive an all† (Salinger 223). Salinger highlights a rare moment: someone offering guidance to Holden, accepting that he is stuck. By displaying Holden touching upon Allie, Salinger expresses the adolescent beginning to address the connection with Allie. However, Holden still possesses the unawareness to come to terms with this. Salinger effectively amplifies the essence of Holden’s being in a thought of the teenager. The author illustrates a dream of Holden desiring to catch children who accidentally fall off the ledge of a cliff in the rye field, the adolescent defining himself as a catcher in the rye. The author resembles Holden as a selfless martyr in this thought, leaving Holden in bliss that he can save people if they fall; the author makes clear that, for Holden, danger should be avoided by all means and at all costs. Salinger stems the implication from Holden’s own dealings with losses Perhaps the most important category that Holden associates with conservation and longing consists of the places that he visits. One of the first locations that Salinger introduces pertains to the museum, a site of never changing exhibits. The boy favors that all the displays stay the way they are and that things are kept in fixed positions. By symbolizing the museum as a place where nothing changes, Salinger mirrors the setting to Holden’s opposition to growing up and change. Salinger initiates the beginning of a epiphany for Holden when the teenager travels to his old elementary school to meet with Phoebe. The writer describes the school as familiar to Holden While appearing to give up hope on the world, Holden sees yet another instance of chicanery. The author depicts an obscenity on the wall that appalls Holden, and in the act he makes of rubbing it out, Salinger reiterates Holden as a savior figure and that combating all of evil can be accomplished. The author furthers the learning experience for Holden when the teenager returns to the museum. Although feeling tranquil while all alone in one of the showcases, Holden observes yet another contemptible obscenity, defacing one of the glass cases. By repeating the obscenity for Holden, Salinger starts to affirm in Holden that he cannot keep everything clean and pure but must accept events like these once in a while. Finally pivoting Holden’s vague realization to the last crucial place, Salinger fleshes out the epiphany. Accompanied by phoebe, Holden views one of the carousels nearby, his attraction to it brought on by the fact that the ride always plays the same song. Holden again clings to a familiar tangent and what comforts him. Yet, the teenager watches Phoebe go around on the carousel and sees her and other children trying to grab for the gold ring. Salinger depicts Holden as â€Å"afraid that she’d fall off† but he does not react, as Holden realizes that â€Å"If they fall off, they fall off, but it’s bad if you say anything to them† (Salinger 274). Paralleling and directing opportunity and danger close together, Salinger enables acceptance in Holden that if people stay the same way, there leaves no room for development, thus rendering them static, strayed from the dynamics of change, and this time, Holden does not deny Phoebe or himself the opportunity to mature.

Monday, September 16, 2019

Less Is More

LESS IS BORE. INTRODUCTION HOW CAN ONE DESCRIBE AND ANALYSE AN ARTISTIC MOMENT WHILE IT IS GOING ON? SO IN CASE OF POSTMODERNISM, HISTORY OFFERS NO INSIGHT AS TO THE SCOPE OF THE MOMENT BECAUSE WE ARE IN IT’S MIDST. EXPLANATION â€Å"I NEVER KNEW ANYBODY . . . WHO FOUND LIFE SIMPLE. I THINK A LIFE OR A TIME LOOKS SIMPLE WHEN YOU LEAVE OUT THE DETAILS. † SAME WAS THE THINKING OF ROBERT CHARLES VENTURI WHEN HE TOSSED HIS FAMOUS QUOTE ‘’LESS IS BORE’’, WHICH PAVED THE WAY FOR POSTMODERNISM IN THIS MODERN WORLD.ACCORDING TO THE CONCEPT ‘’LESS IS BORE’’ IT DEFINES THAT POSTMODERNISM IS SO ELUSIVE BECAUSE IT IS A SET OF COMPLEX CONCEPTS AND ABSTRACT PREMISES, NOT ONE CENTRAL IDEA. IT IS ONE OF THE HARDEST PHILOSOPHICAL AND ARTISTIC MOVEMENTS TO DEFINE; HOWEVER, ITS MUCH FORM CAN BE FOUND IN VISUAL ART, LITERATURE AND ARCHITECTURE. THIS CONCEPT ADVOCATES EMBRASING â€Å"CONTRADICTION AND COMPLEXITY’’ IN ORDER TO CREATE VALID AND VITAL WORKS. ITS ARGUES ARCHITECTS TO LEAVE THE TENETS OF TRADITIONAL MODERNISM BEHIND IN PURSUIT OF â€Å"TRUTH IN ITS TOTALITY’’.THIS MEANS THAT POSTMODERNISM IS A COMPLEX SET OF TRUE NATURE OF ARCHITECTURE AND IT IS MORE REAL THAN OVERLY PLANNED, HYPPER-LOGICAL MODERNIST CONSTRUCTIONS. POSTMODERNISM BEGAN AS AN INTERNATIONAL STYLE IN AROUND 1950’S AND CONTINUES TO INFLUENCE ARCHITECTURE TILL THIS DAY. POSTMODERNITY IN ARCHITECTURE IS SAID TO BE HERALDED BY THE RETURN OF â€Å"WIT, ORNAMENT AND REFERANCE† TO THE ARCHITECTYRE IN RESPONCSE TO THE FORMULATION OF INTERNATIONAL STYLE OF MODERNISM.WITH THE START OF POSTMODERNISM THE FUNCTIONAL AND FORMALIZED SHAPES AND SPACES OF THE MODERIST STYLE ARE REPLACED BY DIVERSE AESTHETICS AND NEW WAYS OF VIEWING FAMILIAR STYLE AND SPACES AROUND. THE MODERNISM IS ROTTED IN MINIMAL AND TRUE USE OF MATERIAL BUT WE FIND A WHOLE ABSENCE OF ORNAMENTATION. BUT IN CASE OF POSTMODERNISM, THERE IS A STRO NG REJECTION OF STRICT RULES SET BY THE EARLY MODERNISTS AND THERE IS A PURSUIT OF SEEKING MEANING AND EXPRESSION IN THE USE OF BUILDING TECHNIQUES, FORM AND STYLISTIC REFRENCES.WHY ACCORDING TO ROBERT CHARLES VENTURI â€Å"LESS IS BORE† â€Å"THE IDEAL ART, THE NOBLEST OF ART COULD ONLY BE DONE BY WORKING WITH THE COMPLEXITIES OF LIFE, REFUSING TO SIMPLIFY, TO â€Å"OVERCOME† DOUBT. † EVERY WHERE EXCEPT IN ARCHITECTURE, COMPLEXITTY AND CONTRADICTION HAS BEEN ACKNOWLEDGED, FROM GODEL’S PROFF OF ULTIMATE INCONSISTENCY IN MATHEMATICS TO ELIOT’S ANALYSIS OF DIFFICULT POETRY TILL JOSEPH ALBER’S DEFINATION OF THE PARADOXICAL QUALITY OF PAINTING. BUT LUCKLY VENTURI’S INFLUENCE SHOWS UP THE EMERGENCE OF WHOLLY NEW SITUATION IN ARCHITECTURE.HIS CONTRIBUTION TO THE ARCHITECTURE CAME IN SUCH A TIME WHEN MODERNIST ARCHITECTS HAD ERRONEOUSLY ASSUMED THAT THEIR WORK WOULD EVENTULLY TAKE PLACE AS A CONGENIAL NEIGHBOR TO THE OTHER HISTORICAL STYLES. BUT VENTURIE’S AWARNESS TOWARDS THE VERSION OF CLASSICAL ELEMENTS OF DESIGN HELPED HIM TO INTRODUCE THE WORLD WITH â€Å"LESS IS BORE† CONCEPT. HE HAS MADE A SPECIAL ATTEMPT TO RELATE ARCHITECTURE TO OTHER THINGS, AND ALSO HE HAS SET A RELATION BETWEEN COMPLEXITY AND CONTRADICTION IN ARCHITECTURE. SO, THE POSTMODERNISM WELCOMES THE PROBLEMS AND EXPLOIT THE UNCERTAINTIES.IT EMBRACES CONTRADICTIONS AS WELL AS COMPLEXITY AND AIM FOR VITALITY AS WELL AS VALIDITY. WHILE MODERNISM REJECTS DEVINE MEANING, THE BEAUTY OF NATURE AND THE FOCUS ON THE HUMAN BODY, POSTMODERNISM WISHES TO BRING TO FRUIT IDEAS OF ENLIGHTMENT THAT MODERNISM REJECTS. MODERNISM HOLDS THAT WHAT IS IMPORTANT IS THE IDEA OR OBJECT A WORD REPRESENTS, POSTMODERNISM HOLDS THAT WHAT IS IMPORTANT IS THE ACTUAL WORD ITSELF. ART CAN BE SATISFACTORILY DESCRIBED ONLY WHEN IT IS UNDERSTOOD NOT TO FULFILL THE EXPECTATIONS WHICH IT AROUSES.SO WE MUST UNDERSTOOD THE NATURE OF ART, IT IS NECESSARY TO BEFORE FURTHER ANA LYZING COMPLEXITY AND CONTRADICTION IN ARCHITECTURE. ARCHITECTURE CANNOT BE UNDERSTOOD AS ART UNTIL ART HAS BEEN UNDERSTOOD IN GENERAL. A MAJOR PROBLEM IN ART HAS BEEN A SUPPOSEDLY NECESSARY RELATIONSHIP BETWEEN THE WORK OF ART AND THE EXPERIENCE OF ART. LOOKING AT GRAPHIC DESIGN, THERE ARE NO â€Å"LAWS,† BUT THERE ARE CERTAIN IDEAS ABOUT SYSTEMS, RULES AND FORM. HOWEVER, IT SEEMS THAT MANY OF VENTURI'S PRINCIPLES WORK EFFECTIVELY IN A GRAPHIC DESIGN CONTEXT: VARIETY, INCLUSION, AND TENSION ARE ALL KEY COMPONENTS TO SUCCESSFUL AND COMPELLING WORKS.WHILE GRAPHIC DESIGN PROJECTS GENERALLY HAVE A MUCH SHORTER LIFE SPAN THAN ARCHITECTURAL WORKS, IT IS INTERESTING TO CONSIDER THE GRAPHIC LANDSCAPE IN REFERENCE TO THE CITY LANDSCAPE. AS VENTURI DISCUSSED THESE IDEAS IN RELATION TO BOTH THE SINGULAR BUILDING AND THE DYNAMIC, LIVING CITY, WE CAN ALSO THINK ABOUT OUR DESIGN WORK AS INDIVIDUAL ENTITIES AS WELL AS PARTS OF A WHOLE BY CONSIDERING HOW THEY FIT IN WITH BOTH CONTEMPORARY A ND HISTORIC EXAMPLES OF GRAPHIC DESIGN.CERTAINLY HIS IDEA OF REPURPOSING HISTORICAL OR TRADITIONAL ELEMENTS ALSO APPLIES TO ARCHITECTURAL DESIGN—POSTMODERNISM WOULD NOT EXIST WITHOUT THIS CONCEPT. LETS US TAKE THE EXAMPLE OF RESIDENCE IN CHESTNUT HILL, PA. , VENTURI AND RAUCH, 1962. THIS BUILDING RECOGNIZES COMPLEXITIES AND CONTRADICTIONS: IT IS BOTH COMPLEX AND SIMPLE, OPEN AND CLOSED, BIG AND LITTLE; SOME OF ITS ELEMENTS ARE GOOD ON ONE LEVEL AND BAD ON ANOTHER; ITS ORDER ACCOMMODATES THE GENERIC ELEMENTS OF THE HOUSE IN GENERAL, AND THE CIRCUMSTANTIAL ELEMENTS OF A HOUSE IN PARTICULAR.IT ACHIEVES THE DIFFICULT UNITY OF A MEDIUM NUMBER OF DIVERSE PARTS RATHER THAN THE EASY UNITY OF FEW OR MANY MOTIVAL PARTS. THE INSIDE SPACES, AS REPRESENTED IN PLAN AND SECTION, ARE COMPLEX AND DISTORTED IN THEIR SHAPES AND INTERRELATIONSHIPS. THEY CORRESPOND TO THE COMPLEXITIES INHERENT IN THE DOMESTIC PROGRAM AS WELL AS TO SOME WHIMSIES NOT INAPPROPRIATE TO AN INDIVIDUAL HOUSE. ON THE OTH ER HAND, THE OUTSIDE FORM–AS REPRESENTED BY THE PARAPETED WALL AND THE GABLE ROOF WHICH ENCLOSE THESE COMPLEXITIES AND DISTORTIONS IS SIMPLE AND CONSISTENT: IT REPRESENTS THIS HOUSE'S PUBLIC SCALE.THE FRONT, IN ITS CONVENTIONAL COMBINATIONS OF DOOR, WINDOWS, CHIMNEY AND GABLE, CREATES AN ALMOST SYMBOLIC IMAGE OF A HOUSE. SO, WE ALL MUST KNOW THAT POSTMODERNISM IS AN ART OF CREATING THE â€Å"ANOMALIES AND UNCERTAINTIES† THAT â€Å"GIVE VALIDITY TO ARCHITECTURE,† THE ARCHITECTURE MUST BE REACTING AGAINST SOMETHING. SO WHILE â€Å"THERE ARE NO FIXED LAWS,† ARCHITECTURE BENEFITS FROM SOME SENSE OF ORDER OR A SYSTEM SO THAT IT CAN REACT. BECAUSE SYSTEMS CANNOT ACCOMMODATE EVER CIRCUMSTANCE, ARCHITECTURE SHOULD STRIVE TO DEFY ORDER AND THE ALTERING OR BREAKING OF ORDER ENHANCES THE DEEPER MEANINGS OF THE ARCHITECTURE. Less Is More Less Is More Some say that short stories are pointless, who could possibly write a story in just 55 words and it make sense? Well it has been done and it works quite well! It takes an author of great skill to be able to put so much information into such a small piece of writing, to be able to fit in all the necessities. These authors have their own genre of writing. Some of these amazing authors include Lydia Davis, Margaret Atwood, and Terry L. Tilton. These are just a few of the outstanding brains behind some of the best short stories ever written.Not only do these authors use the lack of words in such a way to make the reader more involved in the outcome of the story, they also use fewer words to be more dramatic, and to leave you with questions. In the short story â€Å"That Settles Thatâ€Å", Terry L. Tilton uses 55 words to complete an entire story. Here it is, Tom was a handsome, fun-loving young man, albeit a bit drunk when he got into the argument with Sam, his roommate o f just two months. ‘You can’t. You can not write a short story in just 55 words, you idiot? ’ Sam shot him dead on the spot. Oh yes you can,’ Sam said, smiling. This story is outstanding! It shows how much can be said in just a few words and leaves so many blanks for the reader to fill in. Some may look at this as being lazy, to leave so much for the reader to figure out on their own, however, for someone to conduct a story in 55 words that make sense, that is total genus! These authors that create these masterpieces know that a lot of readers prefer to be more active as they read. They like to read between the lines, look underneath the text. Feature Article – Short Story  The Plane of the Sleeping BeautyThese readers are very common and the authors know this, they know that their target audience are those who feel as if they are included in the writing process, that they get to decide what people look like and what they wear. They like to have the ability to make these decisions based upon the surrounding text, the information that the author does give. Stories like this one, give the reader the chance to work their brains, not just read the plain text for face value. This is a huge reason that short stories are important, they let active readers give their brain the work out it needs! Happy Endings† by Margaret Atwood is very dramatic. This short story is all about different ways to write a happy ending, although these ways involve extraneous situations involving lives that do not end happily, and in the end, no matter what, the main characters end up dying. A short story has to be more dramatic, more thi ngs need to happen in a short amount of time so the reader doesn’t get all the extra information. Think about it as if it is a Thanksgiving dinner, you don’t get all the stuffing and mashed potatoes, just the turkey, that’s all you have time for!These writers know that they only have a short amount of space to write in everything that they need so they want the big meaty pieces in there so it makes a huge impact! Lydia Davis beautifully wrote â€Å"Letter to a Funeral Parlorâ€Å". This short story is a letter that someone composed about their father passing away and the funeral parlor using the word â€Å"Cremains† to describe him. Lyndia Davis says, â€Å"Then we were sitting there in our chairs in the living room trying not to weep in front of your representative who†¦ referred to [my father] as ‘the cremains’†.This shows Davis’ ability to pull at the readers heart strings and make a point. This is a wonderfully writte n piece and it does exactly what a short story should do! Not only does it use a lack of words to have the readers fill in the blanks themselves but she also writes in a dramatic way. She is very to the point. She also does the final thing that is conveyed within short stories, she leaves you with questions. This is an amazing thing to do, as it leaves the readers wondering. Sometimes there are sequels to short stories and other times it is just another way to get the reader more involved.This give the reader another chance to fill in the blanks. Like in the Letter to a Funeral Parlor, it does not speak of how the father dies, nor does it talk about where they are from or what the people look like. These are all questions the author leaves the readers with, to think about. Readers enjoy reading short stories because they are something different from novels. Some people don’t want to have a book that takes a week or longer to read, some people don’t have attention spans that will last through an entire book.Those people want something they can read in 30 seconds or a half hour depending on if it’s a short short or not. Just because someone is a reader who prefers to read something short does not make then any worse or a reader that someone who likes 1000 page novels. It is all in the preference of the reader. Reading a short story is a good idea for readers because it gives you more options of reading. They are there for the readers who like to figure things out on their own. Short stories are amazing to read.They always leave you with something to think about. These essays are difficult to construct because of the amount of information that needs to be in such a small piece of writing. That is why the authors that do create these pieces of work are to be applauded because not everyone can do it. In a short story the author lets the reader be an active reader, filling in all the extra blanks and details. Short story authors also use fewer w ords to be dramatic. The less space you have to write, the fewer useless details and things that you will have.Therefore, the whole content is the important meat. This makes it so that the points are not drawn out, it creates a more climactic piece of work. These authors also leave their readers with questions. This creates the ability to keep the readers intrigued. Short story authors are amazing at what they do, someone like Terry L. Tilton, who has the ability to write a story in 55 words, should be commended or what they do. Works Cited Meyer, Michael, ed. The Bedford Introduction to Literature. 9th ed. Boston: St Martins, 2008. Print. Works Cited Knight