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Article 92 - Why A Casino Portal Can Be A Gamblers Best...
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Spirit Bound Chapter Fifteen Free Essays
string(31) " also being tested with Lissa\." IN MY PANICKED MIND RIGHT then, getting up and running on foot to Lehighââ¬âdespite it being miles and miles awayââ¬âseemed like a totally solid plan. A heartbeat later, I knew this was out of my league. Way, way out of my league. We will write a custom essay sample on Spirit Bound Chapter Fifteen or any similar topic only for you Order Now As I shot up from my table and tore out of the room, I felt a sudden longing for Alberta. Iââ¬â¢d seen her jump into action at St. Vladimirââ¬â¢s and knew she could take charge of any situation. At this point in our relationship, she would respond to any threat I brought to her. The guardians at Court were still strangers to me. Who could I go to? Hans? The guy who hated me? He wouldnââ¬â¢t believe me, not like Alberta or my mother would. Running down the quiet hallways, I dismissed all such worries. It didnââ¬â¢t matter. I would make him believe. I would find anyone I could. Anyone who could get Lissa and Christian out of this. Only you can, a voice hissed in my head. Youââ¬â¢re the one Dimitri wants. I ignored that thought too, largely because in my distraction, I collided into someone rounding a corner. I gave a muffled cry that sounded like ââ¬Å"Oomphâ⬠as my face slammed into someoneââ¬â¢s chest. I looked up. Mikhail. I would have been relieved, except I was too pumped full of adrenaline and worry. I grabbed his sleeve and began tugging him toward the stairs. ââ¬Å"Come on! We have to get help!â⬠Mikhail remained were he was, not budging against my pull. He frowned, face calm. ââ¬Å"What are you talking about?â⬠ââ¬Å"Lissa! Lissa and Christian. Theyââ¬â¢ve been taken by Strigoiââ¬âby Dimitri. We can find them. I can find them. But we have to hurry.â⬠Mikhailââ¬â¢s confusion grew. ââ¬Å"Roseâ⬠¦ how long have you been down here?â⬠I didnââ¬â¢t have time for this. Leaving him, I fled up the stairs to the main levels of the complex. A moment later I heard his footsteps behind me. When I reached the main office, I expected someone to chastise me for leaving my punishment, exceptâ⬠¦ no one seemed to even notice me. The office was in chaos. Guardians were running around, calls were being made, and voices rose to frantic levels. They knew, I realized. They already knew. ââ¬Å"Hans!â⬠I called, pushing my way through the crowd. He was on the other side of the room and had just hung up on a cell call. ââ¬Å"Hans, I know where they are. Where the Strigoi took Lissa and Christian.â⬠ââ¬Å"Hathaway, I donââ¬â¢t have time for yourââ¬ââ⬠His scowl faltered. ââ¬Å"You have that bond.â⬠I stared in astonishment. Iââ¬â¢d been ready for him to dismiss me as a nuisance. Iââ¬â¢d been ready for a long fight to convince him. I gave him a hasty nod. ââ¬Å"I saw it. I saw everything that happened.â⬠Now I frowned. ââ¬Å"How do you know already?â⬠ââ¬Å"Serena,â⬠he said grimly. ââ¬Å"Serenaââ¬â¢s deadâ⬠¦Ã¢â¬ He shook his head. ââ¬Å"No, not yet. Though she certainly sounded like it on the phone. Whatever happened, it took everything she had to make that call. We have Alchemists coming to get her, andâ⬠¦ clean up.â⬠I replayed the events, remembering how Serena had been slammed against the asphalt. It had been a hard blow, and when she didnââ¬â¢t move, Iââ¬â¢d assumed the worst. Yet if sheââ¬â¢d survivedââ¬âand apparently she must haveââ¬âI could just barely form a mental image of her dragging her cell phone out of her pocket with bloody handsâ⬠¦. Please, please let her be alive, I thought, not sure who I was praying to. ââ¬Å"Come on,â⬠said Hans. ââ¬Å"We need you. There are teams already forming.â⬠There was another surprise. I hadnââ¬â¢t expected him to bring me on so quickly. A new respect for Hans settled over me. He might act like an asshole, but he was a leader. When he saw an asset, he used it. In one swift motion, he was hurrying out the door, several guardians following him. I struggled to keep up with their longer strides and saw Mikhail coming as well. ââ¬Å"Youââ¬â¢re doing a rescue,â⬠I told Hans. ââ¬Å"Thatââ¬â¢sâ⬠¦ rare.â⬠I hesitated to even speak the words. I certainly didnââ¬â¢t want to discourage this. But Moroi rescues werenââ¬â¢t normal. When Strigoi took them, they were often regarded as dead. The rescue weââ¬â¢d done after the Academy attack had been an oddity, one that had taken a lot of persuasion. Hans gave me a wry look. ââ¬Å"So is the Dragomir princess.â⬠Lissa was precious to me, worth more than anything else in the world. And for the Moroi, I realized, she was precious too. Most Moroi captured by Strigoi might be regarded as dead, but she wasnââ¬â¢t most Moroi. She was the last in her line, the last of one of twelve ancient families. Losing her wouldnââ¬â¢t just be a hit to Moroi culture. It would be a sign, an omen that the Strigoi were truly defeating us. For her, the guardians would risk a rescue mission. In fact, it appeared they would risk a lot of things. As we arrived at the garages where the Courtââ¬â¢s vehicles were stored, I saw masses of other guardians arrivingââ¬âalong with Moroi. I recognized a few. Tasha Ozera was among them, and like her, the others were fire users. If weââ¬â¢d learned anything, it was how valuable they were in a fight. It appeared the controversy of Moroi going to battle was being ignored right now, and I was amazed at how quickly this group had been summoned. Tashaââ¬â¢s eyes met mine, her face grave and drawn. She said nothing to me. She didnââ¬â¢t need to. Hans was barking orders, splitting people into groups and vehicles. With every bit of self-control I could muster, I waited patiently near him. My restless nature made me want to jump in and start demanding to know what I could do. He would get to me, I assured myself. He had a role for me; I just had to wait. My self-control was also being tested with Lissa. You read "Spirit Bound Chapter Fifteen" in category "Essay examples" After Dimitri had taken her and Christian away, Iââ¬â¢d left her mind. I couldnââ¬â¢t go back, not yet. I couldnââ¬â¢t stand to see themââ¬âto see Dimitri. I knew Iââ¬â¢d have to once I began directing the guardians, but for now, I held off. I knew Lissa was alive. That was all that mattered for the time being. Still, I was so wound up and filled with tension that when someone touched my arm, I nearly turned on them with my stake. ââ¬Å"Adrianâ⬠¦Ã¢â¬ I breathed. ââ¬Å"What are you doing here?â⬠He stood there looking down at me, and his hand gently brushed my cheek. I had only ever seen such a serious, grim look on his face a couple of times. As usual, I didnââ¬â¢t like it. Adrian was one of those people who should always be smiling. ââ¬Å"As soon as I heard the news, I knew where youââ¬â¢d be.â⬠I shook my head. ââ¬Å"It happened likeâ⬠¦ I donââ¬â¢t know, ten minutes ago?â⬠Time had blurred for me. ââ¬Å"How could everyone know so soon?â⬠ââ¬Å"It was radioed across the Court as soon as they found out. Theyââ¬â¢ve got an instant alert system. In fact, the queenââ¬â¢s kind of in lockdown.â⬠ââ¬Å"What? Why?â⬠Somehow that annoyed me. Tatiana wasnââ¬â¢t the one in danger. ââ¬Å"Why waste resources on her?â⬠A nearby guardian gave me a critical look over that. Adrian shrugged. ââ¬Å"Strigoi attack relatively close by? They take it as a pretty serious security threat for us.â⬠Relatively was the key word. Lehigh was about an hour and a half from Court. Guardians were always on alert, though with each passing second, I wished theyââ¬â¢d move faster and be on alert. If Adrian hadnââ¬â¢t shown up, I was pretty sure I would have lost my patience and told Hans to hurry. ââ¬Å"Itââ¬â¢s Dimitri,â⬠I said in a low voice. I hadnââ¬â¢t been sure if I should tell anyone else that. ââ¬Å"Heââ¬â¢s the one who took them. Heââ¬â¢s using them to lure me there.â⬠Adrianââ¬â¢s face grew darker. ââ¬Å"Rose, you canââ¬â¢tâ⬠¦Ã¢â¬ He trailed off, but I knew his meaning. ââ¬Å"What choice do I have?â⬠I exclaimed. ââ¬Å"I have to go. Sheââ¬â¢s my best friend, and Iââ¬â¢m the only one who can lead them to her.â⬠ââ¬Å"Itââ¬â¢s a trap.â⬠ââ¬Å"I know. And he knows I know.â⬠ââ¬Å"What will you do?â⬠Again, I knew exactly what Adrian meant. I glanced down at the stake Iââ¬â¢d unconsciously pulled out earlier. ââ¬Å"What I have to. I have toâ⬠¦ I have to kill him.â⬠ââ¬Å"Good,â⬠said Adrian, relief flooding his features. ââ¬Å"Iââ¬â¢m glad.â⬠For some reason, that irritated me. ââ¬Å"God,â⬠I snapped. ââ¬Å"Are you that eager to get rid of any competition?â⬠Adrianââ¬â¢s face stayed serious. ââ¬Å"No. I just know that as long as heââ¬â¢s still aliveââ¬âor, well, kind of aliveââ¬âthen youââ¬â¢re in danger. And I canââ¬â¢t stand that. I canââ¬â¢t stand knowing that your life is in the balance. And it is, Rose. Youââ¬â¢ll never be safe until heââ¬â¢s gone. I want you safe. I need you to be safe. I canââ¬â¢tâ⬠¦ I canââ¬â¢t have anything happen to you.â⬠My flare of anger vanished as quickly as it had come. ââ¬Å"Oh, Adrian, Iââ¬â¢m sorryâ⬠¦.â⬠I let him draw me into his arms. Resting my head against his chest, I felt his heartbeat and the softness of his shirt, I allowed myself a brief and fleeting moment of comfort. I just wanted to sink into him then and there. I didnââ¬â¢t want to be consumed by these feelings of fear: fear for Lissa and fear of Dimitri. I went cold all over as a sudden realization slipped over me. No matter what happened, I would lose one of them tonight. If we rescued Lissa, Dimitri would die. If he survived, she would die. There was no happy ending for this story, nothing that could save my heart from being crushed into pieces. Adrian brushed my forehead with his lips and then leaned down toward my mouth. ââ¬Å"Be careful, Rose. No matter what happens, please, please be careful. I canââ¬â¢t lose you.â⬠I didnââ¬â¢t know what to say to that, how to respond to all that emotion pouring from him. My own mind and heart were flooded with so many mixed feelings that I could barely form a coherent thought. Instead, I drew my lips to his and kissed him. In the midst of all the death tonightââ¬âthe death that already had happened and that which was still to comeââ¬âthat kiss seemed more powerful than any he and I had ever shared. It was alive. I was alive, and I wanted to stay that way. I wanted to bring Lissa back, and I wanted to return to Adrianââ¬â¢s arms again, return to his lips and all this lifeâ⬠¦. ââ¬Å"Hathaway! Good God, do I need to hose you down?â⬠I broke abruptly from Adrian and saw Hans glaring at me. Most of the SUVs were loaded up. Now it was my turn to act. I gave Adrian a look of farewell, and he forced a small smile that I think was supposed to be brave. ââ¬Å"Be careful,â⬠he repeated. ââ¬Å"Bring them backââ¬âand bring yourself back too.â⬠I gave him a quick nod and then followed an impatient Hans into one of the SUVs. The most bizarre sense of deja vu settled over me as I slid into the backseat. This was so like the time Victor had kidnapped Lissa that I nearly froze up. Then, too, I had ridden in a similar black SUV, directing guardians toward Lissaââ¬â¢s location. Only it had been Dimitri sitting beside meââ¬âthe wonderful, brave Dimitri Iââ¬â¢d known so long ago. Yet those memories were so etched into my mind and heart that I could picture every detail: the way heââ¬â¢d tucked his hair behind his ears, the fierce look in his brown eyes as heââ¬â¢d stepped on the gas to get us to Lissa faster. Heââ¬â¢d been so determined, so ready to do what was right. This Dimitriââ¬âDimitri the Strigoiââ¬âwas also determined. But in a very different way. ââ¬Å"You gonna be able to do this?â⬠asked Hans from the front seat. A hand gently squeezed my arm, and I was startled to see Tasha beside me. I hadnââ¬â¢t even noticed she was riding with us. ââ¬Å"Weââ¬â¢re counting on you.â⬠I nodded, wanting to be worthy of his respect. In best guardian fashion, I kept my emotions off my face, trying not to feel that conflict between the two Dimitris. Trying not to remember that the night weââ¬â¢d gone after Lissa and Victor had been the same night Dimitri and I had fallen prey to the lust charmâ⬠¦. ââ¬Å"Head toward Lehigh,â⬠I said in a cool voice. I was a guardian now. ââ¬Å"Iââ¬â¢ll direct you when we get closer.â⬠Weââ¬â¢d only been on the road for about twenty minutes when I sensed Lissaââ¬â¢s group coming to a halt. Dimitri had apparently chosen a hideout not too far from the university, which would make it easier for us to find than if theyââ¬â¢d kept moving. Of course, I had to remind myself that Dimitri wanted to be found. Knowing that the guardians with me wouldnââ¬â¢t need my directions until we were closer to Lehigh, I steeled myself and jumped into Lissaââ¬â¢s head to see what was going on. Lissa and Christian hadnââ¬â¢t been harmed or attacked, aside from being pushed and dragged around. They sat in what looked like a storage roomââ¬âa storage room that hadnââ¬â¢t been used in a very long time. Dust coated everything in a heavy layer, so much that it was hard to make out some of the objects piled on the rickety shelves. Some tools, maybe. Paper here and there, as well as the occasional box. A bare lightbulb was the only light in the room, giving everything a harsh and dingy feel. Lissa and Christian sat in straight-backed wooden chairs, their hands bound behind their backs with rope. For a moment, deja vu hit again. I remembered last winter when I too, along with my friends, had been bound to chairs and held captive by Strigoi. Theyââ¬â¢d drunk from Eddie, and Mason had diedâ⬠¦. No. Donââ¬â¢t think like that, Rose. Lissa and Christian are alive. Nothingââ¬â¢s happened to them yet. Nothing will happen to them. Lissaââ¬â¢s mind was on the here and now, but a little probing let me see what the overall building had looked like when sheââ¬â¢d been brought in. It had seemed to be a warehouseââ¬âan old, abandoned oneââ¬âwhich made it a nice place for the Strigoi to hole up with their prisoners. There were four Strigoi in the room, but as far as Lissa was concerned, only one really mattered. Dimitri. I understood her reaction. Seeing him as a Strigoi had been hard for me. Surreal, even. Iââ¬â¢d adapted somewhat, simply because of all the time Iââ¬â¢d spent with him. Still, even I was caught by surprise sometimes at seeing him like that. Lissa hadnââ¬â¢t been prepared at all and was in total shock. Dimitriââ¬â¢s dark brown hair was worn loose around his chin today, a look Iââ¬â¢d always loved on him, and he was pacing rapidly, causing his duster to swirl around him. A lot of the time, his back was to Lissa and Christian, which made it that much more troubling for her. Without seeing his face, she could almost believe it was the Dimitri sheââ¬â¢d always known. He was arguing with the other three as he walked back and forth across the small space, agitation radiating off him in an almost palpable wave. ââ¬Å"If the guardians really are coming,â⬠snarled one Strigoi, ââ¬Å"then we should be posted outside.â⬠She was a tall, gangly redhead who appeared to have been Moroi when turned. Her tone implied that she did not think guardians were actually coming, though. ââ¬Å"Theyââ¬â¢re coming,â⬠said Dimitri in a low voice, that lovely accent making my heart ache. ââ¬Å"I know they are.â⬠ââ¬Å"Then let me get out there and be useful!â⬠she snapped. ââ¬Å"You donââ¬â¢t need us to babysit these two.â⬠Her tone was dismissive. Scornful, even. It was understandable. Everyone in the vampire world knew Moroi didnââ¬â¢t fight back, and Lissa and Christian were firmly bound. ââ¬Å"You donââ¬â¢t know them,â⬠said Dimitri. ââ¬Å"Theyââ¬â¢re dangerous. Iââ¬â¢m not even sure this is enough protection.â⬠ââ¬Å"Thatââ¬â¢s ridiculous!â⬠In one smooth motion, Dimitri turned and backhanded her. The hit knocked her back a few feet, her eyes widening in fury and shock. He resumed his pacing as though nothing had happened. ââ¬Å"You will stay here, and you will guard them as long as I tell you to, do you understand?â⬠She glared back and gingerly touched her face but said nothing. Dimitri glanced at the others. ââ¬Å"And youââ¬â¢ll stay too. If the guardians actually make it this far inside, youââ¬â¢ll be needed for more than just guard duty.â⬠ââ¬Å"How do you know?â⬠demanded another Strigoi, a black-haired one who might have been human once. A rarity among Strigoi. ââ¬Å"How do you know theyââ¬â¢ll come?â⬠Strigoi had amazing hearing, but with their bickering, Lissa had a brief opportunity to speak undetected to Christian. ââ¬Å"Can you burn my ropes?â⬠she murmured in a nearly inaudible voice. ââ¬Å"Like with Rose?â⬠Christian frowned. When he and I had been captured, it was what heââ¬â¢d done to free me. It had hurt like hell and left blisters on my hands and wrists. ââ¬Å"Theyââ¬â¢ll notice,â⬠he breathed back. The conversation went no further because Dimitri came to an abrupt halt and turned toward Lissa. She gasped at the sudden and unexpected movement. Swiftly approaching her, he knelt down before her and peered into her eyes. She trembled in spite of her best efforts. She had never been this close to a Strigoi, and the fact that it was Dimitri was that much worse. The red rings around his pupils seemed to burn into her. His fangs looked poised to attack. His hand snaked out and gripped her neck, tilting her face up so he could get an even better look into her eyes. His fingers dug into her skin, not enough to cut off her air but enough that she would have bruises later. If there was a later. ââ¬Å"I know the guardians will come because Rose is watching,â⬠said Dimitri. ââ¬Å"Arenââ¬â¢t you, Rose?â⬠Loosening his hold a little, he ran his fingertips over the skin of Lissaââ¬â¢s throat, so gentlyâ⬠¦ yet there was no question he had the power to snap her neck. It was like he was looking into my eyes at the moment. My soul. I even felt like he was stroking my neck. I knew it was impossible. The bond existed between Lissa and me. No one else could see it. Yet, just then, it was like no one else existed but him and me. It was like there was no Lissa between us. ââ¬Å"Youââ¬â¢re in there, Rose.â⬠A pitiless half smile played over his mouth. ââ¬Å"And you wonââ¬â¢t abandon either of them. You also arenââ¬â¢t foolish enough to come alone, are you? Maybe once you would haveââ¬âbut not anymore.â⬠I jerked out of her head, unable to stare into those eyesââ¬âand see them staring back at me. Whether it was my own fear or a mirroring of Lissaââ¬â¢s, I discovered my body was also trembling. I forced it to stop and tried to slow my racing heart. Swallowing, I glanced around to see if anyone had noticed, but they were all preoccupied with discussing strategyââ¬âexcept for Tasha. Her cool blue gaze studied me, her face drawn with concern. ââ¬Å"What did you see?â⬠I shook my head, unable to look at her either. ââ¬Å"A nightmare,â⬠I murmured. ââ¬Å"My worst nightmare coming true.â⬠How to cite Spirit Bound Chapter Fifteen, Essay examples
Evaluation of Interview on Substance Use for Mental Health
Question: Discuss about theEvaluation of Interview on Substance Use for Mental Health. Answer: Mental health workers are appointed by residential mental health centres or psychiatric hospitals and are responsible for providing efficient healthcare services, and support to respective individuals or families who experience plethora of mental issues. The primary role of mental health professionals encompasses offering counselling services and pharmacological or non-pharmacological treatment that facilitates individuals and families to deal with mental health problems (Patel 2012). Therefore, it is imperative for all mental health workers to develop an effective therapeutic relationship with all the patients and family members. Conduction of a psychological assessment assists the workers in understanding about the risk factors that increase the likelihood of suffering from mental illnesses. Co-occurring mental disorders are most commonly found in combination with substance-use disorders among individuals, who are generally subjected to psychiatric services (Becker, Luebbe and Langberg 2012). These conditions increase severity of the mental symptoms, complicate treatment and often lead to poor health outcomes of the patients. Also referred to as dual diagnosis, such conditions refer to presence of both mental illness and substance abuse. A client is reportedly diagnosed with co-occurring disorders, when at least one type of disorder is established to be independent of the other (Ruiz et al. 2012). This essay will encompass evaluation of an interview that was undertaken by the Victorian Dual Diagnosis Initiative as a training tool for mental health workers and counselors. Initial contact- Research evidences consider initial contact to be of utmost importance before an interview is conducted in the healthcare setting (Sommers-Flanagan and Bequette 2013). The aforementioned video shows that the assessor, Jess introduced herself to the patient Steve and said that she would be identifying and talking about the co-occurring mental disorder prevailing in the patient. While introducing herself to the patient, the interviewer shook her hands. Initial contact is most often assisted by adoption and portrayal of an empathetic approach that helps a person to think and visualise situations and instances from another person's perspective (Nabeel Al-Yateem 2012). The video demonstrates adoption of a formal approach with the aim of establishing initial contact with the receiver. However, there was lack of professionalism on the part of the interviewer in establishing initial contact. This could have been facilitated if she had asked Steve about his day so far, the pl ace he lives, or the food he had early in the morning. Several evidences also support the existence of a wide range of myth and stereotypes regarding mental illness among all socioeconomic sections of the society (Clement et al. 2015). This makes people living in the community discriminate those who are mentally disadvantaged, which in turn worsens the situation and acts as a barrier in the recovery process (Corrigan, Druss and Perlick 2014). Further difficulties are also associated with the fact that people suffering from mental illness often have low self-confidence and lose hope that they will be able to leave a purposeful and meaningful life (Corrigan and Rao 2012). Most mental health care services suggest that professional mental health workers should always adhere to standards of practice that makes them adopt a non-discriminating and non-judgmental style while communicating with their clients. Adoption of a non-judgmental approach helps the clients to understand that there is a willingness on the part of the workers to understand their concern (Thompson, Amatea and Thompson 2014). The video also shows that there was failure on the part of Steve to maintain proper eye contact with Jess during the interview. His restlessness is demonstrated by checking the wall clock. Asking a close-ended question on whether he had attended a mental health care service before also shows that Jess was judgmental while developing initi al contact. Rapport and respect- In order to deliver efficient mental health care services it is a professional duty of all health workers to establish an effective therapeutic relationship and rapport with their clients and family members. Rapport establishment increases likelihood of success of an intervention and enhances patient outcome (Thompson, Amatea and Thompson 2014). This is generally facilitated by effective interpersonal communication skills, which if utilised properly, help the workers to understand previous history, needs and demands of a client, and change the healthcare plan accordingly (Thompson and McCabe 2012). Jess was found to talk about the benefits that the client would receive from the service, following which she received an acknowledgement. She gave adequate time to Steve to answer her questions, without interrupting him, which suggests that she was successful in maintaining dignity and respect of the client. This gradually made him comfortable. Exhibiting adequate respect towards the autonomy and confidentiality of all patients, is another the role of mental health professionals that helps patients to identify their uniqueness (Wilson and Deane 2012). Active listening is also considered a major priority and involves providing regular feedback and listening to the speaker (Gunasekara et al. 2014). These skills were displayed by the interviewer during the entire conversation as she provided the client adequate time to respond to her questions and did not force him to answer more specifically, unless needed. Readiness to change- According to evidences relapse or recurrence of particular health disorders often bring about changes in opinion and personal habits of the concerned individual. These changes are commonly referred to as behavioural change, adoption of which helps in enhancing the health outcome and well being of all patients (Patrick and Williams 2012). Jess asked Steve whether the latter had adopted any coping strategies to deal with the co-occurring mental health concern. She also questioned him on his drinking habits, frequency of drinking, and its potential impact on his social and family life. Answering these questions made him overwhelmed and he failed to hide his disappointment. This resulted in an emotional outburst and Steve began to cry. His responses help the interviewer to understand that he was not taking proper measures for coping with the problem. However, she was successful in making him understand that all possible efforts would be taken by the mental healthcare service to help him cope with the prevailing condition. This brought about a change in his behaviour, as depicted towards the end of the video. Identification of effects of substance abuse on lifestyle and health- Several researches have been conducted that successfully established association between drug abuse, alcoholism, and their potential negative implications on family life that includes children, parents, or partners. Moreover, substance abuse also results in increasing the severity of mental disturbance and often leads to depression, hallucination or anxiety (Lander, Howsare and Byrne 2013). Hence, it is essential to understand the attitude, feelings and knowledge of a patient regarding its impact. This helps in formulating a successful recovery plan. The interviewer was able to identify the frequency of alcohol drinking and the patient's understanding of its impact on his life. His responses suggested that he had lost his driving license and was unemployed. This can be related to the fact that substance abuse often results and discrimination towards the people and creates apprehension, which leads to loss of job an d unemployment, thereby contributing to financial stress (Mizock and Mueser 2014). The questions asked also helped the interviewer to understand that Steve suffered from social isolation, after being separated from his children, spouse and the community. Although Jess was initially judgmental in her approach while talking to her client, it is quite evident that during the later part of the interview, she was able to engage in an effective conversation. Asking mixed variety of questions (both open and close-ended) helped her to retrieve maximum information about Steve. Identification of stressors- A person suffering from chronic stress experiences negative impacts on the mental and physical health. Such people find it difficult to effectively cope with stress or recover from such stressful events. Negative changes such as unemployment, or separation from family members harms mental peace (Keller et al. 2012). The interviewer tried to understand whether Steve faced any stressful events, and what were their probable impacts. She questioned him several times to understand if his financial loss or separation from kids made him adopt a suicidal ideation by taking sleeping pills. On repeated questioning, she was able to understand that there was no manifestation of suicidal tendency in the patient, and he took the pills for only curing his sleeping problem. Effective interpersonal communication skills are also considered imperative in mental health nursing, and facilitate establishment of a therapeutic relationship with the clients (Cooper et al. 2012). The interviewer that helped her in gaining his trust, which made the latter, reveal relevant information regarding his physical and mental condition, and previous family history as well, accurately demonstrated this. Maintaining calmness, direct eye contact, and reassuring the patient that he will be provided with the adequate services for coping with the persisting condition was successful. Engagement- Jess demonstrated a moderate to good level of engagement with her client. Although initially she should have adopted a more friendly approach to facilitate easy initial contact and establishment of rapport, she was later on able to gain trust of her client and make him discuss about the difficulties he was facing. The total time allotted for the interview was quite less, and can be considered as a major hindrance to effective engagement. The interviewer should have spent more time for understanding the actual needs and demands of the client in order to formulate the care plan or his appointment with the mental health worker in future. Thus, it can be concluded that good communication skills were demonstrated by the interviewer Jess, which in turn facilitated her professional duty of gathering relevant information from the client regarding the factors that might have contributed to the co-occurring mental condition. Therefore, she was able to conduct the interview with the substance-abuse patient successfully. References Becker, S.P., Luebbe, A.M. and Langberg, J.M., 2012. Co-occurring mental health problems and peer functioning among youth with attention-deficit/hyperactivity disorder: a review and recommendations for future research.Clinical child and family psychology review,15(4), pp.279-302. Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rsch, N., Brown, J.S.L. and Thornicroft, G., 2015. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies.Psychological medicine,45(1), pp.11-27. Cooper, L.A., Roter, D.L., Carson, K.A., Beach, M.C., Sabin, J.A., Greenwald, A.G. and Inui, T.S., 2012. The associations of clinicians implicit attitudes about race with medical visit communication and patient ratings of interpersonal care.American journal of public health,102(5), pp.979-987. Corrigan, P.W. and Rao, D., 2012. On the self-stigma of mental illness: Stages, disclosure, and strategies for change.The Canadian Journal of Psychiatry,57(8), pp.464-469. Corrigan, P.W., Druss, B.G. and Perlick, D.A., 2014. The impact of mental illness stigma on seeking and participating in mental health care.Psychological Science in the Public Interest,15(2), pp.37-70. Gunasekara, I., Pentland, T., Rodgers, T. and Patterson, S., 2014. What makes an excellent mental health nurse? A pragmatic inquiry initiated and conducted by people with lived experience of service use.International Journal of Mental Health Nursing,23(2), pp.101-109. Keller, A., Litzelman, K., Wisk, L.E., Maddox, T., Cheng, E.R., Creswell, P.D. and Witt, W.P., 2012. Does the perception that stress affects health matter? The association with health and mortality.Health Psychology,31(5), p.677. Lander, L., Howsare, J. and Byrne, M., 2013. The impact of substance use disorders on families and children: from theory to practice.Social work in public health,28(3-4), pp.194-205. Mizock, L. and Mueser, K.T., 2014. Employment, mental health, internalized stigma, and coping with transphobia among transgender individuals.Psychology of sexual orientation and gender diversity,1(2), p.146. Nabeel Al-Yateem RN, M.S.N., 2012. The effect of interview recording on quality of data obtained: a methodological reflection.Nurse Researcher (through 2013),19(4), p.31. Patel, V., 2012. Global mental health: from science to action.Harvard review of psychiatry,20(1), pp.6-12. Patrick, H. and Williams, G.C., 2012. Self-determination theory: its application to health behavior and complementarity with motivational interviewing.International Journal of behavioral nutrition and physical Activity,9(1), p.18. Ruiz, M.A., Douglas, K.S., Edens, J.F., Nikolova, N.L. and Lilienfeld, S.O., 2012. Co-occurring mental health and substance use problems in offenders: Implications for risk assessment.Psychological Assessment,24(1), p.77. Sommers-Flanagan, J. and Bequette, T., 2013. The initial psychotherapy interview with adolescent clients.Journal of Contemporary Psychotherapy,43(1), pp.13-22. Thompson, I., Amatea, E. and Thompson, E., 2014. Personal and contextual predictors of mental health counselors' compassion fatigue and burnout.Journal of Mental Health Counseling,36(1), pp.58-77. Thompson, L. and McCabe, R., 2012. The effect of clinician-patient alliance and communication on treatment adherence in mental health care: a systematic review.BMC psychiatry,12(1), p.87. Wilson, C.J. and Deane, F.P., 2012. Brief report: Need for autonomy and other perceived barriers relating to adolescents intentions to seek professional mental health care.Journal of Adolescence,35(1), pp.233-237.
Tuesday, April 28, 2020
Richard Rodriguez On Bilinguel Education Essays - Linguistic Rights
Richard Rodriguez On Bilinguel Education Richard Rodriquez on Bilingual Education In Memories of a Bilingual Childhood, Richard Rodriquez argues against Bilingual Education with reflection to his own experiences. He states that It is not possible for a child, any child, ever to use his familys language in school. Not to understand this is to misunderstand the public uses of schooling and to trivialize the nature of intimate life. Rodriquez believes that school is a place in which people develop their public identity. To merge intimate aspects with public ones creates no distinction between the two and in result, both could be lost. As a child, Rodriquez associated intimacy with language. As time passed, the realization was that the language itself was not the source for Rodriquez. He concluded, to seek intimate sounds is to seek the company of intimates. So therefore, intimacy does not rely solely on words but rather on the presence of people. In defining public and private identity, he reminds us that one cannot be public and remain private at the same time. It would be as if he used his private language randomly in public, than the intimacy would be lost forever. It is important to keep some aspects of your life separate, but according to Rodriquez, success depends on your fluency in the public language. Without knowing the dominant language, it is very hard to obtain a job, or even go to the supermarket. As long as Bilingual Education is allowed, minorities will be put at a disadvantage in society. Richard Rodriquez believes that bilingual education hinders minorities from developing a public identity and is disadvantageous to their success because it does not push them to use the dominant language. Education
Monday, April 13, 2020
Health Care Debate Essay Topics
Health Care Debate Essay TopicsHealth care debate is among the most frequent argumentative essay topics. There are many students who consider this topic to be their major essay topic. So, when choosing a topic, they should not look only for the academic impact but also the impact on them personally.The subject of these argumentative essay topics is medicine and medical technology. There are many written arguments that can help you in solving many problems. The topics that can be used in this subject include modern medicine, medical research, the risks of medications, treatment methods, the value of medical education and psychology. Students can put all these topics in their research papers.To analyze the content of these topics, students can use their mind as well as their paper in solving problem areas. They can also use the information they have about the topics to solve problems related to these topics. These topics are very useful for students who have had problems in school rela ted to this topic. As for those students who want to participate in debates or in discussions, they can also use these topics as a topic in their essays.In health care debate, the first debate is on the theories that give rise to the health of patients. The second debate is on the impact of modern treatments on the patient's health. The third debate is on the value of doctors and the training they undergo. The fourth debate is on the value of educating patients and the purpose of that education. The fifth debate is on the ethics of the medical care.In health care debate, students have the chance to discuss some of the controversies of the healthcare. However, in this area, it is not easy to decide if a particular claim is true or not. However, students can refer to the American Medical Association's report 'The Health System Reform Agenda - Issues and Answers' to know what type of controversies exist regarding healthcare in the United States. Also, one can check out the White House website for health care and see the list of healthcare topics for the presidency.Moreover, in the health care debate, students should do independent research about the history of the medical field, its technological advancements and the debates and controversies in the field. Based on this information, students can create their own facts that can make them have a more effective argumentation in debate. Students can also read the medical journals in their local library and read the reports on these topics.Besides this, students can learn how to perform as a debater by reading articles and books about health care debate. They can also read articles about the history of the health care field and learn some of the important points that have been debated.
Thursday, March 19, 2020
Mean Creek Essay Example
Mean Creek Essay Example Mean Creek Essay Mean Creek Essay In the film ââ¬ËMean Creekââ¬â¢, the director Jacob Aaron Estes uses visual and verbal techniques to successfully convey the main idea of loss of innocence; this idea is relevant today to teenagers and shows their actions due to it. The main idea is presented to the viewer in three vignettes; banks of the river, burial site, and taking the police to the burial site. In the vignette ââ¬ËBanks of the riverââ¬â¢ the director successfully displayed the use of verbal and visual techniques to show the relevant idea of loss of innocence.For instance, the visual technique blue filter shows that the characters have become sorrowful because of the death of George; it also makes the setting dark grey-blue which reflects how the characters lost their innocence. Another visual technique was the pull focus from Georgeââ¬â¢s face to other main characters; it creates the effect that George is the centre of attention and he will be engraved in their minds, as they grow up they will rem ember how they lost their innocence and are guilty for Georgeââ¬â¢s death. Further on, the director also uses verbal techniques.For example, Millie frantically screaming ââ¬Å"wake upâ⬠to George, previously she was a polite and cheerful girl. This vignette shows her inner anger and sadness resulting in her to lose innocence. Another two verbal techniques that were used were the Foley effect and Lament music. The ââ¬ËFoley effectââ¬â¢ was used on the flies making them louder; this emphasises death and that the swarm of flies are on Georgeââ¬â¢s dead body. The Lament music was played by the cello instrument in the background which made the vignette more funereal like.It shows to the viewer that the death is the main focus and that loss of innocence is relevant today because it shows how teenagers can lose it easily as they grow up and the consequences they will face in the present and future mentally. Another vignette that the director used to portray the idea of lo ss of innocence and successfully developed by visual and verbal techniques was the ââ¬Ëburial siteââ¬â¢. The director used the visual technique close up shot. It was used to express the facial features of the main characters.All of the characters were red yet getting pale; it also shows how the characters were hyperventilating because of the death of George. In addition, the director also used an establishing shot of the burial site, the setting at first was fresh and pure green but as the events occurred the vignette became dark and suspenseful. The verbal techniques that the director used were lack of dialogue and sudden silence. In this vignette lack of dialogue was evident as no characters were speaking, only heavily breathing; it shows that the characters were astonished and grieving over Georgeââ¬â¢s death.The sudden silence technique was used when Millie stabbed the slug, nothing was to be heard for a moments. This reflects Millieââ¬â¢s loss of innocence because b efore the death of George she was peaceful and calm. The vignette is relevant today as it shows how an incident can ruin anyoneââ¬â¢s life; it also accentuates that It can change the personality of one as they grow up. The ââ¬Ëtaking police to the burial siteââ¬â¢ was also a vignette that the director effectively presented the main idea of loss of innocence through visual and verbal techniques.The visual technique mid-shot was used on the creek it shows that the creek was extremely misty and full of shadows giving the viewer the impression that death is present. Another visual technique was the p. a. n shot of the burial site; this shows to the viewer that death of George was official and it also suggests that characters have chosen the right pathway by telling the police what had happened. The director also presents the visual technique slowness of the water, at first during the day the water was rapid and the sunlight was reflecting off of it.In this vignette it is in con trast the water began to drift slowly across the creek which gives the impression of a tranquil mood. The verbal techniques of lament and synthetic music was also used. This really connects to the main idea as it emphasises the relevance of death and loss of innocence to real life situations today; it also shows that it can ruin someoneââ¬â¢s life. ââ¬ËDigetic voice over cuts to non-digetic sceneââ¬â¢ this suggests that the character George did not deserve this and also that he was different.He also says in his voice over ââ¬Å" People that do not see inside my mind donââ¬â¢t get there are gazzilion things going onâ⬠This is relevant today as people should not judge oneââ¬â¢s personality through looking at him or by his actions but to look inside and see his inner feelings. In conclusion, the director Jacob Aaron Estes successfully conveyed the idea of loss of innocence sing visual and verbal techniques in the three vignettes Banks of the river, Burial site and taking police to the burial site. The viewerââ¬â¢s learn the relevance of losing innocence and how it can affect them.
Tuesday, March 3, 2020
Premature Feedback
Premature Feedback We writers are a needy lot. We cant wait for feedback on our work. And in these days of instant communication via email and social media, we seek it earlier and earlier in the process. Some even ask for feedback on their ideas, before writing the first chapter, as if the other person could have a clue. Yet somewhere out there we can find someone wholl tell us its the grandest idea and destined for record-breaking success. Its like planting a seed and asking others how they think the tomato is going to taste. Someone will tell you they bet itll be phenomenal. The problem with seeking premature feedback is timing. First, the idea isnt fully fleshed out, therefore limiting the quality of the feedback. Without more information (i.e., quality of writing, the consummation of the plot), how in the world can the reader even tell? Second, those folks out there lose nothing in patting you on the head and making you feel good regardless of the concept. They recognize youre fragile, seeking validation for something as fleeting as an idea, so they tell you THAT SOUNDS GREAT and move on. Third, its in this introductory period, when you are the least sure of getting into bed with this idea, that you are the most vulnerable. You arent even sure of what you have. You havent lived with the idea long enough, molded and remolded it sufficiently to even have a form. Hold off asking for opinion. The earlier you ask for feedback, the more likely you are to get deterred from what might be your best writing. The best judge of a good idea is you, but only after youve mulled it over for a long while, or tested it Then theres always this possibility. You request feedback on your idea, and three people give it the thumbs down. Frustrated, you throw away a story that through trial and error, a couple rewrites, and dozen edits later could be Harry Potter, Gone Girl, or Murder on the Orient Express. Nobody on social media can make these types of decisions for you. And you are too vulnerable at this early stage to be asking them to help you do so. You are too easily persuaded to take the wrong path, whether you write a work that will never see the light of day or forget about a concept that could be career-setting. The masses cannot make such personal decisions. Take responsibility for vetting an idea long enough, and deep enough, to understand if it suits you. You have to live with it. They dont.
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