A Silver Dish

Add one extra variable Into the equation, and the entire solution has hanged, Just as well If you were to take one variable out. In this essay, I will be using the butterfly effect theory to explain how events will be altered when one characteristic Is taken out of the main character, after first identifying four of his characteristics and showing how it supports the development of the story as well as his character. What does it mean to have responsibilities and what is its importance in life? Responsibility consists of the duty or obligation that one owes to another or oneself.One can direct the responsibility towards family, friends, and even God. Responsibility results in a positive character trait that shows a high degree of unselfishness. It teaches each person that there will always be something beyond themselves to care about. Responsibility can consist of moral, legal, mental or physical obligations. Woody, a businessman in Chicago, has an endless amount of responsibility. à ¢â‚¬Å"He [father] came to Woody In the backyard one spring day and said, ‘From now on you're the man of the house' â€Å"(Bellow 543).At the age of fourteen, Wood's father had abandoned him, leaving Woody the responsibility of taking care of his mother and two younger sisters. He cares for his mother and his two sisters who are all mature adults. He also cares for his father and his father's wife, though he shares no blood with his stepmother. † Since his wife, after fifteen years of separation had not learned to take care of herself, Woody did her shopping on Fridays, filled her freezer. He had to take her this week to buy shoes. Also, Friday night he spent with Helen- his wife De facto.Saturday he did his big weekly shopping. Saturday night he devoted to Mom and his sisters. He was too busy to attend to his own feelings†(Bellow 541 Wood's countless obligations to his family UT him in a position of the dominant male, the caretaker. â€Å"Mother and the girls tur ned into welfare personalities and lost their individual outlines. Ah, the poor things, they became dependents and cranks. In the meantime, Woody, the sinful man, was their dutiful and loving son and 561). How would the story have changed If Woody had no sense of responsibility?As a child, Woody had no choice but to take full responsibility over his family, seeing as nobody else would. During these hard times for Woody, his selfless acts were the glue that held his broken family intact. If Woody were to exile all selfless feelings from his body and replace it with pure selfish thoughts, only the worst would be in store for his family. â€Å"Woody, who took full responsibility for them all, occasionally had to put one of the girls (they had become sick) In a mental 541). If Woody had Ignored shadows, known only as the crazy women you tell your children to avoid.The narrator went on to say that, † he paid for heat and light and food, and dressed them all out of Sears, Roebuck a nd Webfoot's, and bought them a TV, which they watched as devoutly as they prayed†(Bellow 561). With his mother in the hospital religiously, his sister checked into a mental institution, and his other sister unable to stabilize herself or her career, Woody had no choice but to take responsibility. If he hadn't done so, knowing that his father would never step up to his responsibilities, his family would have indefinitely perished to the harsh reality of poverty.Woody had shown signs of true loyalty to his family, loyalty that will always be in existence, even for his father. Some people believe that loyalty makes one predictable. Others may say that being loyal means being unable to think for oneself. And some may even indemnify loyalty as a weakness. Loyalty is the willingness to make an investment or personal sacrifice to strengthen a relationship. Though it is rare to find, a loyal person is a valuable asset to anyone. Loyalty involves obedience, sacrifice, and compassion, a mix that is not easy to find.Family requires undoubted loyalty from family members as well as friendships require friends to convey the meaning of loyalty to strengthen a bond between one and another. A loyal man can be described as a man who sacrifices his life for his family, his friends, and even his country. In his case, loyalty will be described as Woodsy endless devotion to his father. Woodsy father had, on every occasion, let Woody down, yet he has always stood behind his father. Mimi got to lend me money to buy gasoline- the caddie money you saved†(Bellow 543).The only money Woody had been able to save up working a side job, Woodsy father had taken it as getaway cash. Woody had not hesitated upon giving his father what he had asked for, even though this meant Woody was an enabler for his father's wishes upon deserting his family. â€Å"Why had he let Pop have his way? Why did he agree to meet him that day, in the dim rear of the lorry? â€Å"(Bellow 549). Woodsy fa ther had return for one purpose, he needed money. Woody had decided to take him to Ms.Skulled, the woman who out of good faith, paid for Woodsy college tuition for two years to become a minister. Woody had taken a risk by bringing his father to the only person who supports him in life. What he did not expect is that his father was planning on stealing her personal belongings for extra cash. Even when his father had done so, Woody had stood by him and said, â€Å"He denied that he or Pop had touched Ms. Shouldn't property. The missing object- e didn't even know what it was- had probably been misplaced, and they would be very sorry on the day it turned up†(Bellow 559).By staying loyal to his father, an admirable and rare trait, he had in fact proved himself to be deceitful and therefore disloyal to those who had supported him as he was growing up. Take one variable out of an equation, and the answer will be entirely different. Just as an equation, remove a character trait from Woodsy character, and the entire story will differ from the original. If woody had not been so loyal to his father, many things would have been different. To start, if Woody had not given his father the money to escape, His father could have never returned, believing that there was no warming welcome to accept.If he had indeed returned though, and asked Woody once more for money, I believe that Woody would have turned him down. Woody was well off in his life, entity from himself. When his father returned again, if Woody had thought in more of a selfish manner, he would have turned his father down, and would not have dealt with the pain of his supporters giving up on him. By being more selfish, Woody would have been seen as a more respectable character, without weakness for the man who mined his life. Woodsy loyalty to his father had been the variable in his life that continuously forced a downfall in his life.Loyalty is comprised of many things, but one thing loyalty does require is honesty. Honesty is another quality that is rare to find in this world, a quality that should be treasured. Honesty is the ability of being sincere, truthful, trustworthy, honorable, and fair. When you look at being honest and telling the truth it would seem as a simple task to practice. Being honest means keeping a friends secret unknown, admitting to your mistakes, and telling the truth despite the consequences. When you make a statement, make a truthful one. However, it seems that being entirely honest can be more difficult than one may perceive it to be. Woody was moved when things were honest. Bearing beams were honest, undisguised concrete pillars inside high-rise apartments were honest. It was bad to cover anything. He hated faking†(Bellow 542). Everything in his life that Woody had been able to appreciate had been honest. Woody had tried to learn from his father's mistakes, and instead being an honest man. After bringing his father to the house of the woman who could possibly help Woody and his father with their money issue at hand, Woody witnessed his father stealing a silver dish from the kind lady. ‘Before they come down, pop, will you dig that dish out of your long Johns. ‘ Pop turned stiff on him. He became absolutely military. He said, ‘Look, I order you! ‘ Before he knew it, Woody had Jumped his father and begun to wrestle with him†(Bellow 556) Being an honest man, Woody must go against his loyalty for his father and stop him from committing theft towards the one person who can help them. Woody does his best to be honest with everybody around him, but to be honest with one may result n dishonesty towards another. Dishonesty is a word used to describe the absence of honesty.If Woody would have been known as a man with the absence of honesty, the Woodsy life may have been altered entirely. If he had allowed his father to continue on with his theft, he would not only have felt guilty for allowing the terrible de ed to continue, he would have been an accomplice. He must have to choose a side, to stand behind his father or against him. By standing with him, it could have ignited a spark within Woody, causing him to follow in his father's footsteps as a kleptomaniac. He old have gone on to lead a life of crime, forgetting his mother and two sisters at home to starve.Truth and honesty are not easy qualities to come by, yet truth can always be found in religion. Religion can be defined as a system of beliefs, symbols, and values that provide a group of people with the solution of the question of the ultimate meaning. Religion is a way to acquire a higher feeling of self-importance. Man unites himself with the Infinite and feels ennobled. Through religion, men and woman are able to give their lives purpose. Religion is the central element in the life of civilization. Woody, immersed in Christianity, is known to be a man deeply connected to his religious roots.Woodsy religion is what put him on th e path for a new life, a path opposite of his fathers. Religion is the one source of comfort that Woody is able to find in his life. It gives to get up and tell a church full of Scandinavians that he, a Jewish lad, accepted Jesus Christ†(Bellow 545). Woody testified of his faith to Christianity and went on to say that, † he moved his own heart when he speak up about faith†(551). Woody had been known to the general public as a faithful Christian boy, servant to none except God. Although Woody had studied for two years in a seminary, preparing to be a minister.Two years of college during the Depression was more than most high-school graduates could afford†(Bellow 539). Without his father in his early years of life to show him the way, religion introduced him to the right path. Religion is what paid for his college tuition, taught him the meaning of honesty and how to take responsibility. Just like the rest of the character traits, take religion out of Woodsy ch aracter and the story will drastically change. Ms Skulled, out of good faith, had paid for his auction for two years in hopes of Woody becoming a minister.If Woody had chosen to be a nonbeliever, he would have undoubtedly lost his opportunity to go to college. By doing so, he could have lost his future opportunities to be able to support his mother and two sisters, as well as his father and his fathers spouse, Haling. Without religion, Woody might have not been able to find truth in the world, and therefore have no reason to be an honest, truthful person. If he had chosen the path to be free of religion, he might have not cared for being a sinner and in fact turned into his father, a gambling, stealing, irresponsible man.In conclusion, there had been many attributes that describes Woodsy character. The four character traits that I had chosen to talk about were his responsibility to his family, loyalty to his father, honesty in life, and faith in his religion. All of these characteri stics help develop their story in their own way, and I have proved this using the theory known as the butterfly effect. Change one detail in the past, and entirely alter the outcome of the future. Each characteristic helps develop the story in its own way, each critically changing the story when it had been removed from the list of his character traits.

Feminist Consciousness-Raising Groups

Feminist Consciousness-Raising Groups Feminist consciousness-raising groups, or CR groups, began in the 1960s in New York and Chicago and quickly spread across the United States. Feminist leaders called consciousness-raising the backbone of the movement and a chief organizing tool. The Genesis of Consciousness-Raising in New York The idea to start a consciousness-raising group occurred early in the existence of the feminist organization New York Radical Women. As NYRW members tried to determine what their next action should be, Anne Forer asked the other women to give her examples from their lives of how they had been oppressed, because she needed to raise her consciousness. She recalled that labor movements of the Old Left, which fought for workers rights, had spoken of raising the consciousness of workers who did not know they were oppressed. Fellow NYRW member Kathie Sarachild picked up on Anne Forers phrase. While Sarachild said that she had extensively considered how women were oppressed, she realized that the personal experience of an individual woman could be instructive for many women. What Happened in a CR Group? NYRW began consciousness-raising by selecting a topic related to womens experience, such as husbands, dating, economic dependence, having children, abortion, or a variety of other issues. The members of the CR group went around the room, each speaking about the chosen topic. Ideally, according to feminist leaders, women met in small groups, usually consisting of a dozen women of fewer. They took turns speaking about the topic, and every woman was allowed to speak, so no one dominated the discussion. Then the group discussed what had been learned. Effects of Consciousness-Raising Carol Hanisch said that consciousness-raising worked because it destroyed the isolation that men used to maintain their authority and supremacy. She later explained in her famous essay The Personal is Political that consciousness-raising groups were not a psychological therapy group but rather a valid form of political action. In addition to creating a sense of sisterhood, CR groups allowed women to verbalize feelings they may have dismissed as unimportant. Because discrimination was so pervasive, it was difficult to pinpoint. Women may not have even noticed the ways a patriarchal, male-dominated society oppressed them. What an individual woman previously felt was her own inadequacy could have actually resulted from societys ingrained tradition of male authority oppressing women. Kathie Sarachild remarked on the resistance to consciousness-raising groups as they spread across the Womens Liberation movement. She noted that the pioneering feminists had initially thought to use consciousness-raising as a way to figure out what their next action would be. They had not anticipated that the group discussions themselves would end up being seen as a radical action to be feared and criticized.

This paper needs have 3 fully developed paragraphs. Will upload more Essay

This paper needs have 3 fully developed paragraphs. Will upload more details - Essay Example elf-help book’, Walden, where the author urges the readers to assert their individuality, even if it meant turning down their family’s hopes or expectations of them. He then proceeds to take examples from America’s economic philosophy as well as his personal experiences as a psychiatrist to point out how the goal of self-sufficiency and individual enterprise appears to be very deeply entrenched in the American psyche. He points out how a new piece of legislation (passed around the time of publication of the essay in 1997) in Louisiana that allowed for something called a ‘covenant marriage’ wherein getting divorce would be a more difficult proposition than usual, was not really reflective of traditional American values but the opposite. The fact that the whole school of psychotherapy, as prominently practiced and advanced by personalities like Erik Erikson, Murray Bowen or Carl Rogers, emphasizes ‘enhanced autonomy’, is taken by Kramer to indicate how American society at large valued individual autonomy over what he terms ‘mutuality.’ Kramer’s concludes: ‘Though we profess abhorrence of d ivorce, I suspect that the divorce rate reflects our national values with great exactness.’ To counter this increased dependence on autonomous existence Kramer suggests resetting ‘mutuality’ as a goal worth aspiring for. He cites another school of psychiatry as exemplified by the work of Jean Baker Miller which suggests that finding one’s self does not necessarily have to be an exaggeratedly lonely process. Finding oneself through relating to others was just as satisfying and genuine a process of self-development. Kramer also argues that women have traditionally been considered the more tactful ones and therefore the onus of being the one to compromise in a situation of conflict often falls on them, rather unfairly. This too needs to be changed and expanded to each gender so that the relationship is one of true equality. Kramer makes a strong

Antibiotic Management of Common Respiratory Infections Essay

Antibiotic Management of Common Respiratory Infections - Essay Example It is unfortunate and alarming that overuse and misuse of antibiotics is bringing resistance to most of the common bacteria. The misuse of antibiotics stems primarily from the inherent inclination of doctors towards prescribing the latest and potent antibiotics without thorough microbiological, M, C & S examinations. To curb this antibiotic abuse the empirical antibiotic management has become the prime necessity of all hospitals (Hedrick, E). Modification in the treatment is made depending upon the patient's progress and bacterial sensitivities. Antibiotic course is started before the availability of microbiological results based on common conditions, but modifications or changes are made when microbiology results are available. As: Recommendations for initiating Antibiotic therapy: The severity of the condition, possible infecting pathogen(s) and route of administration (preferably oral) are to be considered. Constant monitor of the patient's response and changing the route of drug from IV to OD is essential within 24 hrs. Obvious advantages of OD over IV for ciprofloxacin, metronidazole and co-amoxiclav. Except for the severe disease conditions (bone infection) antibiotic therapy should be carried out maximum for 5 days. Restricted Anti-infective Agents: certain drugs are restricted due to their efficacy, toxicity and cost. Doctors need to work closely with the microbiologists and infectious disease experts to stop the misuse. Aim & Objective: Antibiotic use is associated with increased rates of antibiotic-resistant organism. The present study is carried out to empirically measure antibiotic prescription rates and identify predictors of antibiotic use for adults diagnosed for common respiratory infections as per the guidelines laid on resistance pattern at UHL. Methodology: Antibiotic prescription common respiratory infections University Hospital Lewisham Adult Formulary Summary of Antibacterial Treatment Common Respiratory Infections Date of Examination: Name of the Patient: Age: Physician: Weight: Blood Pressure: Gender: Respiratory rate: Allergies: Diabetes: X-ray Chest: Recommended/ Not recommended Present Medication: Symptoms: Microbiology report: (Microscopy, Culture & Sensitivity) Date: Treatment Prescribed: Result: Antibiotics reduce the normal flora of the body especially digestive tract. C.difficle is a spore forming bacterium which is part of the 'normal' bacteria in the gut of up to 3% of healthy adults. Patients who have been treated with broad spectrum antibiotics are at greatest risk of C.difficle associated disease especially cephalosporin amoxicillin and quinolones (Misuse of Antibiotics). Conclusion: Although antibiotics

Louise Slaughter Research Paper Example | Topics and Well Written Essays - 2000 words

Louise Slaughter - Research Paper Example The term Congress in the United States has two applications (Kura, 2001). First, Congress refers to the Senate or national bicameral legislature. Secondly, Congress refers to the House of Representatives. In the Senate, members are referred to as senators while Representatives are the members in the House of Representatives (Heath, 1999). Persons who are members of both the Senate and House of Representatives are members of congress. Representatives are also referred to as congressmen or congresswomen. The current congress is the 113th and was elected in November 2012. The House of Representatives has 435 members while the Senate has 100 members. The members of US congress are elected to represent people in fifty states. Since the congress representatives are elected, it is possible to have a Congress whose representatives have unequal racial representation. The two Congress chambers are separate. However, they both participated equally in the enactment of legislation. The congress m ust hold one joint meeting in a year to agree on the convening and adjourning dates and count the presidential votes. The ability of the Congress to enact laws is the sanction of that effects other congress actions. The discussion in this paper focuses on the congresswoman named Louise Slaughter. In the discussion, Louise Slaughter is analyzed for her key achievements, voting records, important committee assignments, and leadership positions. Current position of Louise Mclntosh Slaughter Louise was born on 14 August 1929. Today, Slaughter is the New York’s representative for 28th congressional district. She has served in this position since 1993. The political party membership is Democratic Party. Slaughter’s district of representation is found in Rochester, New York. This district partially comprises of counties of Orleans and Monroe in New York. Since 1987 to 1993, Slaughter represented New York’s 30th District. The United States Congressional elections were h eld in November of the year 2012. In these elections, Slaughter’s victory was over Maggie Brooks who had been county representative since 2004. Her representation is now in the restructured 25th District. This District is entirely found in Monroe County except for Rush, Mendon, Hamlin, Wheatland, and part of Clarkson. Slaughter has formerly been the chairperson of the House Rules Committee. Her leadership in this Committee lasted from 2007 to 2011. Other membership roles include ranking minority member as from 2011. After her reelection, Slaughter vowed to fight for issues of Medicare and Social security. She also vowed to fight for the Violence against Women Act renewal (Alaimo, 2012). In most of her career, Slaughter has spent time fighting for the safety, opportunities and health. In addition, Louise is the co-founder of the Bi-partisan Pro Choice Caucus and Co-author of violence against Women Act. Slaughter has also greatly advocated for the protection of the nationâ€⠄¢s troops by ensuring that troops have the needed armor. According to slaughter, she feels that those responsible for protecting the nation should also be protected. Louise has been considered as a true reformer. For now, Slaughter is fighting to pass the Stock Act in her efforts to clean up Washington. Through this act, Congress members will not be in a position to make money in the stock market using insider information. This move will protect million of citizens since her support will not be

Stigma Against Methadone Essay Example for Free

Stigma Against Methadone Essay The purpose of this research is to identify a stigma against methadone users and those in the healthcare field who are trying to help them become drug free. Methadone is a synthetic drug brought to America in the 1960’s to help with opiate addiction. During the fifty years since then, it has been a very successful treatment drug, but a stigma has developed that to use this drug is to be considered a â€Å"junkie†. This is not the case; this paper will also discuss ways in which to educate about and overcome the stigma against those who work with or take methadone. What is a Stigma? According to sociologist Erving Goffman, â€Å"a stigma refers to characteristics that discredit people†¦ the stigma can become a person’s master status, defining him or her as deviant† (Henslin, 2012). Whether or not the accused person actually takes part the activities and behaviors the stigma depicts, they are still discredited, judged, and even ostracized because of others like them who do participate in the stigma’s behaviors. Anyone associated with a deviant behavior automatically gets grouped together, whether they take part in it or not, hence the stigma. What is Methadone? Methadone is a man-made drug originally synthesized in Germany in 1937. Thirty years later, in the 1960’s, it was introduced to the United States as a treatment for drug addiction. Since then, for over fifty years, methadone has been used to help drug addicts get clean of opiates and regain stability; during that time, there has been no evidence that taking methadone for long periods of time causes damage to the body (Drug Policy Alliance, 2006). The Drug Policy Alliance, an organization committed to identifying, acknowledging, and promoting health-centered alternatives to drugs (2011), supports the use of methadone to treat opiate addiction and states that when used appropriately and a proper dose is reached, opioid â€Å"cravings stop, without creating the effects of euphoria, sedation, or an analgesic effect† (2006, p. 8). In other words, the human brain has receptors that when stimulated by drugs, create a drug user’s â€Å"high†. Methadone covers those receptors so that the user does not feel the need to take drugs, yet they will not get high from the methadone either. This is called â€Å"the blockade effect† and allows for drug-dependent people the opportunity to stabilize, maintain a job, buy a car, get an apartment or housing, and keep healthy relationships, among other things. A Stigma against Methadone Methadone is used for both chronic pain and opiate addiction, yet the majority of society has the assumption that if one is to use methadone, they must be drug addicts. Yes, there are many people in society who are trying to free themselves from drug use, but there are others who take methadone simply because it helps them with their chronic pain when nothing else does. Also, when society hears the word methadone, a picture of an addict getting drugs off the street and overdosing from heroin and cocaine comes to mind immediately. However, this is not the entire picture; at a methadone clinic in Westbrook, Maine, only twenty five percent of the patients who come to get their dose are people who are detoxing from street drugs. That means that there are an additional seventy five percent dosing every day. Why are they patients at the clinic? Because they are there to clear themselves from drugs that their own physicians have prescribed to them. Even though three quarters of the population coming in every day are there because of their doctors, and not because they were addicted to street drugs, patients still have a difficult time entering methadone maintenance treatment. Walter Ginter, director of the National Alliance of Methadone Advocates (NAMA), reported the following to Alcoholism Drug Abuse Weekly: Many of the public think of methadone as just a ‘substitute’ for another addictive drug and that even methadone patients themselves sometimes doubt that they can be in recovery, as long as they are on methadone†¦ partly because they have so little support in the community. The stigma is so great that nobody wants to say they’re a methadone patient. Even people who are successful in treatment don’t want anybody to know about it. (2007, p. 1) Many patients who enter treatment start thinking of tapering off methadone almost as soon as they begin their treatment, for the desire to get off methadone and away from the stigma associated with it is so great. The fact of the matter is, however, that seventy percent of patients who taper off methadone too soon or too quickly will relapse into drug use again (Ginter, 2007). Healthcare providers who work in methadone clinics and assist addicts in their recovery are subject to judgments as much as the patients are, even among fellow healthcare providers. A lot of patients look to their clinics to help them find â€Å"methadone-friendly doctors,† so that they can share the fact that they are taking methadone without having to fear judgment and reprimand. One patient at the clinic I work at has a doctor who discovered that she was taking benzodiazepines for anxiety along with her methadone, which can be dangerous when mixed in large amounts. The patient’s dose was not high enough to be quite as dangerous, but her doctor decided to stop her prescription for benzodiazepines immediately, with no tapering down; one can only imagine what that act did to the patient, both physically and emotionally; the patient presented at the clinic extremely anxious and shared the following with the dosing nurses when they asked if she wanted to talk about her situation with them: They (the doctors) just don’t understand. They don’t know that they can’t just take you off one drug cold turkey (the benzodiazepines) while leaving you on another (the methadone); it just doesn’t work like that. They just don’t care about people like me (anonymous patient #1, 2012). I have also been subject to the stigma and prejudice against methadone, just because I work with the addict population; when I first obtained the job, friends, family, and strangers alike would ask where I worked, and then promptly changed their expressions from interest to shock, horror, and even revulsion. It would have been quite amusing to me if it weren’t for the fact that their reactions were towards my patients. I once even had a friend’s mother say to me, â€Å"you be careful – don’t trust them for a second. They are dangerous people. † I would immediately start educating them about what these patient were really like and how I believed that it was a privilege to be helping them with their addiction treatment. In addition, I would throw out the statistics of how many people were coming in to get clean from doctors’ prescriptions, to show that not all of the patients were â€Å"junkies† and that they all chose to be in treatment to take control of their lives again. This helped to ease fears against my working there, and since then everyone asks how work has been going, with sincere interest, rather than with suspicion or doubt that I could actually enjoy working there. Though many healthcare providers who work with the addict population speak out against the stigma and the judgments against them, to defend both themselves and their patients against unjust prejudice, there are some who say nothing about where they work or what they do for work so as to avoid the negative attitudes directed at them from that moment on. Though it is understandable to say nothing about working in methadone treatment or defend the patients working hard to get clean, it does nothing but add to the stigma, and will make it that much harder to overcome in the future. Methadone Helps despite the Stigma I have worked in a methadone clinic for the past six months, and just in that short time, I have already witnessed extraordinary transformations. The nurses and I don’t just dose the patients and have them leave; when the patients come in and we give them a quick once-over assessment to make sure they can dose, we also talk to them. We are sincerely interested in how their life is doing, and though every person has ups and downs (even those who do not have an addiction), so much of the time I will hear of how someone’s life has changed so much for the better, and that they are so appreciative of this one thing that has helped them to live their lives again. One patient stated the following to me just a couple of weeks ago: I’ve got my life back again – I’ve got my family back, I’ve got an apartment, I’ve got a new car. I’d probably be dead right now if it wasn’t for this clinic. Methadone is the reason that I’ve been clean for seven years and will continue to be in the future (anonymous patient #2, 2012). Another patient who was coming in for her last dose at the clinic before tapering out for good, shared what she was feeling on her last day: â€Å"I finally have my life together again. It’s been eighteen years of being miserable and now I’m finally ready. For the first time in so long I can be happy, and I’m ready for that† (anonymous patient #2, 2012). She was a little nervous about what was to come, but the determination to stay on track was easily visible on her face, and so far, she has been out of the clinic for almost three months without any problems or relapse. How to Help To help fight against the stigma of methadone users and the healthcare providers who serve to help them, education is the only option. By providing science- based education and materials from peers, patients, educators, and healthcare professionals, people can learn that methadone is simply the medication part of opiate recovery. Patients must have emphasis on the fact that they are not â€Å"junkies† just because they take part in methadone maintenance. This stigma creates problems when trying to advocate for methadone maintenance and its patients. The best way to advocate for methadone treatment is to have patients appear publicly to provide testimony that methadone is not just a drug to replace another drug, and that long term maintenance provides stability and opportunity for those who use it. The problem is, â€Å"it can be difficult for everyone to be outspoken about being a methadone patient as people in recovery are afraid for their own recovery, due to stigma† (Ginter, 2007, p. 2). Conclusion  By educating society of the benefits of methadone and dispelling the myths and stigmas about it, recovering addicts can be less afraid for their physical and emotional well-being, healthcare providers don’t need to feel the need to hide what field they work in from others, and society can see what methadone maintenance really is. With education, understanding, and eventual acceptance, society will see that there are significant changes taking place in the recovery field at this very moment and there will continue to be changes as time moves forward.

The Tourism Industry Is A Complex System

The Tourism Industry Is A Complex System The tourism industry is a complex system where its necessary to look at all different sectors which are influencing each other, to get a clear understanding how this system works. A helpful tool to use already models and theories, apply them on different example and evaluate them. The individual as a potential customer has to be analysed and categorised, which is ensuing a better understanding of tourist behaviour. Furthermore it helps to recognize their decision making progress for a destination, as well as getting knowledge about their needs and expectation. This essay will show the usage of these models and theories on example of the Dominican Republic. Tourism can be defined as a combination of services and activities for people who travel to places outside of their familiar surroundings. The definition of a tourist is wide-ranging, because the purpose of travel ranges from holidays, business trips, and visits to friends and relatives to various other reasons such as study, religion, shopping and so on. More than an industry, it is rather like a system that sells packaged holidays, activities, attractions, accommodations, and entertainment. It is offering the opportunity to break away from normal life and enjoy leisure time in different locations. Tourism normally does not provide just one single product; mostly it is a bundling of various products to satisfy the demand of the tourist. For example, someone going on holiday to London would not merely consume one product from one supplier. It is more likely that he is utilizing a package of services. He might arrive by plane, go by bus/train to his hotel, dine in a restaurant, and ta ke a sightseeing tour. Due to the fact that nearly every tourism product is interlinked, there is no owner or manager with complete control of his own destiny (Gunn A.C. 2002, p.243). Additionally, other industries, such as the oil industry, are linked to the tourism industry. In recent years tourism become a part of daily life because people have more leisure time than they used to have 50 years ago and the view of the work-life balance has changed. Another important point to mention is that the tourism industry is one of the largest in the world and is creating millions of temporary and permanent jobs. In 2006 the travel and tourism industrys percentage of the world gross domestic product was 10,3%, with a turnover of US$6,477.2 billion. The industry supported 234 million jobs, 8.7% of total world employment (Cooper, et al 2006: 3). This data represents the global importance and significance to the world economy. Tourism does not include just the supply of hotels, beaches and travel agencies but also economical, environmental and socio-cultural impacts. These three areas are always commingling and conflicting. There are people whom are simply interested in making a profit, other people wanting to protect the environment, and yet another group of people concerned with the social and cultural impacts of a tourist region. All three groups must achieve a balance to enable sustainable tourism. This idea is shown on the following graphic: 3. Tourist typology and their implementation to tourism models Stanley C. Plog One approach to understand tourist behaviour is to identify different types of people, whereupon they can be categorised into a series of organised psychographic types. In 1973 Stanley C. Plog created a model for the American population showing how personal motivation influences the decision for a vacation destination. He divided tourists into four types: allocentric, near-allocentric, mid-centric, and near-psychocentric/psychocentric. The allocentric type views travelling as an opportunity to discover foreign cultures and prefers exotic destinations. They are self confident and open for new experiences. The near-allocentric type is sporty, seeks challenges and views the journey as a chance to test a new lifestyle. The mid-centric type looks for relaxation and pleasure in a well-known environment. They want to escape from the daily routine and enjoy comfortable accommodation. The near-psychocentric and psychocentric types are focused on themselves and are scared to discover something new. These people tend to look for a safe place to holiday. Their choice of destination will be a place they know and where they are not that far away from their home city (Johnson Thomas, 1992: 19). Plog considered that there are just a few psychocentric or allocentric types because the majority of tourists are mid-centric. However, Plogs model is hard to apply in reality. For example the Dominion Republic has a lot of organised mass tourism and it is possible to organize a journey by yourself as well. Every tourist is an individual, so they cannot be generalized. One trip can have a completely different occasion and characteristic than the other one (Cooper, 2008: 48). Cohens tourist typology Another model which classifies tourists is Cohens tourist typology. He divides tourists into the organised mass tourist, the individual mass tourist, the explorer and the drifter. Cohen explains that organised mass tourists are typically purchasing a ready-made package tour where they have no or just a little contact with the local people and stay most of the time inside a resort. This is similar to Plogs psychocentrics` type. In Cohens theory most of the tourists are individual mass tourists. They are similar to the organised mass tourists, but they have more flexibility and scope for personal choice. They want to have contact to the local people. This category is comparable to Plogs midcentric tourists and most tourists fall into this category. The third tourist type is the explorer, who organises the trip by himself and looks for something special, something away from the typical interests of a mass tourist. However, he is still interested in comfortable accommodations. The last t ype, the drifter, is completely independent, wants to live with local people and wants to take part in the native culture. Cohens last two tourists theories, the explorer and the drifter, which are also the minority in this industry, are similar to Plogs allocentric tourists. (Cooper et al, p.51). 5. Demand for the creation of tourist typologies and their practice on the example of the Dominican Republic The reason why we need these typologies for different tourists is to help and to be able to develop tourism destinations. Expectations and needs from tourists on a perfect holiday can be identified, so the desired service can be supplied. As soon as we know the different motivations for individuals travelling to a particular destination, a specific tourist type is going to be targeted. This means that in example of the Dom. Rep. the organised mass tourists in the majority, which are looking for a safe holiday, we know their behaviour and know how to plan for them. Most of the resorts in Dom.Rep. are designed for this clientele and have been developed very fast during the last 20 years to satisfy the demand from tourists. At the first stage resorts were build for explorer or drifter, and since the creation of package tourism, a lot of individual mass tourists came to this area. With the creation of all-inclusive, there is no need for tourists to leave the hotel. Because of investigati ng the different desire of tourists and define them, it was possible to develop this area (National and regional tourism planning 1994, p.147). 6. Doxeys Index: The socio-cultural impact of tourism The Doxeys Index describes the relationship between visitors and the visited. He developed a five stage model which describes the first step as the upcoming  ´euphoria ´ when a small number of tourists arrive thus stimulating the economy and a large number of new jobs are created. The next steps are apathy and annoyance. At this stage local people get first used to tourists in their familiar surroundings, and afterwards annoyed, because too many people are visiting the destination. Antagonism and acceptance are the last steps in this theory. Native people start to avoid tourists and at the last step they accept them. Acceptance means, that they accept tourists in their usual life and forget how the area was before tourists arrived (Cooper et al, p.47). Top priority should be always building better relationships between residents and visitors, which improves social life for both sides. In Punta Cana, where the proportion of tourists is high to the number of residents, cultural problems occur because of different society expectations (National and regional tourism planning 1994, p.147). While Punta Cana has grown within twenty years, the local community did not have enough time to adjust to the high number of tourists. The three models of Plog, Cohen and Doxey are coextensive whith each other because when the first visitors (drifter) arrive at a destination, local people are euphoric. These tourists (allocentric) are not scared to discover new areas. In the midcentric are the explorer and the individual mass tourists. At this stage the community becomes apathetic and annoyed. The last step is the organized mass tourist who belongs to the psychocentric and native people start to accept them. The relationship between the models is linear (Cooper et al, p.47). 7. Butlers Tourism Area Lifecycle (TALC) The Tourism Area Lifecycle(TALC) is a well-known model Butler created to illustrate the dynamic of a tourist -destination or -product through different stages. The graph describes a characteristic function due to the natural interrelation between the exposure and intensity of tourism. It shows the evolutional process where every tourism product is going through, which can help manager to find a way out in case of a crisis or new developed destinations to establish themselves. Butler first stage is exploration, where small number of visitors arrive in an undeveloped area. These people been identified as Plogs allocentric or Cohens explorer type. After their trip they are responsible for Involvement, because they tell others about place they been to (Ryan 2003, p.269). A following rise of the curve during the development stage is logical, because more tourists can be carried. Butler says that the number of tourists decrease until the carrying capacity is reached, this is the consolidation stage. New development has to happen again to rejuvenate, otherwise it would come to a decline of visitors (Butler 2006). While developing new strategies is important to investigate the existing facts and concentrate on the potentials the destination is already providing. At this point it is necessary to make a decision. To develop this place, to leave the place how it is and increase the price or let it decline. Decline is the next stage of Butlers TALC. This happens if t oo many tourists are arriving at a destination at the same time and the capacity is too low. Visitor are disappointed and the number of tourists will therefore start to fall. An option to avoid decline is Rejuvenation. That means that the area has to be developed for example with new hotels and beaches. 8. The 5As model The 5As model was helpful to rejuvenate the Dominican Republic when it had been reached the stagnation point. A new development of Attractions, Accessibility, Activities, Amenities and Accommodation were necessary to bring facilities up to the level demanded by international tourists. When the carrying capacity was reached, an essential element in the tourism take-off was government investment in the infrastructure of tourism zones. Over $76 million went into the Puerto Plata region between 1974 and 1982. New hotels and transportation networks were built, to get electric power and satisfy water supply. Infrastructure was one of the main important things which had to be developed and when the airport in Punta Cana was built, a lot of new different tourists begun to visit this area. (http://kiskeya-alternative.org/publica/afuller/rd-tourism.html#ecsoc) Today the Dominion Republic is one of the most visited countries and popular for family holidays. This destination fits perfect in Butlers TALC because at first it was an undeveloped place and started to grow, decisions by the policy had to be done for example to rejuvenate the place, to let the area how it is or to let it decline. The Dominican government decided for rejuvenation because of the high potential of this area. With new roads, attractions, airports and hotels the resort development strategy was successful (National and regional tourism planning, 1994, p.147). 9. Multiplier effect In tourism the multiplier effect is used to illustrate how many times money spent by a tourist circulates through a countrys economy. In other words when a new tourist destination is created, the local economy benefits as new jobs are being created and tourist bring additional trade to local businesses. The most common example is when a new hotel is being built it does not only create jobs directly in the hotel, but also indirectly in other sectors of the economy. The hotel has to buy food from local farmers, who then spend some of this money, for example, on domestic expenses. When tourists spend money for local products the demand for those products increases, which also increases secondary employment. However the multiplier effect continues until there is a leakage out of the economy through imports, which is the purchase of goods from other countries. The most common example would be a Third World country, such as Dominican Republic, much of the money spent by tourist end up leaving the countrys economy via foreign-owned airlines, hotels, imported drinks and food, etc. A typical luxurious four star hotel would be more likely to import most of its goods and services; if that means that better quality would be provided which would ensure better customer satisfaction. (http://geographyfieldwork.com/TouristMultiplier.htm 10. Conclusion Models could be helpful to develop a successful tourism destination and understand the different motivations of tourists. When the policy changes the supply for example to develop an area for package tourism, the demand will also change. That means that the supply has to meet the demand side when at the descriptive side the object and services changing. Plogs, Cohens and Doxeys models are descriptive because they just describe a situation but Butlers model is descriptive and prescriptive. TALC explains what is happening in an area and makes diagnose. After this diagnose the problem becomes clear and it is easier to make a decision for solving this problem. It is always necessary to find out how much potential a place has to make substantial development it in the right way. For this fact tourism models are helpful. 11. References Cooper, C, Fletcher, J, Fyall, A, Gilbert, D and Wanhill, S (2008) Tourism Principles and Practice (4thedn), Prentice Hall, Essex Gunn, C.A (2002) Tourism Planning (4th edn), Routledge, London Howie, F. (2003 a,b), Managing the Tourist Destination: A Practical Guide (1st edn), Cengage Learning EMEA Johnson Thomas (1992), Choice and Demand in Tourism, Mansell Publishing Limited National and regional tourism planning (1994) Methodologies and Case Studies (World Tourism Organization) (1st edn), Routledge, London Ryan, C (2003), Recreational Tourism and Impacts (1st edn), Channel View Publications, Clevedon Dominican Republic tourism, Tourism Development in the Dominican Republic: Growth, Costs, Benefits and Choices, avaible from http://kiskeya-alternative.org/publica/afuller/rd-tourism.html#ecsoc (accessed on 11.12.2009)