Wednesday, November 27, 2019
Eli Pritchard Essays (1159 words) - Military, Zhou Dynasty, Sun Tzu
Eli Pritchard Instructor Sylvia Gray History 106 19 January 2016 The Art of War: Fire and spies Throughout the duration of Sun Tzu's The Art of War we are treated to varied advice on how to conduct war intelligently and cautiously, but nothing encompasses these principles quite like fire and spy's. The tactics used with are almost unlike Sun Tzu rapid (of course with some ground rules), and as he himself put it, "Attack supported fire is indefensible"(Huang 109). Sun Tzu's Fire tactics are lessons in how to employ a dangerous weapon like fire, but at the same time like with any of Sun Tzu's tactics with caution. The second and perhaps cumulative of Sun Tzu's lessons is general is Espionage; in fact war through knowledge is key to the majority of Sun Tzu's Principles. While it is true that Sun Tzu gives specific instructions on how to use certain variables (Like Terrain) knowing beforehand what the strengths and weaknesses of the enemy is what gives way to victory. Spies and Fire are two of the Ideas at the very heart of Sun Tzu's tactics, In other words wars fought with inte lligence and caution. Fire The Tactic of Fire is more or less an instruction set on how to use fire in armed conflicts, and a summary of how caution is important in war. Beyond having the proper conditions for fire (dry climate and high winds) Sun Tzu outlines fire's uses and what to set fire to, moreover specific targets like troops, supplies, vehicles and escape routes. Fire is a tactic unlike any in The Art of War as there is no predefined beneficial ruleset to take into battle, only observation that can be made in battle like not getting burned or not fighting down wind. There is a powerful tool to be found within fire, but Sun Tzu reveals in his conclusion to fire the innate relationship between politics and strategic victory. An Effective political strategy can achieve military victory (and vice versa), More importantly that either type of strategy must be rational in nature to be effective. Fire is powerful but altogether risky tool, and power in Sun Tzu's Art of War does not make for a sound politic al or military victory only caution and rationality. Fire in a modern context One of the best modern examples of the concept of fire and its political interplay is the political/military relationship between air strikes and human shields. While the meaning of air strike is really self-explanatory (a missile strike by air) human shields needs definition, in short it is the tactic of putting civilians on important military targets to prevent air strikes. Human shields have been implemented since the Persian Gulf War in 1991(Tucker 541) and as recently as 2006 by both the IDF and HAMAS in the Israeli-Palestinian conflict (Tucker 543). Air Strikes like fire pose a powerful threat to the enemy but when not enacted with caution they are a distinct political and military detriment due to human shields. Likewise human shields are seemingly a modern political counter to air strikes, but overall they pose a distinct political risk to whomever uses them like with Hussein regime in 1990. Saddam Hussein in 1990 moved civilians to key strategic locations in an effort to protect these locations from air strikes (Tucker 542). After the release of several propaganda movies involving the human shields in 1991 Hussein released them due to newfound international pressure (Tucker 542). Like with fire (and human shields) seeking the most powerful political or military strategy leaves the fundamental rationality and caution needed to win wars vacant. Spys "So, as for enlightened lords or distinguished commanders, the reason they can overcome the adversary when action is taken and achieve unparalleled success is prescience"-Espionage, The Art of War Sun Tzu's writing on spies is more or less a summary of how to approach warfare in general, and this approach values knowledge above all other resources. First Sun Tzu Elaborates on the general types of spy's agents, moles, turn coats hidden provocation agents and mobile informants (Huang 113). Then instructions on how to best employ spies in warfare (or the specific type), specifically basic ground rules on what is required of a
Sunday, November 24, 2019
The Protagonist Essays
The Protagonist Essays The Protagonist Essay The Protagonist Essay Have you of all time picked up a book and within proceedingss you couldnââ¬â¢t set it down? Have you felt a deep connexion with a character. yet at the same clip ; non understood why the characters do the things they do? The manner we connect with our favourite characters is no accident. The authorââ¬â¢s resoluteness when authorship is for the reader to link with the supporter of their narratives. I know that The writer of Circumcision Pramoedya ( Prah-MOO-dia ) Ananta Toer exploits his narrator as his supporter because: he is the most cardinal character in the narrative. the writer uses him to arouse the readerââ¬â¢s emotions and feelings. and the storyteller goes through tests and trials. and creates a alteration in his character and transforms him in the narrative. I could easy state that the storyteller was the most cardinal character in the short narrative Circumcision . With the gap of the first sentence. I exhausted my eventides at the local supplication house larning to declaim the Quran. The storyteller starts to talk in the first individual point of position. Although this is non a clear indicant of him being the cardinal character. it does hold the reader wondering. Throughout the narrative the writer keeps reiterating the words my and I . and one time once more that truly puts accent on what the chief character is making and the connexion with the storyteller. As the writer develops the narratorââ¬â¢s character he defines him as a immature Muslim child who seems to be between the ages of eight and thirteen. Most of the undermentioned pages of the narrative are all about how the storyteller is traveling to be circumcised. The writer uses the storyteller to state his narrative and employs the sequences of events in his secret plan. A s the chief character of the narrative. the storyteller is built up through the trade of his writer. The writer uses his storyteller to catch the attending of the audience and bit by bit build commonalty with the reader. When the writer makes his storyteller more cosmopolitan the reader can associate with the writers fictional character. and derive entree to more dear feelings from the reader. The writer knows the character of his storyteller is of import. so he uses his characterââ¬â¢s abilities to prosecute the reader. If the writer can hook his readers. so he genuinely has all their emotions and they will experience the sequence of events as his character does. The supporter harmonizing to Deblanco and Cheuse will have desires or objectives ( 84 ) . and it is these desires and aims in the narrative that engages me as I am reading. In the narrative. the storyteller has to fight with determinations that could impact his whole grownup life and whether or non he is traveling to be. in his eyes. a good Muslim . The writer has me desiring to go on reading the narrative to see if the storyteller will travel through with the Circumcision. He engages me and convey me in to his scene and I feel the narratorââ¬â¢s hurting and rejoice in his jubilations. The storyteller is the authorââ¬â¢s supporter because a supporter largely overcomes hardship and grows from his state of affairs. The storyteller in the narrative is fighting with the pick to be circumcised or non. In the early portion of the narrative. the storyteller says If I havenââ¬â¢t been circumcised was I truly a good Muslim . In order for the supporter of a narrative to turn up. or transform. he must hold motivation and intent. The writer gives the storyteller intent and motive when the immature male child is told of all the fantastic things he will have when he is circumcised. As the storyteller is sitting in the chair. waiting for his bend at the knife. the suspense is constructing inside his caput. He says I was improbably scared. I wanted to be a good Muslim. but that wasnââ¬â¢t plenty to still my panic. Pramoedya ( Prah-MOO-dia ) Ananta Toer ( 98 ) . The writer uses this point in his narrative to construct up his lifting action. At this point in the narrative the storyteller is challenged with hardship and we are waiting to see what the authorsââ¬â¢ declaration will be. As a consequence of the storyteller undergoing the process. he transforms from a immature male child to a immature Muslim adult male. In decision. the supporter of the short narrative Circumcision is the storyteller. He is the most cardinal character in the narrative. He is used to strike commonalty and evoke the readerââ¬â¢s emotions and feelings. and the storyteller grows through tests and trial. I hope that after reading the narrative and this analysis that most readers wil l hold.
Thursday, November 21, 2019
The American government Its Principles Term Paper
The American government Its Principles - Term Paper Example The government of the United States is today still rooted in these five key principles of government. For instance, citizens of California are practicing popular sovereignty through endeavoring to recall Governor Davis (Ross 52). A debate over limited governance has arisen as the federal regime fights for more freedom to probe the personal lives of alleged terrorists (Ross 52). Bills are being proposed on a daily basis in Congress, which the President has veto power to ensure that federalism, checks and balances, as well as the separation of powers are incorporated in every facet of the Unites States government. The government is separated into three branches that are all governed by this principle. The three branches are the Legislative branch, the Executive branch, as well as the Judiciary branch. The American Constitution itself it governed by these principles, which also works in vice versa. This means that the American Constitution and these principles govern each other. This pa per will discuss the major principles of the American government, such as the rule of law and democracy, among others, and provide and analysis of the pros and cons of the issue making use of sources on both sides. Consent of the governed refers to a phrase of the U.S. Declaration of Independence (Lansford 97). Consent of the governed is synonymous with a political concept where the United Statesââ¬â¢ government moral right or legitimacy to apply state power is only legal and acceptable when founded on the society or people over which that political power is executed. The concept of consent, in the United States, was always compared to the divine right of rulers and has always been invoked against the authenticity of colonialism. Thinking in a similar way to that of English philosopher John Locke, consent of the governed dictates a nation be established upon the consent of equal and free citizens is a country of happiness
Wednesday, November 20, 2019
Eassy Essay Example | Topics and Well Written Essays - 1000 words - 1
Eassy - Essay Example No wonder, the writer compared it to todayââ¬â¢s terrorism rather than calling it a war. Since Warfare differs from terrorism in that the violent actions in the former are aimed at the combatants on each side and public generally is made aware that a war has erupted. Terrorist acts target innocent people deliberately. In warfare, innocents are not the primary targets. But this definition of war does not apply to Hiroshima bombing. Berger further proves his point as: ââ¬Å"The two bombs dropped on Japan were terrorist actions. The calculation was terrorist. The discriminacy was terrorist. The small groups of terrorists operating today are, by comparison, humane killers" (273). The writer supports his comment by saying that terrorists also attack unaware common people at the railway station, in the market or people going home after the work. The war and terrorism are the evils and it is first duty of human kind to fight against evils and preserve life. This concept of ââ¬Ëevilââ¬â¢, however, has been abandoned and it remains just an adjective today. The writer also discloses that todayââ¬â¢s terrorists are from small nation who have dispute over large powers while Hiroshima atom bomb attack was made on a nation that had conceded defeat and was ready for negotiations (273). ââ¬Å"While doctor and nurses at hospitals across the city tended to hundreds of damaged people, a disquieting sense grew throughout the day at other triage centers and emergency rooms that there, would, actually be less work: the morgues were going to be busiest.â⬠(418) In the normal life, even a distant thought of a loved oneââ¬â¢s death creates fear and we scold ourselves for such a thing, but seeing the gory dance of death and losing precious lives due to such outrageous and mindless violent act is unbelievable to most of us. A war without principles and terrorism are both extremely cowardly deeds. He continues: ââ¬Å"But the real carnage was concealed for now by the twisted, smoking,
Sunday, November 17, 2019
Terms Modernism and Postmodernism Essay Example | Topics and Well Written Essays - 4250 words
Terms Modernism and Postmodernism - Essay Example The essay "Terms Modernism and Postmodernism" analyzes modernism and postmodernism and focuses on the theory of Post-Colonialism. There is not a single unanimously agreed definition of modernism and different scholars have defined it differently. Despite the absence of any agreed definition of modernism, all of the definitions of modernism talk about the changes in art, literature, business, and even in the daily lives of individuals because of the industrial revolution and formation of the industrial cities. In academic studies, modernism is a philosophical movement or is a particular perspective of looking at the universe and examining the activities of daily life. Modernism is the movement that shakes off all traditional things including religious belief from individualsââ¬â¢ lives and tries to make everything new. The movement encourages experimentation in every field and, therefore, new perspectives emerge. The effect of the modernism is conspicuous in art and literature as w ell. In literature, the writers reject the traditional method of writing smooth narrative fiction and ââ¬Å"stream of consciousnessâ⬠emerges as the replacement of the old narrative. The emergence of ââ¬Å"abstract artâ⬠and ââ¬Å"diversionist paintingsâ⬠is the results of modernism. The philosophical movement of modernism starts in late nineteenth and early twentieth century. It is ââ¬Å"a set of ideasâ⬠. Post-modernism is also a kind of philosophical movement at the development either scientifically or non- scientifically in every walk of life.
Friday, November 15, 2019
Study And Definition Of Total Quality Management Management Essay
Study And Definition Of Total Quality Management Management Essay W. Edwards Deming firstly introduced TQM (Total Quality Management) in 1950s in Japan. It is a modern quality management based on the conventional quality management. Along with the development of science and technology as well as the requirement of management, it has become a strong systematic science. It is a philosophy that involves everyone in an organization with a frequent effort improving quality and achieving customer satisfaction (Boyne and George.2002). Feigenbaum, the famous experts from the United States, gave the definition of TQM in the early 1960s as follows: to be able to make market research, design, manufacturing and after-sales service in the most economical level, and fully meeting customer requirements (Chiaburu and Dan, 2005). Moreover, the quality development, quality maintenance and the quality improvement of various departments in the enterprise constitute an effective integrated system. Specifically, TQM implies main ideas that are, strong customer focus, continuous improvement, and employee authorisation. From the perspective of present and future, the customer has become roles that should never be neglected. Customer-centered management model is gradually being attached great importance by enterprises (Chiaburu and Dan, 2005). TQM focus on customer value and the leading idea is customer satisfaction and recognition is the key to gain market create value for long-term. Therefore, TQM must be taking Customer-centered throughout the enterprise management process, that is in all aspects, from market research to product design, sample, production, inspection, warehousing, sales and after-sales service, it is important to establish the customer priority attitude firmly, not only to produce affordable products, but also good services for customers, and ultimately make customer satisfaction assured. Continuous improvement is a philosophy of never-ending improvement. TQM is a commitment that could never to be satisfied, the quality that can always be improved, There is always a better choice beyond the best. Under the guidance of this concept, enterprises improve the product, service quality and reliability continuously, all of which ensure to access a competitive advantage. As for employee empowerment, TQM enables workers on production line to join in the improvement process and uses the form of teams extensively to identify and solve problems (Grote, 2000). Employees are expected to seek out, identify, and correct quality problems. Besides, some other aspects are also important, such as ongoing employee training in the use of quality tools, design products to meet customer expectations; process management; and extend quality concepts to a companys suppliers. Improvement of TQM cause what kind of improvements of relationship between customers and front line staff? Total quality management means that everyone should be responsible for quality, which not only refers to the quality of the product, but also refers to the quality of services. Meanwhile, the quality of service is not limited to customer service, but also refers to the service for company employees, such as co-ordination among the colleagues, the convergence between departments etc. Nevertheless, everything in the company, should give customers and consumers a good impression (Longnecker and Nykodym, 2000). Therefore, if the concept of TQM is deep into the heart of the staff and implemented effectively, it will guide the staff to give good customer services, so that make customer satisfaction. More importantly, it can improve the relationship between employees and customers. Take the following case as an example: if an employee fails to be motivated by the leader, he may not take active contribution in the meeting to identify problems and to find solutions in the process. What is worse is that he may work passively; his team spirit will be reduced, which will have a negative impact on the whole company. Conversely, if the manager can fully mobilize the enthusiasm of each employee, the departments team spirit will certainly be fully exposed, and the overall objective of the company will be achieved to meet the customers wants, needs and desires. Therefore, it can be effective to strengthen the skills and quality consciousness of workers (Rainey and Pandey, 2000). The following steps are creating appropriately incentive, training the sense of ownership and efficiency in all staffs, and strengthening the sense of Teamwork. All these will make the internal staff work with enthusiasm, thus the target customers will get first-class product and high-standard se rvice quality. How to improve? To improve the TQM, it is necessary to know what customers want, more importantly, understand customers psychology, all of which requires doing market research ahead of time. Then the production of qualified products and quality services should be provided for customers to meet their needs and desires (Janssen and Yperen, 2004). A Significant feature of Total quality management is the preventive, that is to change the after checking to strengthening the idea of advance prevention, and make management results as the management factor. So it is necessary to make clear factors, which affect product quality during the production process. They are Man, Machine, Material, and Method (Rainey and Bozeman, 2000). In the four main factors, the man is the most vital one. Whether the equipment operation, maintenance, or the acceptance and check of materials, and even the compliance and improvement of method, that all depend on workers intelligence and enthusiasm, so they play a most important role during the whole process. Machine (Equipment) management includes the early detection of equipment daily maintenance and appropriate measures and certain standards of maintenance and regular adjustment. Material managements are to enhance the acceptance, improve the storage method, and avoid the damage and the metamorphism of material and so on. As for the method, the best operation method should be standardized, written, and introduced to the workers (Hui and Lam, 2000). All in all, it is necessary to apply the PDCA cycle during the process. That is carrying out all the plans with the quality as the centre basing on full participation. The PDCA cycle is also called Deming Wheel or Continuous Improvement Spiral that is Plan-Do-Check-Action cycle showed in the following graph. In other words, plan is to analyse the situation, identify problems to find out the major factors of the reasons and at last develop an action plan. Do is to carry out the plan. Check is to Check the implementation results of the plan, and A is to sum up the successful experience and develop an appropriate standards, at last ,take the unresolved or emerging issues into the next PDCA cycleà ¼Ãâ Briggs and Charlotte, 2003à ¼Ã¢â¬ °. Specifically, it is appropriate to seek for what the customer wants at first, and then design a product or service that meets or exceeds customer wants, further more, design processes that facilitate doing the job right the first time, and keep track of results at last to extend these concepts to suppliers. Brief description Hyatt is a globally recognized hospitality company with more than fifty-year history. The Hyatt regency sanctuary cove is a five-star resort hotel and this hotel has a traditional Queensland homestead style. It is also in a beautiful position amid lush, tropical gardens. This resort hotel features a colonial design that is an elegant reminder of former times, offering a unique blend of Australian hospitality and sophistication. There are different types of rooms offered in Hyatt regency sanctuary cove hotel. King room, twin room, lagoon view king, lagoon view twin, club king, club twin, Queenslander suit, homestead suit, federation suite and manor suit. There are 14 dedicated meeting rooms, conference and banquet facilities accommodating groups of 10 to 500. Each room has different types of amenities such as balcony, individual heat control, separate sitting area and so on. This hotel provides special offers to government, AAA or CAA members, senior citizens and corporate or group members. There are variety of services and facilities such as 24-hour in-room dining and resort security, shuttle bus service, Camp Hyatt that offers parents free time to enjoy gym and playing golf while their kids are engaging exciting activities, laundry and valet service and 24-hour medical centre. And also wineries and gourmet trails, national park and waterfalls, theme parks surround this hotel and they are easy to reach from the hotel. TQM implementation process Total quality management is applicable to all kinds of businesses. On the other hand, it is more difficult for hospitality industries to implement TQM because products are intangible, services are produced and consumed at the same time and customers values are different (Vrtodusic, 2000). As Hyatt hotel is well known on the tourist market and the guests are recognising it as a good four-star hotel, it is important to have continuous improvement to keep the business healthy. In hotel industries, people participant in rendering particular services cope directly with other people every day and for that reason they are required to be extremely sensitive to exceed the personal needs, wants and desires (Lakhe and Mohanty, 1995). One of the best ways to achieve quality improvement is obtained by focusing on its customers concerns. By surveying its customers and owners in related to safe operating procedures, attitude, degree of communication, service delivery system and performance, the hot el can improve its TQM effectively. Hyatt must identify and choose processes that are to be of interest to the committee and also likely to give reasonable results. Its reservation processes, from the time guests make bookings until they arrive at their room can be an example. In order to improve and identify this process, first, meetings need to be held with the managers of departments who are directly involved in the process. Second, interviews need to be done with its staff, and lastly observation of the processes is needed (Saunders and Graham 1992). Through these steps, measurement points can be identified such as timeliness, integrity, predictability and satisfaction (See Appendix 1). Hyatt hotel also need to provide quality-training programme. Employees, however, need to be trained from upper management to the in-house trainers and facilitators to emphasise the importance of training. For the management training, it needs to cover basic topics such as importance of customer s atisfaction, background, overview and benefit of TQM. More importantly, managers need to understand steps in implementing TQM, principles of team building and employee empowerment. Furthermore, non-supervisory employees need to be informed clearly about Hyatts vision, mission and guiding principles (Witt and Muhlemann, 1994). Empowerment is the most popular concept in modern management and organisation applications, which means giving workers responsibilities for solving customers complains. It makes employees more productive and esteemed (Wilkinson, 1998). In addition, it is important for employees to take a positive action to find out what went wrong. For instance, handling guests complains on the spot rather than asking their manager and fix it later will reduce the cost. There are some possible improvements when quality improvement teams are established. It will provide increased employee value, informed and skilled employees, employee suggestions and participation, and personal development. Feedback is also an important part of TQM. If Hyatt hotel can reduce the time between identifying guests needs and satisfying these needs, it might increase customer retention. Even though it is significant to increase occupancy rate for the hotel, focusing on quality goals will develop quality of service and products and make more profits. Suppliers also need to improve their quality in terms of the time between ordering and delivery. If they do not improve and have willingness to do that, it is not recommended to deal with them. References Briggs, C. L. Joan, S. (2003). How do we know a continuous planning academic program when we see one? Journal of Higher Education. Vol. 16, No. 2: 361-370. Boyne, G. A. and Richard, M. W. (2002). Total quality management and performance: An evaluation of the evidence and lessons for research on public organizations. Public Performance Management Review. Vol. 26, No. 2: 111-123. Chiaburu, D. S. (2005). The effects of instrumentality on the relationship between goal orientation and leader-member exchange. The Journal of Social Psychology. Vol. 25, No.3, 365-369 Grote,. D. (2000). Public Sector Organizations: Todays Innovative Leaders in Performance Management. Public Personnel Management. Vol. 29, No. 1: 1-20. Hendrick, R. (2002). Comprehensive management and budgeting reform in local government: The case of Milwaukee. Public Performance and Management Review. Vol. 23, No.3: 312-37 Hui, C. Lam, S. S. K., Law, K. K. S. (2000). Instrumental values of organizational citizenship behavior for promotion: A field quasi-experiment. Journal of Applied Psychology. Vol. 85, No.11: 822-828. Janssen, O. Van Yperen, N. W. (2004). Employees goal orientations, the quality of leader-member exchange, and the outcomes of job performance and job satisfaction. Academy of Management Journal. Vol. 47, No.7: 368-384. Lakhe, R. R. Mohanty, R. P. (1995). Understanding TQM in service systems. The international journal of Quality Reliability Management. Vol. 12, No. 9: 139-153. Longnecker, C. O. Nykodym, N.. (2000). Public Sector Performance Appraisal Effectiveness: A Case Study. Public Personnel Management. Vol. 25, No.2: 151-164. Rainey, H. G. Barry, B. (2000). Comparing public and private organizations: Empirical research and the power of a priori. Journal of Public Administration Research and Theory. Vol. 10, No.2: 447-69. Rainey, H. G., Pandey, S. and Barry, B. (2000). Research note: Public and private managers perceptions of red tape. Public Administration Review. Vol. 55, No.6: 567-74. Saunders, Ian W. and Graham, Mary Ann (1992). Total quality management in the hospitality industry, Total Quality Management Business Excellence. Vol. 3, No.3: 243-256 Vrtodusic, A. (2000). Standardization and TQM in the hotel industry. Hotel 2000. Faculty of Tourism and Hospitality Management Opatija, Opatija. Pp. 1. Wilkinson, A. (1998). Empowerment: Theory and Practice. Personal Review. Journal of employee management. Vol. 27, No. 1: 40-56. Witt, C. A., Muhlemann, A. P. (1994). The implementation of total quality management in tourism: some guidelines. Journal of Tourism Management. Vol. 15, No. 6: 416-424.
Tuesday, November 12, 2019
Sybil
Video Case Report PSY 281 ââ¬â Abnormal Psychology Guilford Technical Community College For Dr. Stephen Ash Student Name(s): Kallie Roberts, Porsha, and Jarvis Date: 15, April 2013 1. Name of Video: Sybil 2. Assigned Case Character: a. Character Name: Sybil Dorsett b. Played by Actor/Actress: Sally Field 3. DSM-IV-TR Diagnoses: Axis I: Dissociative Identity Disorder (300. 14) Axis II: N/A Axis III:Axis IV (External Stressors): Screeching sounds, like the one from the swing that triggered her flashback, and also any woman with the same hairstyle as her mother like the woman pushing the swing that caused her to flashback and lose her substitute teaching position, Sounds of piano music, the sight of any hook like objects, feeling backed into a corner like when her father told her she didnââ¬â¢t have a problem when she knew something wasnââ¬â¢t right. Any combative behavior toward her causes her to convert into Peggy, her younger extremely fearful self. Also if someone touched her hands she would feel extremely threatened.And the color purple would cause alternate personalities to surface. Axis V ââ¬â Current/Worst GAF: _24_ Highest GAF in previous year: _75_ 4. Diagnostic Documentation for Axis I or II Diagnosis: Dissociative Identity Disorder (300. 14) I. Primary Diagnostic Criteria for Dissociative Identity Disorder A. The presence of two or more distinct identities or personality states (each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self) : Sybil including her regular personality had about thirteen more.Vanessa, Holds Sybil's musical abilities, plays the piano and helps Sybil pursue a romantic relationship with Richard. She's a young girl, possibly 12 years old. Vicky is a 13 year old who speaks French, a very strong, sophisticated and mature personality who knows about and has insight into all the other personalities, though Sybil does not. Peggy is a 9 year old who talks like a little child. She holds Sybil's artistic abilities, and appears while crying hysterically because Sybil's fears. She is confused; like, she doesnââ¬â¢t know that sheââ¬â¢s in New York and instead, thinks she is in the small town that Sybil grew up.Peggy feels the greatest trauma from her mom's abuse, often feeling sad/depressed and unable to find happiness. Her biggest fears include the green kitchen, purple, Christmas, and explosions. Marcia, dresses in funeral attire and constantly has suicidal thoughts and attempts suicide. Itââ¬â¢s presumed she tried to kill Sybil in the Harlem hotel but was stopped by Vicky. She thinks the end of the world is coming, but what she really fears in the end is Sybil. Mary, is Sybil's memory of her grandmother; she speaks, walks and acts like a grandmother, and is anxious to meet Sybil's grandmother.Nancy, kept waiting for the end of the world and was afraid of Armageddon. She's a memory of Sybil's dad's religious fanaticism. Ruthie is one of Sybil's less developed selves, a baby in fact. When Sybil thinks she hears her mom's voice, she is so terrified that she regresses into Ruthie, an alter that parallels Sybil as a helpless, regressive, pre-verbal baby. Clara, Ellen, Margie, Sybil Ann is around 5ââ¬â6 years old and is supposedly very shy. Sybil also had male identities such as Mike who built the shelf in the top of Sybil's closet to hide Vickie's paintings, which she does at night.He and Sid want to know if they can still give a baby to a girl like daddy did even though they are in Sybil's (a female's) body. He's around 9ââ¬â10 years old. Sid who wants to be just like his father, loves football. He's around 7ââ¬â8 years old B. At least two of these identities or personality states recurrently take control of the personââ¬â¢s behavior: Vanessa, Holds Sybil's musical abilities, plays the piano and helps Sybil pursue a romantic relationship with Richard. Vicky has insight into all the other personalitie s, though Sybil does not, once Sybil lost control Vicky would step in and sometimes even attend therapy sessions with Dr.Wilbur. Peggy, who talks like a little child, holds Sybil's artistic abilities, and appears because Sybil's fears. She is confused and doesnââ¬â¢t even know that sheââ¬â¢s in New York. Marcia constantly has suicidal thoughts and attempts. Itââ¬â¢s presumed she tried to kill Sybil in the Harlem hotel but was stopped by Vicky. C. Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness. Sybil told Dr. Wilbur that when she was a little girl she woke up one day and was two years older. When she was admitted to the hospital for cutting her hand she didnââ¬â¢t know she gave Dr.Wilbur to do neurological tests on her. She didnââ¬â¢t even know when she got to the hospital or even how long she had been there, and when she felt smelt the fragrances Dr. Wilbur gave her she regressed into another personal ity, and woke up with another time lapse. D. The disturbance is not due to the direct physiological effects of a substance (e. g. , blackouts or chaotic behavior during Alcohol Intoxication) or a general medical condition (e. g. , complex partial seizures). Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play.Back to Overall Video Case Report Format: 5. Etiology: According to Nevid et al. Abnormal Psychology in a Changing World, 8th ed. (2011, hereafter: à text), Dissociative Personality Disorder (DID) formerly known as multiple personality, is a type of dissociative disorder thatââ¬â¢s characterized by ââ¬Å"changes or disturbances in the functions of self, identity, memory, or consciousness, that make the personality wholeâ⬠(p209), or ââ¬Å"A dissociative disorder in which a person has two or more distinct, or alter, personalitiesâ⬠(p555). It is the emergence of two or more personalities.In dissociative disorders, the m assive use of repression ââ¬Å"resulting in the ââ¬Ësplitting offââ¬â¢ from consciousness of unacceptable impulses and painful memoriesâ⬠(p. 221). Those with DID express the impulses through the development of alternate personalities. In some with dissociative identity disorder their main or ââ¬Å"hostâ⬠personality does not know about the alternates, but the alternates do know about the main personality. Also the alternates sometimes wonââ¬â¢t know what other alternate personality-part has done, or even that they exist.There can be at least two controllers of the of the person, and even the different personalities can have different ages and sexual preferences. The rate of DID is higher in women than men and females also tend to have more ââ¬Å"splitsâ⬠than males, averaging about 15 or more, than do men, who average about 8 alter personalitiesâ⬠(p213). The psychodynamic approach to the causes of DID, according to Nevid et al. , ââ¬Å"Dissociative d isorders include ââ¬Ëmassive repressionââ¬â¢, resulting in the ââ¬Ësplitting offââ¬â¢ from consciousness of unacceptable impulses and painful memoriesâ⬠(p221).They may portray these painful memories and impulses through the development of alternate personalities. From the social-cognitive theory standpoint, the habit of mentally separating yourself from painful memories and unacceptable impulses, by ââ¬Å"splitting offâ⬠, is reinforced negatively by ââ¬Å"relief from anxiety or removal of feelings of guilt or shame. The late social- cognitive theorist Nicholas Spanos, ââ¬Å"believe that dissociative identity disorder is a form of role-playing acquired through observational learning and reinforcementâ⬠(p222).They are so engulfed in the so called role-playing that they forget theyââ¬â¢re enacting a role. From a biological perspective, research is still in its early stages to determine whether brain function has anything to do with Dissociative identity disorder. But recent studies have shown ââ¬Å"structural differences in brain areas involved in memory and emotion between patients with dissociative identity disorder and healthy controlsâ⬠(p222). But the relevance of the differences havenââ¬â¢t been determined as of yet.Despite the massive amounts of evidence involving traumatic severe sexual and physical abuse during childhood in DID cases, those who experience severe trauma rarely develop dissociative identity disorder. In relation to the diathesis-stress model, ââ¬Å"certain personality traits, such as proneness to fantasize, high ability to be hypnotized, and openness to altered states of consciousness, may predispose individuals to develop dissociative experiences in the face of traumatic abuseâ⬠(p222).Not particularly that those with these types of personality traits will absolutely develop dissociative experiences, but can help trigger a dissociative phenomena when paired with a traumatic event, just as a de fense mechanism. ââ¬Å"The most widely held view of dissociative identity disorder is that it represents a means of coping with and surviving severe, repetitive childhood abuse, generally beginning before the age of 5â⬠(Burton ; Lane, 2001; Foote, 2005). They will split into an alter personalities as a mental defense to unbearable abuse.When abuse of such severity and persistence continues, the alters become stabilized and hard for the child to maintain a unified personality. ââ¬Å"The great majority of people with Dissociative identity disorder report being physically or sexually abused as childrenâ⬠( lewis et al. , 1997; Scroppo et al. , 1998). In some tests 75-90% of all subjects tested were abused sexually or physically. Also according to figure 7. 1 on p224 in the Abnormal Psychology in A Changing World, social reinforcement can also lead to stabilization or even the creation of new personalities. Enactment of alter personalities is strengthened by positive reinforc ement in the form of attention from therapistsâ⬠(p224). According to R. P. Kluft, Temple University, ââ¬Å"in the 1990s there were highly polarized debates about whether multiple personality was iatrogenic, instigated and sustained by clinicians' interest in motivating patients to demonstrate the condition's phenomena, and whether the abuses alleged by patients, often recalled after years of apparent amnesia, were false, suggested by leading questions or subtle expressions of interest.It still is unclear whether multiple personality can be created by iatrogenic factors aloneâ⬠(Kluft). 6. Treatment: The most common form of therapy in treating those with Dissociative identity disorder are psychodynamic paired with eclectic therapies, with psychodynamic being the base of therapy to get to the true root of the problems, with efforts to unify the several different personalities into one cohesive unified personality. ââ¬Å"However, integration of personalities is not always po ssible.In these situations, the goal is to achieve a harmonious interaction among the personalities that allows more normal functioningâ⬠(Gluck). Drug therapy can be used to subdue the coexisting issues like depression or anxiety, but doesnââ¬â¢t affect the DID. Psychotherapy is the primary treatment for dissociative disorders. This form of therapy, also known as talk therapy, counseling or psychosocial therapy, which involves talking about your disorder and related issues with a psychodynamic therapists.Psychotherapy for dissociative disorders often involves techniques, such as hypnosis, that help you remember and work through the trauma that triggered your dissociative symptoms. The course of the psychotherapy may be long and painful, but this treatment approach is very effective in treating dissociative disorders. According to the Mayo Clinic another form of therapy is creative art therapy. This type of therapy uses the creative process to help people who might have diffi culty expressing their thoughts and feelings. Creative arts can increase elf-awareness, help cope with symptoms and traumatic experiences, and also produce positive changes. Creative art therapy includes art, dance and movement, drama, music and poetry. Cognitive therapy is a type of talk therapy that helps you identify unhealthy, negative behaviors and beliefs then replaces them with healthy, positive ones. It's based on the idea that your own thoughts, not other people or situations, determine how you behave. Even if an unwanted situation has not changed, they can change the way they think and behave in a positive more unified way.There arenââ¬â¢t medications that specifically treat dissociative disorders; a psychiatrist can prescribe SSRIââ¬â¢s, anti-anxiety medications or tranquilizers to help control the mental health symptoms associated with dissociative disorders. ââ¬Å"A case study is presented illustrating how traditional long-term therapy can be defined in renewable short-term stages. At various therapeutic intervals therapy may be discontinued or deferred based on the client's definition of personal wellness. Such a conceptualization can facilitate client health while demonstrating accountability for the use of ongoing psychotherapy servicesâ⬠(Applegate).The most common approach to thinking/feeling about the process of recovery from trauma or abuse is to conceptualize it as working through a series of stages. Herman summaries several such models in a table. In the three-stage model of modern trauma therapy outlined by Herman, a phase of safety, in which the patient receives sanctuary and support and is strengthened, is followed by a phase of remembrance and mourning, in which the mind's representation of its traumatic experiences is explored, processed, and mastered and in which the losses and consequences associated with traumatization are grieved.The mind is reintegrated, and roles and functions are resumed in a phase of reconnection. In the nine-stage treatment of multiple personality (Kluft, 1999a and Kluft, 1999b) with multiple personality (1) the psychotherapy is established and (2) preliminary interventions are made to establish safety, develop a therapeutic alliance that includes the alters, and enhance the patient's coping capacities. Then follows (3) history gathering and mapping to learn more about the alters, their concerns, and how the system of alters functions.Then is it possible to begin (4) the metabolism of trauma within and across the alters. As the alters share more, work through more, communicate more effectively with one another, and achieve more mutual awareness, identification, and empathy, their conflicts are reduced, as is contemporary amnesia. They increasingly cooperate and experience some reduction of their differences and senses of separateness. This is called (5) moving toward integration/resolution. More solidified stances toward one's self and the world are reached in (6) integrati on/resolution.Smooth and functional collaboration among the alters, usually including the blending of several personalities, is called a resolution. Blending all alters into a subjective sense of smooth unity is an integration. Then the patient focuses on (7) learning new coping skills, working out alternatives to dissociative functioning, and resolving other previously unaddressed concerns. Issues continue to be processed, and mastery without resort to dysfunctional dissociation is pursued in (8) solidification of gains and working through.Finally, treatment tapers, and the patient is seen at increasingly infrequent intervals in a stage of (9) follow-up. Treatment may be challenging to patient and therapist alike. Work with traumatic material can be upsetting and destabilizing. Worse than that is the pain of tying into what patients learn to their own perceptions of their relationships, with significant others who may appear to have been guilty of mistreatment that wasnââ¬â¢t re membered before.. Patients should be informed about the possibility that material that emerges and may be useful for treatment may not prove to be accurate. Processing traumatic memories has been controversial because the accuracy of initially unavailable memories has been challengedâ⬠(Kluft), and the affects experienced with this process can cause upset and trigger self-destructive actions. Sometimes decompensating occurs or an inability to maintain defense mechanisms in response to stress, resulting in personality disturbance or a psychological imbalance. Some multiple personalities canââ¬â¢t handle this kind of work. But so far ââ¬Å"reported successful recoveries to the point of integration have involved processing traumatic memoriesâ⬠(Kluft).Studies also have demonstrated that many recovered memories of DID patients have been confirmed, and some have not even been proven accurate. Opinion imply that deliberate processing of traumatic memories should not be perform ed unless patients have demonstrated the proper strength and stability for the work. All others should be treated supportively, addressing traumatic memories only when they are intrusive, are disruptive, and canââ¬â¢t be put aside. Patients sometimes have periods of anting say everything said in therapy was a joke as Sybil did when confronted more about the green room, trying to banish painful memories of trauma, betrayal, and loss associated with important people in their lives to maintain relationships and a sense of safety within those valued relationships. ââ¬Å"Tact, containment, and circumspection are required from therapist and patient alikeâ⬠(Kluft). The patient should be protected from becoming overwhelmed by and lost in the traumatic situation, and treatment should be paced to protect the patient's safety and stability. There should be no forcing or rushing. The alter system is designed to facilitate escape from pain and difficulty or, failing that, to reframe or disguise it. Alters often reenact scenarios that (in their perceptions) are tried and true methods of keeping pain at bay, even if they disrupt the patient's treatment, life, and relationshipsâ⬠(Kluft). Sybil displayed this when she was confronted by her father and another time when she was in therapy. In therapy, working directly with alters often may make them more prominent, but the more theyââ¬â¢re worked, empathized, and helped to communicate with other alters, their separateness is worn down, making the personality more cohesive.The therapist should treat all of the personalities with respect, and also appreciate the immediacy, and defensive aspects of their separateness, and that they all express parts of a single personality, whose personality structure is to have multiple personalities. ââ¬Å"Interventions to contain alters' dysfunctional behaviors, aggressiveness toward other personalities, self-destructiveness, and irresponsible autonomy (e. g. , failing to care for children, who may be seen as belonging to another personality) may prove necessaryâ⬠(Kluft).The therapist may call on personalities to work on their particular issues in the treatment and to facilitate their cooperation with the treatment and one another. Treatment must respect the entirety of the patient's concerns. Certain DIDââ¬â¢s treatment may be put off repeatedly to address other rising concerns and other mental health issues. For example, a woman with dissociative identity disorder whose child develops cancer is not in a position to pursue trauma work. 7. Personal Application: N/A 8. References: * Nevid, J. S. , Rathus, S. A. & Greene, B. (2011). Abnormal psychology in a changing world. (8th ed ed. ). Upper Saddle River: Prentice Hall. * Gluck, Samantha; Treatment of Dissociative Identity Disorder, 2008; Hhttp://www. healthyplace. com/abuse/dissociative-identity-disorder/treatment-of-dissociative-identity-disorder-did/ealthy Place, Americas Mental health Channel, web, 01/2013; 13, April 2013. * Treatment and Drugs, The Mayo Clinic; http://www. mayoclinic. com/health/dissociative-disorders/DS00574/DSECTION=treatments-and-drugs; 3, March 2011;web, 13 April 2013 * Judith L.Herman, Trauma and Recovery, BasicBooks, 1991, p 156 * Applegate, Maureen; Multiphasic Short-term Therapy for Dissociative Identity Disorder; Journal of the American Psychiatric Nurses Association February 1997 vol. 3 no. 1 1-9 * Kluft, R. P. , Encyclopedia of Stress(2nd Edition),2007,p783-790; * Kluft, R. P. ,Current issues in dissociative identity disorder;Journal of Practical Psychiatry and Behavioral Health, 5 (1999), pp. 3ââ¬â19 Sybilââ¬â¢s ââ¬Å"Friendsâ⬠* Peggy- an aggressive nine-year old * Vicky- a sophisticated young lady * Mary- grandmother * Mike- * Sid- * Martha-
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