Be Fruitful and Multiply

â€Å"Be fruitful and multiply. † This is a line we commonly hear at Mass, but what does it really mean? If we read the bible, we can find this line in Genesis, at that moment after God has created heaven and earth, plants and animals, and Adam and Eve. This sentence is redundant and simple, yet it holds a deep meaning.â€Å"Be fruitful and multiply†Ã¢â‚¬â€this is God’s way of telling us to reproduce, to have children who represent God as we represent Him as we are created after His likeness. In the bible, however, there are certain instances that somehow contradict this line’s purpose.Two examples are the tower of Babel and the pharaoh’s order to gather and eliminate all Hebrew male babies. The tower of Babel was constructed after the Great Flood. Noah’s descendants have already multiplied—they have formed a very large family that uses the same language.They have built the tower to raise themselves to the heavens and seek glory highe r than God’s. At such insolence, God punished them by scattering them throughout the world and confusing their language. Thereafter, God’s people continue to multiply and be fruitful. However, they started to bear fruits of different natures, different colors, and different tongues.The pharaoh, at the time of Moses’ birth, ordered for all male Hebrew babies to be killed and cast to the sea for fear that, as their population continued to thrive, the Egyptians will be overthrown. This act contradicted God’s command of being fruitful and multiplying. However, though this had been the case, God’s words still found its way to being made possible.The Hebrews, led by the grown-up Moses, were able to break free from the Egyptians’ oppression. They were able to reach the Promised Land that overflows with milk and honey, and since that time, they were again able to be fruitful and multiply.

Personal Navigation Devices

Why have Personal Navigation Devices become popular? Personal navigation devices have become so popular because some people get tired of getting lost while driving, are not proficient at reading road maps, don’t always have a navigating passenger in their car that can tell them when they have to turn, and don’t have access to a plethora of needed maps in their car. Personal navigation devices are an answer to these problems. What technologies are required to facilitate the success of PNDs? The Global Positioning System, which consists of 24 satellites orbiting the Earth, is what personal navigation devices work off of.All these satellites have atomic clocks incorporated within them to ensure accurate time keeping. Each satellite constantly sends the time and their location. The personal navigation device has a receiver that decodes the signals, a processor that uses a trilateration algorithm to calculate the location, internally stored maps that the location is compared to and a display screen for the user to see. Who are some of the leaders in PNDs? What are the likely factors that will contribute to winning in this marketplace? Some of the most popular leaders in PND are Garmin, Magellan, TomTom, and Motorola.The biggest factor that will contribute to winning the marketplace is the extra features and accessories it can offer. Some of these are music player, real-time weather and traffic data, real time lowest gas price locator, and driving feedback based on acceleration, braking and speeds. The biggest competitor to the above companies is the smartphone. Some of the above companies have tried to create them with limited success. The advantage to smartphones is that the more things something does, the desirable it is. What will be a likely future for PNDs?In order for PNDs to compete with smartphones, they’re going to need to incorporate the features that users like from smartphones. The biggest advantages PNDs have over smartphones is tha t when you commit the smartphone to navigation, you’re taking away your entertainment and communication abilities. You can’t navigate with a smartphone and talk to someone on it at the same time. One of the features a smartphone’s navigation has that PNDs don’t is a voice recognition system where all you have to say is â€Å"go to 123 Fake Street†.A GPS’s touch screen is good but will be problematic while driving when you need to pay attention to the road. A feature that some alarm clocks have is the ability to project the time image onto the ceiling. One thing a GPS feature could have is dedicating a section of the windshield to shine navigation information onto it. This information can be seen through it as long as the driver doesn’t focus on it. In some States like Minnesota, it’s illegal to mount a GPS on the windshield so drivers have to continuously look down. Personal Navigation Devices Why have Personal Navigation Devices become popular? Personal navigation devices have become so popular because some people get tired of getting lost while driving, are not proficient at reading road maps, don’t always have a navigating passenger in their car that can tell them when they have to turn, and don’t have access to a plethora of needed maps in their car. Personal navigation devices are an answer to these problems. What technologies are required to facilitate the success of PNDs? The Global Positioning System, which consists of 24 satellites orbiting the Earth, is what personal navigation devices work off of.All these satellites have atomic clocks incorporated within them to ensure accurate time keeping. Each satellite constantly sends the time and their location. The personal navigation device has a receiver that decodes the signals, a processor that uses a trilateration algorithm to calculate the location, internally stored maps that the location is compared to and a display screen for the user to see. Who are some of the leaders in PNDs? What are the likely factors that will contribute to winning in this marketplace? Some of the most popular leaders in PND are Garmin, Magellan, TomTom, and Motorola.The biggest factor that will contribute to winning the marketplace is the extra features and accessories it can offer. Some of these are music player, real-time weather and traffic data, real time lowest gas price locator, and driving feedback based on acceleration, braking and speeds. The biggest competitor to the above companies is the smartphone. Some of the above companies have tried to create them with limited success. The advantage to smartphones is that the more things something does, the desirable it is. What will be a likely future for PNDs?In order for PNDs to compete with smartphones, they’re going to need to incorporate the features that users like from smartphones. The biggest advantages PNDs have over smartphones is tha t when you commit the smartphone to navigation, you’re taking away your entertainment and communication abilities. You can’t navigate with a smartphone and talk to someone on it at the same time. One of the features a smartphone’s navigation has that PNDs don’t is a voice recognition system where all you have to say is â€Å"go to 123 Fake Street†.A GPS’s touch screen is good but will be problematic while driving when you need to pay attention to the road. A feature that some alarm clocks have is the ability to project the time image onto the ceiling. One thing a GPS feature could have is dedicating a section of the windshield to shine navigation information onto it. This information can be seen through it as long as the driver doesn’t focus on it. In some States like Minnesota, it’s illegal to mount a GPS on the windshield so drivers have to continuously look down.

Phl wk

Rice was initially suspended or three games as a result of his actions. It was not until the situation became public that the NFG decided to take further aggressive action against Rice. This situation could have been handled much differently had the NFG thought out the potential impact Rice's actions would have on the NFG its fans, and domestic violence camps. It's important to think critically in these types of situations because it shows that action is being taken not only because complaints are made, but because it is truly unacceptable and will not be tolerated.Otherwise, you will find yourself justifying the actions of the fender as well as your organization. Define free will, truth, knowledge, and opinion. Explain how we use them to form thoughts. What role does each play in critically assessing situations? Free will can be defined as the â€Å"capacity to respond in ways that oppose even the strongest influences† (Ruggeri, 2009). Free will determines what someone really wants without consequence rather then what they are forced to do.Truth is anything that can be proven, it is â€Å"the reality of the matter, as distinguished from what people wish so, believe to be so, or assert to be so† (Ruggeri, 2009). Truth is not opinion but ether facts that are waiting to be discovered. Facts may change, but the truth will always be just that, the truth. Knowledge is taught and is always evolving. Knowledge is what we are familiar with; â€Å"we can obtain authentic knowledge in any one of three ways: personal experience, observation, and report from others† (Ruggeri,2009) .Unknowing helps with understanding the topic in question and drawing educated conclusions when all the facts are not present. Opinions are subjective and â€Å"are intensely personal† (Ruggeri 2009). Opinions can be of taste or judgment but either way does not require explanation or defending. Identify three hindrances to the critical thinking process. Determine metho ds for overcoming these hindrances. Identify a time in which you experienced a hindrance in critical thinking. Describe a method you could use to overcome the hindrances.Three hindrances in the critical thinking process are the mine-is-better habit, stereotyping, and resistance to change. â€Å"The mine-is-better habit hinders our thinking. It destroys objectivity and prompts us to prefer self-flattering errors to unpleasant realities. If you wish to be a good thinker, you must learn to intro this habit and keep your ego from interfering with your search for truth† (Ruggeri 2009). Having an open-minded during the thinking process can help with the mind-is-better habit.Being open-minded removes any false notions that your way is better and allows for an accurate assessment of the current situation. â€Å"Resistance to change is the tendency to reject new ideas and new ways of seeing or doing without examining them fairly† (Ruggeri 2009). In order to overcome this hindra nce we must be willing to let go of the pass and give change a fair change before writing it off. Stereotyping is another hindrance to the critical thinking process. It is a generalization of any group or class of people. â€Å"The most common stereotypes are racial, religious, and ethnic.There is the stereotype of the black, the fundamentalist Christian, the Italian. But there are many other types as well, no less firm for being less common-?for example, stereotypes of homosexuals, the clergy, college dropouts, feminists, male chauvinists, New York City, singles' bars, motherhood-?even God† (Ruggeri 2009). The best way to over-come a stereotype is to conduct research and base your thinking from what is learned through first-hand research. I experienced a hindrance in my thinking process when trying to decide whether I should enroll back into school. As too focused on the change that going back to school would have on my daily routine. Once I stop focusing on the change and p ay more attention to the pros, I successfully moved forward with my though process. Identify a message in advertising. Describe how you perceive the message of the advertisement. Try to determine the reality of the advertisement. Distinguish between your perception and the reality of the message. Samsung recently released a commercial advertising their new Galaxy Note 4 as the next big hint.

Operative Management Term Paper Example | Topics and Well Written Essays - 1000 words

Operative Management - Term Paper Example Rigsby and Guy Greco, 2003) Sam Walton, the founder of Wal- Mart had a clear vision to establish Wal- Mart as the best retail store in the industry. The mission of Wal Mart was simple, easy to explain to those responsible for its achievement, and straightforward that left nothing to the imagination. The goal of the Sam was not the biggest retailer but the best retailer in the industry. Wal- Mart was equipped with certain basic values to attain its straightforward mission. These values are the ability to merchandise, creating innovative retailing ideas, best store operations, cost control, technologies, customer services, distribution, and establishing a culture as a retailer. The reason for such a phenomenal success as the best retailer in the word is to pursue the business with these pre-established values. Wal- Mart translated these values into its retail practices and achieved the best results. Wal- Mart executed its strategies by developing the skill of managers in areas of communication, motivating junior staff, team development through training, establishing standards for customer service, and fixing responsibility and accountability. Wal- Mart used one of the basic theories of management called ‘theory of motivation’. Theory of motivation seeks to persuade efforts from management to encourage employees. Sam Walton, the founder of Wal- Mart, used to visit his stores and meet employees at different levels of activities. He used to carry a tape recorder and treated it as his ‘tool of empowerment’. He used to tape his conversations with employees and later listened to those recordings for devising means to create motivation among his workforce. He was first in the industry to call his work as his ‘associate’. Addressing an employee as an ‘associate’ of the management is enough to instill in employees a sense of responsibility at par with ownership.

Leadership Management Assignment Example | Topics and Well Written Essays - 1000 words

Leadership Management - Assignment Example One time I managed to collect the most medical bills for the company that was, in fact, a record. No one had exceeded receiving over $10,000 in a month for the company. I broke the barrier and collected over $12,000 of medical bills (bad debts). It was my supervisor who recognized and rewarded me for my effort. I used to report directly to this person. Any discrepancy or a problem in the workflow was reported directly to him. I did not receive any extra monetary recognition for my efforts. My direct supervisor was usually a reticent person. He never verbally praised anyone before. When he praised me, it made it unique to me and for my peers. On the day when we got our reports he walked into the room. All the employees were sitting at their workstations busy with work. Suddenly he announced my name and asked me to stand up. Then he read the report of my performance. With a smile, he announced my collections for the month. All the other employees started cheering and clapping. I have chosen to cite this experience here because it was unique and therefore memorable. In our medical bill collection company, such recognition or reward system was unknown before. Employees would just work get their paychecks and go back to their homes. But this was the first time when they realized that they were adding value to the company. We felt like we were an essential part of the organization. My efforts also made my supe rvisor happy because our department received additional funds for better performance than the other departments. When I received the recognition, it made me feel proud of myself. Ironically, the things that do not cost money are usually the most effective (Nelson, page I). I started believing in myself. Before this occurrence, I never considered myself worthy of such a competition. There were more experienced professionals and peers working in the same department. I was of the mind that I could never beat them at their game. But I did not only beat them

MASTERPECIS Essay Example | Topics and Well Written Essays - 1000 words

MASTERPECIS - Essay Example He is talking about the loneliness he felt in the month of November accompanied by the misty lonely woods .The poet explains the beauty of the hills and experience of the trembling lake which exaggerated his loneliness. In this poem the poet is trying to connect with the objects of the magnificent nature to overcome his undying solitude. He takes the company of the nature and tries to reflect his solitude and despair with it. He finds the solitary element in all the objects of nature which is the situation of the heart of the poet. He resembles the sound of the village clock to that of a galloping horse which is full of energy. He his explaining the motion of the earth which we know is just like the moving fields shown in a passing train. He is trying hard to forma communion with nature and gets lightened by the extreme beauty and moves of nature. Comparison of William Wordsworth’s ideas with William Blake William Wordsworth and William Blake were great romantic poets of 17th century and described their feeling through the beauty of nature. Both of them had an undying love and passion for the nature and believed in the divinity existed in the universe. There can also be seen certain other comparisons between Wordsworth and Blake in how they admired the grace and benevolence of divine nature. Apparently, both these poets believed greatly in the imaginative power of the human being and praised the primitive instinct of a man. Both Wordsworth and Blake saw the characteristics of god in his vast creations and urged for the communion with the divine power. These poets are greatly influenced by the overpowering beauty and grace of the nature and strived to merge with nature to find God. According to Cutajar(2011)â€Å"In his poems such as The Prelude and Tintern Abbey, Nature is personified with Godlike characteristics and it becomes the object of love and worship. Wordsworth believed that this â€Å"natural piety† has given his life consistency and co herence†. This shows that how much Wordsworth was influenced by the nature and god Similar to Wordsworth, Blake also believe in harmony, serenity and divinity in the nature and wants to get back to the primitive nature of man.Applebaum(1996)writes that, â€Å"Serene will be our days and bright, And happy will our nature be, When love is an unerring light, And joy its own security†These lines of Blake depict the love and passion he had for nature and god same like Wordsworth. William Blake found the innocence in the nature which was real and authentic, and Wordsworth also idealized the uncorrupted glory of nature. It can be noticed that the both poets gave much emphasis on God and nature and their theme was exclusively God and universe. They both had the extreme awareness of god and divinity inside them and experienced this through the exalting beauty of nature. They instantly felt the mysterious beauty of nature which can never be altered or created by human at any cost . They were impressed by nature and is stunned by the divine play of God and craved to be a part o f him. Both these poet listen to the inner voice of their heart and connect themselves with the explicit charm of nature and God. Contrast in William Wordsworth’s ideas with William Blake Both William Wordsworth and William Blake were great poets of their time in England and Scenic beauty of the country was their inspiration. However,

Hinduism Essay Example | Topics and Well Written Essays - 750 words - 8

Hinduism - Essay Example Although I have always been interested in this subject but never had the time to learn more about it from books. This visit gave me a short course on the history of Hinduism. My expectations were met, and I had a fun learning time. I want to find out more through this interactive way about every topic. I took notes while I was there. They will surely help me in my studies. The hierarchical structure of Hindu Gods surprised me. I was aware that there are many Gods in Hinduism, but ranks and power structures came to me as a surprise. In addition, I was also interested in the use of colors in pictures and statues of Hindu Gods. For instance, blue color is extensively used. Hindus paint their idols (statues) blue or make their paintings and images. Their Gods also transform into other creatures or appear in some other manner than the regular ones. For instance, the Eugene Fuller Memorial Collection has a painting by Catherine Roche (see figure 1) where Vishnu, is painted blue, in the form of a boar and holding Lakshmi on his tusks. The sounds of temple bells and chanting of religious heads were the most prominent sounds. The mood of the gathering was very serious. Some people seemed to be meditating while some were whispering prayers. It was clearly visible how much they believed that their Gods were listening to their prayers. It was evident to see that their religion meant so much to them. They seemed to find comfort in their chanting. My personal reaction to Hindu practices and rituals is very objective. Religions, belief systems, self-esteem, and opinions are very sensitive subjects. They hold very high values for their followers. I observed Hindu practices and paintings as if I am discovering a new culture. Their philosophy of life and their Gods stand different from the Greek mythology. For instance, Hindus worship many idols. There are Gods with different powers and appearances but in the end they are all part

Report on HR Essay Example | Topics and Well Written Essays - 2000 words

Report on HR - Essay Example Effective human resource management would encourage team playing and would enhance collective performance in the organisation along with accentuating the individual performances. In case of performance management, a sound human resources policy would allow individuals to grow along with the growth of the organisation. This would entail involvement of the people in the work that they are assigned and autonomy in the context of the work done. There are several aspects of human resources which have a positive impact on the employees and help them to perform better in the organisation. The HRM can assign challenging and mentally stimulating jobs to the employees so that the employees find diversity and interest in the work that they do. The human resources managers often take several indicators which show that the organisational performance is increasing. Thus they try to make improvement in these indicators to bring an improvement in the overall organisational performance. In case of Wa l-Mart for example, the performance of each of the retail outlets is estimated by the HR department of Wal-Mart by analysing the length of the queues in the billing counters, the level of stocks that lie on the shelves and the stocks that are remaining at the end of the day. These are the key indicators that provide the HR department an idea about the areas where the performance can be improved to generate greater profits. (Harter, Schmitdt and Hayes, 2002, pp. 268-279). The managers in Wal-Mart act as the immediate superiors of the lowest level and junior level employees. Therefore it is important for the managers to encourage the employees to perform better in the daily activities of the retail store. The employees on the other hand should have respect for the managers and should be motivated by them for the achievement of any target that they need to meet. The human resource policies of Wal-Mart are progressive in nature in the sense that the implementation of the HR policies sho uld be done with efficiency and the goals that the line managers set for the employees have to be in accordance with the organisational policies. Thus it is essential for the managers to have leadership skills which would drive a positive energy in the entire organisation culture. Mutual respect should flow bilaterally for the line managers and the junior employees. The relations of the employees with the organisation and its various elements are some of the major benchmarks of the organisational effectiveness. The Human Resource Departments of the organisations generally engage the employee into participation programmes

Implementation of Magnet Environment in RMH Essay

Implementation of Magnet Environment in RMH - Essay Example There have been frequent changes in management due to poor working conditions and a high turnover of nurses. This has led to discontinuities in the style of management which changes as often as the managers do. Each new manager comes with a new style to which the supporting personnel have to adjust. This has impacted negatively on staff morale and has resulted in a high attrition rate. The result is a high patient to nurse ratio and therefore increased responsibilities for nurses. This has affected the quality of care given to patients and has led to high rates of mortality. Keenan and Kennedy (2003) indicate that the health outcome is much better when the patient to nurse ratio is low. This finding supports studies done by others including Aiken et al (2002) which indicates that patient outcomes are linked to nurse patient ratio and the number of registered nurses. The chain of command represents the structure of the organization. The lines of authority and responsibility are determ ined by the chain of command. It also determines the flow of communication and therefore the flow of information throughout the organization. A clear chain of command is important for efficient and effective management of any operation and the same applies to the operations of RMH hospital. The appropriate channels for vertical communication in RMH are affected and so problems and complaints are not dealt with because the nurses do not know who to report to. It therefore means that patients are not dealt with in the appropriate manner and so the problems keep piling up with no resolution in sight. There is no organized method of communication at RMH and so policies and directives cannot be enforced because there is no one to perform that role. Decisions are being made by persons who do not have direct contact with patients and therefore do not know what the real problems are. There is no proper supervision because there is not enough staff to go around in order for the job of patien t care to run smoothly. This has helped to increase the stress levels of nurses who have to deal with problems by themselves. There is inadequate information flow at RMH because of problems relating to the chain of command. Management is continually changing and new management normally takes some time to learn about the organization. It therefore means that problems cannot be dealt with as they should because the nurses on the ground have more than they can handle. Political/Economic Elements The role of nurse administration is fundamental to the operations of RMH. All departments depend on administrative and other support functions to provide records, supplies and carry out regular housekeeping services. Even though the nurses role appears to be and is really very critical the support and cooperation of the other departments is fundamental. The absence of interdisciplinary relationships in RMH is the root cause of some of the problems that currently exist. Critical care procedures are difficult to carry out because of this problem. This has affected both the structure and expertise of RMH ICU. This problem is coupled with the fact that RMH is the largest tertiary care military hospital in Saudi Arabia and is therefore always under pressure to admit patients who are critically ill. However, patients who are

Images of Womans Sexuality in Advertisements Essay Example for Free

Images of Womans Sexuality in Advertisements Essay Considering the time an average American spends in front of the TV screen, it is obvious that the things he/she sees there influence greatly his/her perception of the world around. The stereotypes media offers us make a great impact of our perception of people. Thus, its no wonder that the images of womens sexuality in advertisements partly form our gender stereotypes. For to get more information on this issue, I analyzed an article by Christina N. Baker, published in the Sex Roles: A Journal of Research in January 2005. The name of the article is Images of womens sexuality in advertisements: a content analysis of Black- and White-oriented womens and mens magazines. This article analyzes the stereotypes of womens sexuality given in advertisements, the differences of those stereotypes for the White and Black woman. It gives the peculiarities of images created for the representatives of different races, and analyzes the origins and the influence of stereotypes that appear due to the TV and magazine commercials. It has always seemed to me that people in our society share some distorted view of woman and their sexuality. They express the concepts about it that are sometimes totally ridiculous (like that a woman should not express her sexual desires, as it is socially disapproved). Those concepts are very widespread nowadays, and I have been interested for a long time already why people trust those stereotypes, why lots man judge the woman that surround them on the strength of those concepts. Later I understood that the media also have the considerable role on forming the gender stereotypes. Thus I felt I wanted to know more about the specific features of these stereotypes, and, about the mechanism of their functioning. The author developed three hypotheses about the portrayal of woman in media. The first was that sexual women will be portrayed with characteristics such as submissiveness and dependency in both womens and mens mainstream/White-oriented magazines. According to the review of literature the author made, we live in a patriarchal society, where man a considered to be superior to women, thus they put the criteria of sexuality for woman. For man †¦sexual attractiveness in women is associated with physical beauty. A sign of status for a man is to have a physically attractive woman by his side. The more physically attractive a woman is, the more prestige she will bring to her male partner/spouse. The woman portrayed in commercials, and on the pages of the magazines is bound to be submissive, as it is one of the demands of patriarchal society. The author also notes that some of the scientific findings hypothesize that the continuous showing in the media of women as submissive sex objects whose main goal is to satisfy mans desires, reinforces the gender hierarchy existing in the contemporary society. The second hypothesis is that sexual Black women are more likely than sexual White women to be portrayed as dominant and independent. The author noted that despite of the fact that all of the women are more likely to be portrayed as the sexual objects, White woman are seen as the etalon of beauty, thus they are portrayed as the sex objects more frequently than the Black women are. It is also the fact that Black women have always been depicted as dominant towards Black man. It is historically that Black man cant get a decent job, thus Black women often have to bring the bacon home. This is the reason why Black woman are often portrayed as the heads of the families in the advertisements. The author also noted that the two stereotypes that exist about black woman are Mommy – the matriarch of the big family, and the mother that is raising her child by herself. The stereotype also exists in the contemporary society that Black woman usually dont have a husband. The author adds that the Black matriarch is that is portrayed as deviant because she challenges the assumption of the patriarchal family. The third hypothesis is that Black-oriented magazines are more likely than White-oriented magazines to portray sexual women as dominant and independent. The literature review conducted by the author states that despite of the fact that television commercials that targeted Black audiences contained about as many stereotypical images of Blacks as did those directed toward Whites, the Blackoriented magazines portrayed women in more active and even aggressive role. It was also that in the magazines for the Blacks women were more often portrayed in the role of the mother than women in the magazines for the whites. The characteristic feature of the portrayal of woman in the Blackoriented magazines was that there woman were rather shown in an extended families than in nuclear one, which conforms to the matriarch stereotype. The last hypotheses said that black women will be portrayed with physical characteristics that conform to White standards of beauty. However, Black women are more likely to have European features in White-oriented magazines than in Black-oriented magazines. The research showed that nowadays Blackoriented magazines portray women which conform to the White standart of beauty. The color of skin of those woman is dark, but the features are thin, they are slender, and they usually have long and straight hair. In fact, the only phenotypic difference between Caucasian and Afro-American models is the color of skin. Blackoriented magazines dont consider the fact that the features portrayed are not typical for the Black woman, and dont respond to the African canons of beauty. The sexual attractiveness in our society is associated with Whiteness, thus the magazines try to fulfill the desires of their readers. The findings of the articles author coincide with the results of researches conducted by the psychologists, sociologists and psychologists during the last fifty years. For example, Poe, (1976), and Silverstein Silverstein,(1974) found that in most of the TV advertisements woman were less physically active that man were, and they were the recipients of the advice given by man. It confirms the first hypothesis of the articles author, the one which says that women are depicted as submissive to man. The persuasion is that the woman has to be weak for to be attractive.

Electricity Energy Crisis In Pakistan

Electricity Energy Crisis In Pakistan ABSTRACT Energy Crisis in Pakistan is one of the severe challenges the country is facing today. Electricity, gas, water, fuel is essential part of our daily life and its outage has severely affected the economy and overall living of ours. Thousands have lost their jobs, businesses; our daily life has become miserable. Pakistan is currently facing up to 18 hours of electricity outage a day, is expected to face more if not dealt with in time. The purpose of this study is to analyze the nature of this crisis and to propose some short-term as well as long-term solutions to this problem. This study is exploratory in nature. I have done my best to conclude and sketch up some recommendations in the light of identified hurdles in the way of implementing the appropriate solution to our problem. My study finds some major wholes in our system if they are covered up we can not only overcome the deficiency of electricity in our systems but also we can be able to export it to our neighboring countries. The basic flaws that our study identified are related to circular debt, and the inadequate capacity of our electricity production and distribution systems. Also I emphasized on some prospective alternatives to our electricity production that are cheaper and they provide more cleanly electric energy as compared to fossil fuel run energy plants. INTRODUCTION Background Study: Pakistan has been facing an unprecedented energy crisis since the last few years. The problem becomes more severe during summers. However, this winter was no different. During the peak crisis there was a power outage of 3-4 hours everyday. Those without generators and UPS faced tremendous problems. The prices of both continued to increase due to a sharp increase in their demand. Almost two years ago the then WAPDA chairman who happens to be a caretaker minister admitted that WAPDA cannot meet the current demand for electricity. Its surprising that such a senior and experienced person took so long to find this out. On top of that the government which talked about Pakistans supposedly booming economy failed to understand the gravity of the situation. General Musharraf (R) after becoming Chief Executive used to talk about building dams especially Kalabagh Dam. This was one of the many promises he failed to keep. Even after that very few power plants have been set up to meet the demand for electricity. During the second government of Benazir some independent power plants were set up. Had they not been setup then we would have had a much bigger crisis with life almost coming to a standstill. The policy makers of Pakistan have so far failed to understand one thing. They do talk about making dams and setting up nuclear power plants but why do they not understand the importance and benefits of alternate energy sources such as solar, windmill energy etc. They are cheap and quick methods for producing electricity. Pakistan is a very blessed country because solar energy is available in most cities all year round similarly wind energy is readily available in the coastal areas. These energy sources if tapped can be of great help in reducing the current demand supply gap. Pakistan is facing power shortage, natural crisis and oil crisis. In a report it is claimed that Pakistan has faced 1000 to 2000 MW shortage of power. And it will likely face 3000MW next year. Pakistan is facing 80 millions tons of oil shortage according to its need. And is lacking behind the needs of natural gas at about 27 million ton of energy in current year and this ratio will raise in upcoming years. 1.2 Energy Crisis in Pakistan: An energy crisis is any great shortfall (or price rise) in the supply of energy resources to an economy. It usually refers to the shortage of oil and additionally to electricity or other natural resources. The crisis often has effects on the rest of the economy, with many recessions being caused by an energy crisis in some form. In particular, the production costs of electricity rise, which raises manufacturing costs. For the consumer, the price of gasoline (petrol) and diesel for cars and other vehicles rises, leading to reduced consumer confidence and spending, higher transportation costs and general price rising. Energy resources have depleted! Whatever resources are available are simply too expensive to buy or already acquired by countries which had planned and acted long time ago. Delayed efforts in the exploration sector have not been able to find sufficient amounts of energy resources. Nations of the world which have their own reserves are not supplying energy resources anymor e; only the old contracts made decades ago are active. Airplanes, trains, cars, motorbikes, buses and trucks, all modes of transportation are coming to a stand still. Many industries have closed due to insufficient power supply. Price of oil has gone above the ceiling. At domestic level, alternate methods like solar, biogas and other methods are being tried for mere survival. The above is a likely scenario of Pakistan and around the globe after 25 years. A pessimistic view, but realistic enough to think about and plan for the future. But are we doing anything about it? Lets have a look at the current energy situation of Pakistan and the world. Pakistans economy is performing at a very high note with GDP growing at an exceptional rate, touching 8.35% in 2004-05.In its history of 58 years, there has been only a few golden years where the economy grew above 7%. This year official expectations are that GDP growth rate will be around 6.5 7.0%. For the coming years, the government is targeting GDP growth rate above 6%. With economy growing at such a pace, the energy requirements are likely to increase with a similar rate. For 2004-05, Pakistans energy consumption touched 55.5 MTOE (Million Tons of Oil Equivalent). The energy consumption is expected to grow at double digit if the overall economy sustains the targeted GDP growth rate of 6% by the government. Pakistans energy requirements are expected to double in the next few years, and our energy requirements by 2015 is likely to cross 120MTOE. By 2030, the nations requirement will be 7 times the current requirement reaching 361MTOE. Pakistans energy requirements are fulfilled with more than 80% of energy resources through imports. On the other hand, international oil prices have not only broken all records but are touching new highs, with every news directly or indirectly affecting the black gold industry. Moreover, speculators all around the world expect oil prices to touch $100 per barrel in medium term. With concerns over Irans nuclear program, terrorist issues in Nigeria and high economic growth in China India and their ever rising energy requirements, oil prices dont see any another way but to shoot upwards. What is the government doing to ensure a sustainable supply of energy resources for economic growth? What strategic steps are being taken to acquire energy resources in future? Is private sector willing to invest in Pakistans oil industry? What are the incentives being offered to the foreign players to continue working in the exploration sector? What hurdles are stopping other big players around the world to enter Pakistan? What is the role of gas distribution companies so far? Are the citizens of Pakistan being robbed by energy giants with ever rising utility bills? What should be the real price of petroleum, kerosene and other oil products in Pakistan? When will the nation have load shedding free electric supply? Have we been able to make long term contracts with the countries to provide uninterrupted supply of energy resources? Will the government be able to provide enough sources to the citizens for a sustainable economic growth? Have we lost the race for acquiring maximum energy resources for future surviv al? One of the major problems facing the new government, the energy crisis, is intense, costly and multi-dimensional. The infuriating electricity and gas disruptions and soaring fuel prices in turn pushing the cost of living have made life difficult for people. The even before it took office the new government was greeted with two jumps in fuel prices, accounting for a 15% rise in two weeks. Meanwhile, crude oil prices have been registering all-time-highs, shooting 40% in the past year. The undeniable reality is that that this global spike will somehow have to be accommodated in energy prices in Pakistan. There is no quick solution to electricity shortage and the trend of surging prices is irreversible. There is very little the new government can do on this in the immediate term. At best, the problem can be prevented from aggravating until a sustainable solution is struck. Tough decisions will have to be made, and executed with commitment. The starting point of any remedial efforts should be an acknowledgement of the fact that the crisis is a self-inflicted one. It cannot be denied that something has been wrong down the line that caused this crisis. The country has nearly gone energy bankrupt while a total disaster appears to be round the corner unless pragmatism is shown. It is also important that lessons be learnt from the past mistakes on part of relevant circles. The crisis is still addressable as long as there is due vision and devotion. The golden age for energy in Pakistan has been 1960s and most of the 1970s, that is when Tarbela and Mangla dams were put into operation and other dams, including Kalabagh, were actively pursued. In subsequent years, action in the field of energy has been utterly recklessness. The prevalent crisis is a consequence of imprudent energy policies over the last three decades. One of the major limitations that have hindered energy prosperity in the country is short-sightedness. There has not been a meaningful and coherent energy policy in place over this period. The approach has been project-oriented, rather than goal-oriented. Almost every regime has dealt with energy on an ad hoc basis. Long-term and sustainable planning of energy have been an alien concept. The reason is fairly simple; energy projects usually require huge investments and commitment, making them undesirable to any regime. The attitude of delaying new projects, as far as possible, has been the common practice and is in fact the recipe of the present crises. In doing so, when things start getting out of control, haphazard and quick-fix measures are sought. A typical example is the Independent Power Producers (IPPs) saga of the 1990s. In an attempt to avert an approaching energy crisis, as a result of negligible capacity addition during the 1980s and the early 1990s, the regime in 1993-94 d ecided to go for thermal generation through the IPPs. Undoubtedly, the IPPs provided a very healthy contribution at the supply end, enhancing power generation capacity by more than 5000MW. Nevertheless, this power addition cost the country a fortune apart from the controversial tariff structure, the move was against the spirit of energy sustainability and security for the country. The fact that the IPPs were set up at the terms of the investors suggest that it was a move made in panic. The last few years provide a perfect example of failure to make a timely response to the growing energy needs. A threefold increase in energy demand over the last two decades has been responded to with an ill-proportioned increment at the supply end. Consequently, with the advent of 2008 the gap between demand and supply grew to 4,500MW indicating a 40% deficit of electricity. The prevalent energy crisis has not appeared overnight the omens were evident for a number of years but the authorities failed to react in time. Senior WAPDA officials claim that in 2002 the government was officially warned about the approaching electricity crisis and was asked to take immediate measures to enhance generation capacity. The timely warning failed to receive any appreciation. The attitude of the relevant authorities has thus indirectly contributed to the growth of the dire crisis. Another example worth quoting here is that of the 969MW Neelam-Jehlum hydroelectric project. It was to be constructed in 2003 at a cost of $1.5 billion. It got abandoned until the present power crises intensified towards the end of 2007. The revised estimate is around $2.25 billion. The delay is costing the country a fortune an extra $750 million in terms of project cost, apart from enormous monetary dents inflicted by the five-year delay. It is also noteworthy that WAPDA has traditionally pursued the major projects of national interest but failed to get the due positive response from the policy- and decision- makers. Interestingly, WAPDA plays the role of a scapegoat, because the common man blames WAPDA for his sufferings. It is also important to plant relevant and qualified people at the key policy and decision making positions. Quite often, these positions are offered to utterly irrelevant, ill-qualified and incompetent people. The track record suggests that energy offices are amongst the most coveted ones in any regime, simply because they are considered to be the most lucrative ones. There are examples when undergraduate and utterly irrelevant people have been appointed to run energy offices. There are also cases when the crucial positions have been used as incentives during political bargaining. The unhealthy attitude towards sensitive energy positions is enough to explain how the field of energy has been traditionally toyed with. Another aspect of the bankrupt policies is politicisation of projects of national interest. The paramount example is that of Kalabagh Dam. It has been politicised to such an extent that its orchestration now appears to be next to impossible. Evidences suggest that the issue has been used to serve the vested interest of regimes and certain political and ethnical forces. With the emerging post-lection sense of national reconciliation on the political arena, it is expected that such projects would be looked into with cool heads. It is time to move on. The technical issues, if there be any, have to be addressed on the drawing board, rather in processions. It has to be realized that the delay in project has not only made the country suffer but also people that come from all provinces. In order to tackle the existing crisis and ensure a prosperous energy future, the backbone of the future energy policies would have to be reliance on domestic resources (hydropower, coal and solar and wind energy) and energy conservation. Decisions on energy projects should revolve around national interest rather than naÃÆ'Â ¯ve political and personal gains. Energy offices should be run by qualified, committed and deserving people equipped with due mandate. Relevant ministries and departments should also be overhauled. INFLATION AND ENERGY CRISIS IN PAKISTAN Pakistan is facing a number of constraints in the path of social economic and political development. One of them is the ever-increasing inflationary pressure on the general public. This inflationary pressure created a social instability and misconception among the messes towards the Government. General public considers the government responsible for this inflation. Government gave the blunt gift of inflation, unemployment, terrorism and energy crisis to the public. The government offended the masses. Some economists argue that such type of increase in prices was never seen before the regime of Musharaf. The prices of essential domestic commodities have touched the psychological boundaries. The fixed income employees and creditors are affected by this inflation. During five years the prices of red chilli increased by 62.7%, flour 66.2% vegetable oil 120% sugar 30.9% rice 69.9% and other essential domestic commodities like vegetables, chicken etc also showed increasing trend of prices. According to official reports the inflation rate is 7.2% and according to non-official reports like UN 8.6% World Bank 8.9% and Asian Development Bank 9.1%. This inflationary pressure has psychologically affected the employees and employers. Some renounced economists argue that the reason of this increasing inflation rate is the standard year 2001 according to which inflation rate is measured. In 2001 the foreign aid was given to Pakistan therefore low standards were made to measure the inflation rate. Although the increasing trend in the prices of fuel and other things in the international market is another factor but the standard year is also a factor. Not only these factors caused hyperinflation but also energy crisis played a vital role in this hyper change in the prices of daily use domestic and capital commodities. There are three main resources used to fulfill the energy requirements Electricity, Fuel and Gas. Despite having the treasure of natural energy resources, Pakistans energy production plants are not fulfilling the countrys requirements effectively. The present energy crisis is affecting the economy entirely. Industrial and daily life has paralyzed by this energy crisis. WAPDA is just fulfilling the countrys energy need near to 46% the remaining is fulfilled by the alternative expensive resources. The energy crisis created cost pull inflation in the country, as electricity is the key material for any production plant. There is a general observation of 5-10 hours of load shedding, but some times it hits the level of 18 hours. Even the industrial capital of Pakistan (Karachi) is suffering from the same situation. Why in the era of energy reservation Pakistan is not utilizing its energy resources? Pakistan is just relaying on the electricity production by Dams. But Pakistan has not enough dams or water to generate electricity. Although WAPDA is enjoying the monopoly but government has to pay 2 rupee/unit as incentive. Our neighbouring country India has built a number of Dams to overcome the energy crisis but Pakistan government has paid no heed on this issue. Many projects are delayed due to provincialism the glaring example is of Kala Bagh Dam. The costly machinery amounted US $9 million is now functionless due to (rust) delay in the construction of Kala Bagh Dam, Some scientists predicted that in next 10year world has to face the water shortage also. If the government fails to construct dams for the generation of electricity due to Provincialism government should have to adopt alternative options to accomplish the energy needs of the country. As Iran has large treasure of natural energy reso urces like natural gas and fuel, despite this Iran is engaged in the attainment of nuclear power generation plant. Pakistan, despite being an atomic power does not think about the nuclear electric generation plant. International community is imposing sanctions on Iran due to uranium enrichment but Iran pays no heed to them. Then why is the Pakistani government reluctant to use its nuclear plants to tackle energy crisis? Secondly, Pakistans western area especially Thar is enriched by natural coal, which is the fifth largest treasure of the world. Pakistan has signed a contract with China to generate 300 Mega watts by coal deposits in 2003, but due to some reasons it has not been completed till now. Industrialists due to high prices of electricity use alternative resources (petrol) in electric generators to fulfill their energy needs but, the fuel (petrol) prices in international market cross the psychological limits of US $110/beryl recently. The high prices of fuel and electricity created a long-term cost pull inflation (increase in the prices of raw material of one commodity cause high prices of other commodities).There are a lot of expectations with the new government as Nawaz Sharif pledged that if he came in rule he will fix the prices of domestic commodities like vegetables oil, floor, sugar and rice for two years. Now the new government should take basic steps to eradicate inflation. I think energy crisis is the real cause of this inflationary pressure. We are hopeful that new government will take some positive steps to fulfil its promises and public expectations. HYDEL ENERGY Water flowing in the rivers has kinetic energy. One they are used to drive the turbine and produce electricity the power generated as hydel energy. Power produced by the turbine depends on quantity of water flowing/minute and the head of water available. Mostly river flows by melting glaciers on High Mountain. One the water starts flowing in the valley its changes its head very rapidly. This energy can be converted into electrical energy. 3.1 Methods for Generating Hydel Energy Two methods are normally used: Dams In case of Dams the water flow is restricted by the making a huge storage device and the head of water is increased, the water then is allows to flow by means of gates and pass through the turbine, the head of reservoir level is maintained to provide uniform power and the water stored in the season additionally is used for irrigation purpose in the dry season. Run of the river projects In the run of river project the water is diverted through the tunnel and once it gain the head allowed to fall and pass through the turbine and back too river. The water in these projects is continuously flowing and not being stored. Geographical situation is paramount importance in choosing the suitable site for the hydel project and it evolves a very serious time and money consuming study. 3.2 Feasibility Study Once a site is located further detailed feasibility study is required before preceding any serious effort to start the work. The feasibility study should include following field work. 1: Detailed Mapping of the area. 2: Topographic study of the area. 3: seismic refraction study. 4: River flow data. 5: Weather data contain Temperature, Pressures, and Rain Humidity. 6: Water sampling and testing. 7: Environmental study. 8: Social impact. 9: Identification of stake holders of the area. 3.3 Pakistan Major Dams Warsak Dam The gigantic multi-purpose Warsak Dam is situated 30 kms north-west of Peshawar in the heart of tribal territory. It has a total generating capacity of 240,000 kW and will eventually serve to irrigate 110,000 acres of land. Mangla Dam Worlds third largest earth-filled dam is only 115 km south-east of Rawalpindi. One has to turn left from Dina Town and the dam on river Jhelum is about 14 km to the east. The dam is 3,353 meters long and 116 meters high above the river bed. It is designed to store 5.88 MAF water and also used for power generation. In the centre of the dam there is a Gakkhar Fort from where one can have a panoramic view of the lake. For permit to visit the dam, please contact PRO, WAPDA, and Mangla. A NOC from the Ministry of Interior is required for foreigners only. Tarbela Dam The worlds largest earth-filled dam on one of the worlds most important rivers the Indus is 103 km from Rawalpindi. The dam was completed in 1976 at a cost of Rs.18.5 billion. Over 15,000 Pakistani and 800 foreign workers and engineers worked during its construction. It is the biggest hydel power station in Pakistan having a capacity of generating 3,478 MW of electricity. Its reservoir is 97 km long with a depth of 137 meters while total area of the lake is 260 sq.km. Permits are required for visiting the Dam. Please contact Public Relations Officer (PRO), Water and Power Development Authority (WAPDA), Tarbela (Tel: 051-568941-2). A No-Objection Certificate (NOC) from the Ministry of Interior (Shaheed-e-Millat Sectt.), Islamabad is also required for foreign visitors. 3.4 Hydel Energy and its Crisis in Pakistan The energy crisis starts from 1990 and still Pakistan is in the crisis of these all as before. The latest and perhaps the most troublesome crisis faced by the Pakistani nation these days is the shortage in supply of electricity. The country is facing a huge electric power crisis these days. Though it has been more than a year since when the country is facing this crisis, but till now no proper solution has been made to this problem neither any proper planning has come into existence since the symptoms and begging of this short supply of electricity. While rolling blackouts or load shedding as it is locally known has always been a staple of daily life in Pakistan, the problem has become acute in the last couple of years. This crisis appears insurmountable in the near or even long-term future, unless proper understanding and correct implementation is undertaken on priority basis. At present total power production capacity in the country is about 19,500 MW, out of which Hydel Power is only 6,500 MW, balance of 13,000 MW is thermal either using Natural Gas or Furnace Oil. Small capacity of 450 MW is Nuclear and only 150 MW is through coal. It is very important to understand the consequence of the prevailing situation. Current price of furnace oil is about Rs.49000 per ton, which amounts up to Rs.49/- per kg. On an average one kg of furnace oil produces 3.8 kWh of electricity. Thus, the cost of furnace oil for generating one unit of electricity is about Rs.13. On top of this the fixed cost of a thermal plant works out to be about Rs.3 per unit. Therefore, one unit (kWh) of the electricity produced by all thermal plants using furnace oil is Rs.16 per unit. According to WAPDA/IPP (Independent Power Produce rs) agreement, the private power producers will charge WAPDA the actual fuel cost for which they have a direct contract with PSO. As we all know that WAPDA tariff charged from the consumers is about Rs.5 per unit (kWh). The production cost of furnace oil electricity is Rs.16 per unit, add to it the transmission, distribution cost (including loses), the total cost of such electricity works out to approximately Rs.22 per kWh. The difference between WAPDA tariff and the furnace oil electricity is Rs.17 per kWh. It is estimated that the country consumes at least 25 billion units of electricity produced annually through furnace oil, which amounts to the total deficit of Rs.425 Billion. If WAPDA has to balance its books it would require a subsidy of Rs.425 Billion. This deficit is somewhat reduced due to cheap power produced through hydel energy and natural gas, but the deficit cannot change substantially, unless bulk of electricity is produced through hydel energy. Obviously, a deficit of Rs.300-350 Billion cannot be sustained, the government does not have resources to pay such a huge subsidy, and it is also not feasible to increase the power tariff very much. Therefore the power crisis is far greater th an what is being perceived. In the absence of extremely heavy subsidy, WAPDA is delaying payments to IPPs and also to the oil companies. The result is that IPPs are now producing much less electricity than their capacity. Thermal energy Thermal energy is the thermal type of energy, with all known history available, wood always used for heating and cooking. In 2nd world war fossils fuels entered in the form of coal to get energy. Until liquid fuels were discovered and because of their convinces of transportation they took over as major of energy source. Once the steam engines were invented then the coal or liquid fuels was burnt in the in boilers and heat producers steam which is used to drive an electrical generators, or any other mechanical devices. Rudolph diesel invention of diesel engine revolution the energy concept and today we see sine the majority of machine moving on diesel engines. Diesel engines can be 2 stroke or 4 stroke type. They can be in line or arranged in V or even W shape. They can be single acting or double acting. Another method of converting thermal energy to mechanical energy is by the gas turbines. Turbines are also used to run by steam or hot gases which are produced by igniting fuel. The choice of gensets strictly depends on the requirement of client, before ordering a power plant following points to be considered: Expected demand of the power Type of fuel required Space available for the power plant Availability of gun sets Availability of local service back up and stock of parts Price is paramount importance and hidden expenses should be locked carefully. The major manufactures and suppliers of gensets based on internal combustion engines are given below: Man Wartsila Caterpillar Jen bacher Waukesha Mitsubishi Detroit diesel Rolls Royce Internal combustion engines can obtain 30_50% thermal efficiency. It means that around 50%energy is wasted in the form of exhaust gases, cooling system and radiations. Therefore for larger plants heat recovery system are utilized. 4.1 Crisis of Thermal Energy The oil crisis facing the world is not about supply or about the increase in demand. It is about the speculators who are pumping huge amounts of money into forecasting a serious shortage ahead. Not now but in the future. And that the prices will escalate enough for them to make a killing. If one looks at the real picture, there is no shortage of oil, there has been no shutdown of any major producer, nor has there been a sudden jump in the import from any large consumer. The Chinese import for their industrialization is not more than 10 percent annually. This is certainly not enough for the huge jump in the world crude rates. This jump is matched by the phenomenal profits of the oil companies and of course the oil producing countries. The thirst for profits of the oil traders has benefited the oil producers-Iran being a major beneficiary. The US government must be wondering at the irony of this windfall benefiting a prime enemy of American and Israeli interests at the cost of millions of innocent citizens of the US and Europe, engineered by the greasy gnomes of the oil trade. There is no threat of an oil embargo, nor of a war, it is just pure speculation, funded by the huge mountains of American and European cashes at the disposal of the Sources the Oil trade. They stand to make a killing at the expense of hapless citizens of the world. As I had written in an earlier piece as far back as 2005, when an attack on Iran was imminent, that the rise in oil at 100 $ a barrel would impact on the food prices has proved prophetic with the current sky high prices of bread in Europe and America. In the meantime we poor Pakistanis are suffering with 50 percent living below the poverty line, and many more being pushed under thanks to the current oil crisis which has managed to create tsunami that is a threat worldwide, with no remedy in sight. Electricity riots are already a common sight but the frequency of breadlines breaking into riots is increasing daily, not just in Soma lia but in parts of the third world where we thought wheat was never in critical shortage. The riots in Pakistan are for two reasons. Firstly, the price a worldwide phenomenon and second a physical shortage due mainly to incompetence in the many layers of our government. 4.2 Looming Energy Crisis in Pakistan Energy costs, from where they stand now, could rise by more than 50 percent in the next few years. The cost of power on this scale would be difficult to manage by most emerging economies all oil-consuming countries, particularly the third world have suffered due to the consistently rising demand-driven cost of energy. From 2004 onwards, the price of oil started soaring in the international market, and for the first time in October 2004, oil prices crossed the benchmark of US$ 50 per barrel. It continued to fluctuate but kept moving up each year and in 2007 briefly crossed US$ 100 per barrel. For the past few days it has been hovering at US$ 103 plus per

Ethics, Morality and the Internet :: Exploratory Essays Research Papers

<cite>"Information" is at best a superficial generic term for a broad range of categories whose forms can be described in terms of genres but whose nature can ultimately only be understood within a larger system of structural relationships and ideologies. The stuff that flows through a given institutional circuitry, then, is not information. The artifacts and media that convey this stuff through the circuitry will change as the institutions change or as technological innovations supply new options for strategic communication.</cite> (Agre) The "Information Superhighway", or internet, is a powerful medium for today's information driven society. From it's humble beginnings as a series of networks established to help the military and government share resources, it has become a place for people to engage in commerce and also for people to interact socially in both business and personal faculties. Along with the excellent opportunities for meaningful communication in this new atmosphere, <cite>the Internet has evolved as an open, democratic cybersociety marked by free speech and volunteerism. It is a community gathering place for people to share ideas, concerns, stories and opinions, and to give help and assistance to one another.</cite> (Mills-Scofield) There has also arisen a series of problems. Whenever any major development in society is conceived, such as when telephones were introduced, problems ensue. The Internet, because of it's modern nature is not really well dealt with when it comes to ex isting ethical and moral issues. Being that the Internet has fostered a new class of community that requires a unique category of moral values and ethical considerations. Things are always going to be dealt with differently when it comes to any revolutionary type of medium. For instance how can interstate trade be regulated by the federal government when it is electronically transmitted information? It is a whole new category, How could the constitution have predicted? Although there are many differences, <cite>The Internet mirrors today's society to a large degree, with its blend of good and bad. Many of the issues facing the U.S. and the world, such as those related to race or gender, for example, are also issues on the Internet. And various subcultures, such as militias, GenX and philosophical movements, are represented.</cite> (Mills- Scofield) They go on further to say, <cite>Like all societies, the Internet has its unwritten rules--its"netiquette .

Borges Use of Berkeleys Idealism Essays -- Essays Papers

Borge's Use of Berkeley's Idealism Jorge Luis Borges drew upon a number of philosophical and intellectual models in his writing, one of which is George Berkeley’s subjective idealism. In "Tlà ¶n, Uqbar, Orbis Tertius," Borges paints a picture of a perfect reality governed by Berkeley’s idea that matter only exists in perception, and in "The Circular Ruins," he presents a man who creates a boy who cannot exist independent of his perception. However, by employing Berkeley’s logic in these stories, Borges is in fact denying Berkeley’s ultimate purpose: the justification of the existence of God. In almost all of his work, Berkeley’s fundamental goal is to logically disprove any thinking that presumes the non-existence of God (Muehlmann 231). In a nutshell, Berkeley argues that matter does not exist outside of human perception. In his Three Dialogues between Hylas and Philonous, he asserts the following: If it be allowed that no idea nor anything like an idea can exist in an unperceiving substance, then surely it follows, that no figure or mode of extension which we can either perceive or imagine, or have any idea of, an be really inherent in matter. (Three Dialogues 139) According to Berkeley, only qualities of matter exist, and only in the perceiving mind. For instance, fire as an object does not exist, but the sensation it produces in the mind does because the mind can perceive it. Outside of the perception of heat, fire does not exist because the mind is not present to acknowledge it (123-128). Berkeley expands this principle further to justify the existence of God, arguing that for ideas to be perceivable, they must be perceived. Thus, anything that cannot be perceived by the mind can only exist in the mind of Go... ...rcular Ruins," or a culmination of several different forces, as in "Tlà ¶n, Uqbar, Orbis Tertius" (59). Subjective idealism is enough to explain the nature of human perception, but is hopelessly theocentric concerning Berkeley’s ultimate purpose. Borges exploits this weakness, and subsequently uses Berkeley’s crowning philosophical achievement to defend agnosticism and reinforce the uncertainty surrounding God. Works Cited Berkeley, George. Principles of Human Knowledge. London: Penguin, 1988. Three Dialogues Between Hylas and Philonous. London: Penguin, 1988. Borges, Jorge Luis. Ficciones. Trans. Emecà © Editores. New York: Grove Press, 1962. Dunham, Lowell and Ivar Ivask. The Cardinal Points of Boges. Norman: University of Oklahoma Press, 1971. Muehlmann, Robert G. Berkeley’s Metaphysics. University Park: The Pennsylvania State University Press, 1995.

Ralph Waldo :: essays research papers fc

Introduction Ralph Waldo Emerson "†¦was truly one of our great geniuses" even though he may have a short biography (Hodgins 212). But as Emerson once said himself, "Great geniuses have the shortest biographies." Emerson was also a major leader of "the philosophical movement of Transcendentalism". (Encarta 1) Transcendentalism was belief in a higher reality than that found everyday life that a human can achieve. Biographical Information Emerson was born on May 25, 1803 in Boston, Massachusetts. His father died when he was young and his mother was left with him and his four other siblings. At the age of 18 he graduated from Harvard University and was a teacher for three years in Boston. Then in 1825 he entered Harvard Divinity School and preached for three years. At the age of 29 he resigned for ministry, partly because of the death of his wife after only 17 months of marriage. In 1835 he married Lydia Jackson and started to lecture. Then in 1836, he helped to start the Transcendental Club. The Transcendental Club was formed for authors that were part of this historical movement. Emerson was a big part of this and practically initiated the entire club. As we know he was already a major part of the movement and know got himself involved more. Many people and ways of life throughout his career including Neoplatonism, the Hindu religion, Plato and even his wife influenced Emerson. He also inspired many Transcendentalists like Thoreau. Emerson didn’t win any major awards, but he did win the love and appreciation of his readers. Literary Information Emerson wrote many genres of writing including poetry and sermons, but his best writing is found in his essays. Even though he is noted for his essays, he was also a strong force in poetry. Emerson was known for presenting ideas in an expressive style. He wrote about numerous issues including nature, society, conspiracy and freedom. After returning to America after a visit to Engla nd, he wrote for the abolitionist cause, which was eliminating slavery. Emerson used these ideas in his 1837 lecture "The American Scholar," which he presented before the Phi Beta Kappa Society of Harvard. In it he talked about Americans becoming more intelligently independent. In a second address, commonly referred to as the "Address at Divinity College," given in 1838 to the graduating class of Cambridge Divinity College, brought about a problem because it attacked religion and pushed independence.

Smart Ways Airline

Welcome to â€Å"Smart Ways Airline†. This is a new airline company that just opened and is very excited about taking people to their flight destinations around the world with the best and smartest service available. This paper will attempt to explain information about development, products, and services for â€Å"Smart Ways Airline†. So, please make sure all seatbelts are fastened and enjoy the flight. â€Å"Smart Ways Airline† provides â€Å"Plane Smart† service to each and every customer who boards the plane. As the matter of fact, â€Å"Plane Smart† is the slogan for the airline company. This slogan was chosen because â€Å"Smart Way Airlines† takes a lot of time to make intelligent decisions about the philosophy, mission, and vision about the company. â€Å"Fly Smart† is another slogan that the company will use to promote its high quality airline service to all of its customers. When a customer chooses to fly with â€Å"Smart Ways Airlines† they will be making a very smart decision. Funding for â€Å"Smart Way Airlines† will be collected through concession fees, facility leases at the airport, and landing fees. â€Å"Smart Way Airlines† will also receive funding from tax dollars on aviation fuel. The fuel tax will be added into the cost of the airline passenger ticket. All project and development planning will be funded by the government through a program known as the AIP (Airport Improvement program) and FAA grants. The FAA grants will be used to make improvements and increase airline security and protection. Airline tickets for â€Å"Smart Way Airlines† will average about 10% lower than the national ticket average. â€Å"Smart Way Airlines† will meet or beat any competitor's rates and prices. Above all, if a customer is not satisfied with his/her flight for any reason, â€Å"Smart Way Airlines† will refund part or all of his/her money (Depending on the reason for dissatisfaction). â€Å"Smart Way Airlines† wants its customers to be happy while flying and wants them to be returning customers who recommend others. An airline's fleet is one of its most important assets and as such its composition and deployment directly influence the airline's profitability. â€Å"Smart Ways Airlines† offers a comprehensive fleet planning and aircraft evaluation service that has guided the strategic decision-making of a variety of operators worldwide. Computer software has been developed in-house to facilitate the analysis of multiple equipment and route combinations using a particular airline's ground rules. This is indispensable for determining the optimum aircraft mix for a carrier's current and future network. A comprehensive database is maintained on the technical, operational and economic characteristics of all commercial aircraft and business jets currently in service or under development. The company is therefore well equipped to undertake comparative economic studies of new or used aircraft types to any degree of detail required. â€Å"Smart Ways Airlines† fleet planning services are supported by rigorous understanding of commercial aircraft technology aided by excellent working relationships with airframe and engine manufacturers. â€Å"Smart Ways Airlines† will fly Boeing 747-8 International planes. These planes will seat 450 passengers divided into three class sections, in two aisles. These planes were chosen because they will provide a quieter flight, produce lower emissions, and achieve an excellent fuel economy. The Boeing 747-8 will have a lower seat-mile cost than other Boeing 747s and has 25% more cargo space, which provide for better luggage and cargo accommodation. The Boeing 747-8 is actually 13% lighter per seat than the A380 and will consume around 15% less fuel per passenger than a 500 seat plane. The wingspan on the Boeing 747-8 International plane is approximately 224 feet (68.5 meters). It is approximately 243 feet (74.2 meters) long and 63 feet (19.4 meters) high. Its thrust is 66,500 pounds and cruise speed is mach .085. The maximum takeoff weight of the Boeing 747-8 International is 960,000 pounds â€Å"Smart Ways Airlines† will also have Boeing 747-8 Freighter planes. These planes will have the same economic benefit as the Boeing 747-8 International planes. This plane will have more cargo space allowing four additional main deck pallets and three additional lower deck pallets. This Freighter plane actually weights about 95 tons less than the average cargo plane, thus providing for better fuel mileage. The dimensions of the Boeing 747-8 Freighter Plane are the same as the Boeing 747-8 International plane, except it is 250 feet (76.3 meters) in length. â€Å"Smart Ways Airlines will begin by leasing these aircrafts. However, â€Å"Smart Ways Airlines† plans to purchase 2-4 planes per year. Plans for additional types of aircraft may be created in the future as the company and customer base grows. â€Å"Smart Ways Airlines† will be known for its unique service. â€Å"Smart Ways Airlines† will always stand behind their customers to assure that they receive the best service and the most comfortable, affordable flight available. All planes will offer several amenities such as current movies in all three classes, personalized radios at each seat with a wide variety of music choices offered by Yahoo, pull down laptop computers and cell phone access attached to the backs of each seat, a menu and full bar service in all three classes, magazine and other reading materials, and handheld video games available for flight rental. â€Å"Smart Ways Airlines† will go the extra mile to make sure that each customer has the most unique, comfortable, accommodating, and affordable flight available or the customer's money will be refunded in part or in full. â€Å"Smart Ways Airlines† will meet or beat any competitor's rates and prices. Customers are always first at â⠂¬Å"Smart Ways Airlines†. Flights will be available 24 hours a day, 7 days a week and 365 days a year to over 100 destinations internationally and domestically. Flights are available to any type of customer from the business person, to the vacationing family and the oversized person. There is a seat for everyone, regardless of the reason for travel or any body shape. The seats are comfortable, reclining seats that have small pillows and blankets located underneath each seat. Seats are also accommodating for infant and child car seats. For all customers who buy tickets at least 24 hours in advance, the option of receiving flight information via email, text message or phone call is also available. There is no need to call and wait to hear if the plane is delayed. If something is delayed or cancelled, a â€Å"Smart Ways Airlines† representative will call the passenger and let them know of the situation. At the end of the flight, all passengers are asked to complete customer satisfaction survey. This survey help â€Å"Smart Ways Airlines† to provide the things that the customers are looking for. They take the time to listen to each and every customer, rather negative or positive. Customer satisfaction is top priority to â€Å"Smart Ways Airlines†. â€Å"Smart Ways Airlines† will have its main offices located within Cleveland Hopkins International Airport in Cleveland, Ohio. Within Cleveland Hopkins Airport, â€Å"Smart Ways Airlines† will have three main gates. One gate will be for international flights, another gate will be for domestic flights and the third gate will be for freight planes only. At each gate, customers will have a comfortable waiting area with televisions, telephones, restrooms, internet access portals, and a restaurant or small store where snacks and other things can be purchased. A â€Å"Smart Ways Airline† representative will walk around and talk to the customers in a friendly manner. â€Å"Smart Ways Airlines† wants the customers to feel at home when they are traveling, so the â€Å"Smart Ways Airlines† experience begins at the gate. Scheduling of flights will begin at least a year in advanced. The sooner the customer books the flight, the better discount they will be qualified to receive. Flights will leave Cleveland Hopkins Airport on a daily basis and flights will be available 24 hours a day, 7 days a week, 365 days per year. â€Å"Smart Ways Airlines† will always have a representative at the gate to help prepare the customer for the flight, to answer questions, and provide quality customer service. Flights information and ticket purchase options are also available online. The company will be organized into five major operational areas: All six operational areas will work together as a team to provide quality customer service. The Management team will be lead by the CEO and president of the company. Then, there will be managers and supervisors for each of the remaining five areas. The flight operations crew will consist of the pilots and stewards. This will be any crew member who flies on the plane with the customers. The Maintenance crew will consist of a team of workers who will clean, repair and maintain the planes in flying and operable conditions. The Financial team will handle the operational cost of the company. They will also be responsible for accounts receivable and accounts payable, finances, payroll, and other spending accounts. The Marketing department will be in charge of advertising, promoting and selling the services to potential customers. Finally, the customer service team will be the representative who are based at each gate and assist the customers before and after their flight. The customer service team will be responsible for all areas of customer services relating to the flights. FAR regulations will be adhered to on all flights. Any FAR regulation that deals with the safe operation, passenger and flight security, passenger and crew conduct, procedure, and policy will apply to all flights with â€Å"Smart Ways Airlines†. Marketing at â€Å"Smart Ways Airlines† will be the key to their success. The marketing department will continuously strive to make sure that customers know of the value, the options, and the type of customer service they can receive if they choose to fly with â€Å"Smart Ways Airlines†. Television, magazine, newspaper, and mailing advertisements will be offered. A website will also be available and flight information will be available through airline advertising websites such as Travelocity.com and orbit.com. When a customer purchases a ticket, they will be automatically enrolled in the frequent flyer program. This program will be a promotion to encourage returning travelers. The points that are accumulated on the frequent flyer program can be applied to future discounted prices, hotel and restaurant discounts, and theme park or movie discounts. For the traveler who is not a frequent traveler, the points can be used onboard the flight to purchase amenities such as food, beverage, book or game rentals, internet service or cell phone usage charges. Another marketing strategy that will be utilized by â€Å"Smart Ways Airlines† is the Neighborhood and Four Walls Approach to Marketing. This technique requires little or no company money to fund. At â€Å"Smart Ways Airlines† the customer service is so good, that they word of mouth actually sales the product by itself. When one customer is satisfied with their flight, they will tell their friends and family members about the flight, who will in turn, come and fly with â€Å"Smart Ways Airlines†. The quality customer service and uniqueness of the flights will sell itself through the excellent word of mouth that will be spread around by so many satisfied customers. As with beginning any company, there will be some barriers. Four main barriers that â€Å"Smart Ways Airlines† may encounter are 1.) Lack of qualified employees, 2.) Weather conditions in Cleveland, 3.) Not enough planes to accommodate large crowds of people and 4.) Lack of funding. â€Å"Smart Ways Airlines† will only hire the most qualified employees. Each potential employee will go through a strict interview and screening process. During this process, the applicant will be required to take a series of test. Applicants with a strong working history with another airline will be given priority. Once hired, the applicant will then have to pass a series of classes as part of their training. â€Å"Smart Ways Airlines† will know and understand how valuable each and every employee is to the success of the company and will only hire the best, and most qualified people to do the job. Weather conditions in Cleveland vary. It is possible to see many different changes in temperatures and conditions within one day. During the winter months, flights may be delayed or cancelled due to conditions. In this case, â€Å"Smart Ways Airlines† will handle the weather conditions accordingly and strive to provide quality services. With the best customer service and the most affordable guaranteed airfare available, many people will want to fly with â€Å"Smart Ways Airlines†. Each plane only holds 450 people, so tickets will sale fast. â€Å"Smart Ways Airlines† will strive to accommodate all passengers. Additional flights and planes will be added as needed. Finally, lack of funding can be an issue for any airline. â€Å"Smart Ways Airlines† has smart ways to hand funding barriers. One way is by lowering ticket prices and encouraging more people to fly. More people flying at lower rates can actually increase sales than less people flying at higher rates. â€Å"The plane is now landing. Smart Ways Airlines hopes that everyone has enjoyed the flight that they have learned a little about how Smart Ways Airlines offers the best, most comfortable, most affordable, and the most unique flying experience available today. Thank you for flying the smart way with Smart Ways Airlines.†

Facilitate Counselling Process Essay

I declare that this assessment is my own work, based on my own personal research/study . I also declare that this assessment, nor parts of it, has not been previously submitted for any other unit/module or course, and that I have not copied in part or whole or otherwise plagiarised the work of another student and/or persons. I have read the ACAP Student Plagiarism and Academic Misconduct Policy and understand its implications. I also declare, if this is a practical skills assessment, that a Client/Interviewee Consent Form has been read and signed by both parties, and where applicable parental consent has been obtained. 1. Explain the purpose of counselling and the scope of counselling relationships, including professional limitations. Counselling is a professional progression avenue where a client can tell their story to a counselor in a confidential setting. Throughout the process counsellors attempt to build a relationship with clients built on trust and empathy. Counsellors guide clients to achieve personal goals, give tools to be their own solution creator and given them the opportunity to come to their own understanding of themselves and/or situation. Client progress can be attainable with clear, realistic and concise goals, which is managed throughout. In some instances referring the clients to secondary services, other professional avenues and alternate programs beyond the counsellors limitations will allow the client to achieve their goals and understanding. 2. Explain to a new client the nature of the client-centred approach to counselling. Alice, I’m here to listen, empathies and understand your story. You know yourself, you are the expert of your life, feeling and attitudes, I’m here to help you understand what it is you want to achieve. In this forum you are valued, respected and perceived without prejudice or judgment. I’m not here  to tell you what to do or how you should feel, I’m here for you. You are telling your story, your feelings are justified, and you will be understood. 3. Identify three important areas to address with clients in the initial counselling session. Confidentiality – Everything said during the session is bound by confidentiality. No information will be disclosed to a third party without the clients consent. Mandatory reporting – The counsellor is legally bound to disclosure information to relevant governing bodies, breaking confidentiality, in the instance where a minor is in danger and or the client is in immediate danger to themselves or others. Informed consent – The client is made aware of the cost, location, frequency, duration, and note taking of the sessions, out of session contact and late or no show fees. 4. Identify and explain two basic micro-skills of counselling and their purpose in facilitating client understanding. Counselling microskills are skills used to enhance and encourage communication with clients. Two basic microskils, which enhance building rapport with a client, is Attending and Active listening. Attending is showing that the counsellor is present to the client. The counsellor seated facing the client, giving the client the impression that the counselor is involved within process; Open posture, the counselor is available to listen to the client; Leaning forward, appropriately showing attention is being shown; Eye contact, appropriate eye contact showing interest and presences; Relax state with the client allows to the client to feel at ease and comfortable. Active listening allows to consellor to engage with the client, minimal responses can be verbal (hmm, yep) and non verbal (nodding, smile) actions to encourage the client to continue talking, they are being heard and understood. The use of paraphrasing by the counsellor, repeating the client story to them but using own words indicating the counsellor is listening, trying/understanding and empathising with the client. 5. Identify and briefly describe two client disclosures that would require immediate action on the counsellor’s part and what action you would take for each. If a client has disclosed immediate danger to themself or other the councellor is to call the Local Police department and/the Local Mental Health team. If a minor is at risk of significant harm, whether physical, sexual, emotional, psychological abuse or neglect the Department of community services is to be contacted. 6. Choose one of the following examples of clients’ strong emotional reactions and explain how you would respond in your role as counsellor: aggressive behaviour and reaction, excessively talkative, rapid changes in emotions. A client excessively talking I would use SOLER, slience as they need the outlet, miminal encourages to show them they are heard, paraphrase or reflect on what they have said to gain an understanding of what it is they are feeling. 7. Identify and explain three reasons why self-reflection is an important skill for a counsellor. Self-reflection within counsellors is to understand their own emotions, prejudices, bias’s and personal interests. Counselllors need to identify their own countertransference, anxieties and limitations. Engaging with appointed supervisors help counsellors to understand their emotions, create personal development, an outlet. Counsellors are a direct result of their strengths, limitations and values. Time spent on selfreflecting is time spent to better help and understand clients.

Immune system

Chapter 1: IntroductionTypically, the immune system can spot between â€Å"self† and â€Å"not self† and onslaughts merely those tissues that it recognizes as â€Å"not self† . This is often the preferable reaction, but non ever. Autoimmune upsets are diseases produced by the organic structure doing an inappropriate immune reaction hostile to its ain tissues ( American Association for Clinical Chemistry 2009 ) . The immune system will halt placing one or more of the organic structure ‘s normal parts as â€Å"self† and will make ‘autoantibodies ‘ , which attack its ain cells and systems. Systematic Lupus Erythematosus is an inflammatory autoimmune disease of unspecified etiology, and is characterized by a wide assortment of symptoms ( Herrmann, Voll & A ; Kalden 2000, Rudich & A ; Zerman et.al. 2008, Olowu 2007, Hansen, Heipe, & A ; Dorner 2007 ) . Lupus can be triggered by legion agencies and can show itself in a bewildering figure of way s, even to the extent of miming other diseases such as arthritic arthritis or multiple induration. Although Lupus affects many variety meats some of the more common symptoms are utmost weariness, joint hurting, the devastation of critical variety meats, every bit good as musculus achings ( The Lupus Site 2009 ) . Symptoms of Lupus can look and decline with clip, and they vary from individual to individual ; symptoms of Lupus can escalate with flare-ups, but these can besides unclutter up. Outbursts may be triggered by alterations in the patient ‘s wellness position, such as physical or emotional stressors and/or by outside stimulations. Lupus is non a normally discussed disease, although it has been said that it is more common than leukaemia, muscular dystrophy, and multiple induration. It is estimated that 30,000-50,000 people in the United Kingdom have Lupus, of which 90 % of its sick persons are female ( Lupus UK 2005 ) . Based on fieldwork, Internet posters, and published documents on unsure diseases, this paper examines ways in which sick persons attempt to derive diagnosings. I turn to the corporate online action, where users grapple with the systemic nature of wellness attention denial ; they discuss wellness attention, and utilize these treatments to make tactics that the weak can utilize in response to the domination of the medical system. However, because of the pervasiveness and uncertainness of the unwellness, the biomedical facts are susceptible to being framed and reframed by participants in these treatments. Lupus characterized by great uncertainness sing etiology, diagnosing and intervention ; it is an emergent disease, in that it is researched in the medical community, discussed and reported on on occasion, nevertheless it is non settled upon in respects to diagnosis. There are many structural features of Lupus, and these should be taken into history, as they play major functions in on-line treatments and methods of get bying with the disease. First, Systemic Lupus Erythmatosus is a chronic status, and portions with other chronic conditions, the inability of suiting into acute disease theoretical accounts of intervention, the ill function, and wellness attention. Second, Lupus is a biological status that is fraught with mental features ; and due to this it is frequently misdiagnosed as a mental status. This is added onto the fact that the oncoming of lupus is contested as to societal, familial, or toxic finding ; precisely what causes the oncoming of the disease is unknown. Lupus is therapeutically diverse, how people treat their status and what therapies that are used are varied. There are common drugs that are prescribed one time diagnosed, including a batch of steroids, nevertheless alternate medicine is broad unfastened. Lupus is a disease that is characterized by fuzzed boundaries and is cross-linked to other unwellnesss and complaints as misguided diagnosing. And eventually Lupus can be lawfully volatile ; conditions can be caught up in legal conflicts and extended administrative cataloging. When seeking disablement position, it can be applied at a caprice ; it is a extremely contested position, as the disease is an ‘invisible disease ‘ . A late diagnosed patient best summarizes the structural conditions listed above: â€Å" I was late diagnosed with lupus, I sometimes wonder why the physicians could n't hold found it earlier now. It has been 3 old ages since my first symptoms. I knew that something was non right. I was misdiagnosed with several complaints and was get downing to believe it was all in my caput or that I was doing it up. It ‘s amusing how you even get down to doubt yourself. But something told me to maintain delving maintain take a firm standing that something has to be incorrect. I feel so much better now that I know what it is I am confronting. It is the unknown that is scary.† Many lupus patients frequently say they feel like hypochondriacs when sing their physician because of all the minor symptoms that they want to describe. It can be a long, difficult route to acquire a diagnosing and it ‘s easy to desire to give up. Sometimes, even their households begin to oppugn whether there is anything truly incorrect. Diagnosis is one of the few ways that sick persons feel that they can derive legitimacy in the eyes of society, a manner in which they can accommodate the ill function with a solid backup to it. Suiting into society and the topographic point that Lupus sick persons have within society frequently leads to a automatic theorizing about society, which will be touched on later in the paper. As with many emergent, contested unwellnesss, the societal job is the seemingly intractable uncertainness at each bend. There are ever excessively many facts, excessively many symptoms to name, and non plenty research done. The battle to acquire diagnosed therefo re depends disproportionately on the little sum of research and promotion of the disease ; and many sick persons feel that they are consistently excluded from the medical system. Beck has shown how life in modern society necessitates the demand to hold a ‘do it yourself ‘ attitude. The corporate histories of experiences with physicians online let for a creative activity of a tool-kit to conflict against the changeless denial of the sick-role. In the balance of this paper, I will utilize the online forums among sick persons to analyze what they have learned in order to populate and speak strategically in the medical system, in society, and in the household puting that invariably denies them their unwellness, and the tactics that are used.Chapter 2: MethodsThis chapter is dedicated to discoursing the methods used to make the transcripts that shaped the foundation for the analysis of lupus sick persons ‘ battle for acknowledgment and methods of covering with the denia l of the ill function. In peculiar, this chapter will turn to the lineation for the readying of the interviews, how the marks were reached, and the ethical issues that were met. I will besides explicate the procedural grounds behind utilizing the online forums and questionnaires as the underpinning of the survey, every bit good as the restrictions that these beginnings provided. The usage of critical descriptive anthropology for this undertaking was cardinal in constructing a better apprehension of unwellness as a societal and biological fact. Systematic Lupus Erythematosus is an unwellness that is beset with medical and societal stigma, an unwellness that is surrounded by uncertainness, and is frequently referred to as an ‘invisible disease ‘ ; which is discussed in the undermentioned chapters. The chief purpose of research was to look at how sick persons were talking about their experiences with Systematic Lupus Erythematosus and how they were discoursing their jobs and tactics together in a public forum. In order to turn to this, the primary informations used are in-depth interviews conducted with Lupus sick persons, their household members, and assorted usage of on-line treatment groups. I turned to online action in order to follow how the highly systemic character of medical denial can be archived, argued and used to make tactics against thi s really denial. The posters in the forums are public commentary with no entree limitations and are frequently personal narratives about fighting with acquiring diagnosed. The majority of the information for this undertaking came from posters such as this, and was spread between three chief yarn subjects ‘Living with Lupus ‘ , ‘Not Diagnosed Yet? ‘ and ‘Symptoms ‘ , as there are over 53,000 positions and 9000 posters. Use of these on-line beginnings opened up the sum of people I could make in respects to my research. Data for this undertaking was collected between the months of April 2009 and August 2009, from life history interviews, online questionnaires, on-line treatment groups, every bit good as participant observation from support group meetings. There was no effort at reaching people separately in order to take part in these surveies, nevertheless the online community was given the chance to reach me if they wished to take part in the survey. Preparation for the interviews was undertaken through shoping the online forums and analysing which subjects were looking the most in posters. From the subjects that appeared the most through out the togss I created a synonym finder of common footings, this synonym finder was used to code the conversations that were held on the togss. Equally good as analyzing through the togss I undertook big readings of scientific diaries on the topic of Lupus. This was done in order to derive background cognition on the topic, to derive utile ushers prior to furthe r research, and to entree informations that already exists from past research on Lupus. Attention was paid to the quality and cogency of beginning stuffs by utilizing assorted paperss published by different bureaus. Internet informations such as Google Scholar, JSTOR, PubMed, and Academic Search Complete provided me with a wide hunt country to acquire a assortment of Lupus paperss published. Particular attention was besides taken into looking at the research that sick persons were posting on the Lupus web site, of which there were merely 72 stations available on the UK Lupus web site. Reading these paperss, analysing the on-line posters, and taking attention to observe what the responses were to these on-line stations formatted the footing for all interview inquiries. Fieldwork was cultivated through contact with the decision maker of a UK based Lupus support web site. It was through this medium that I garnered permission to post a description of my research ; which allowed me to reply inquiries environing the usage of my research, and on the content of my research. The bulk of my sources were Lupus sick persons, although a few participants were the household members of those diagnosed with Lupus. Those that were included in the response had all been diagnosed with Lupus, although there was a big community of online users that were in contact that had symptoms of the disease, but yet were non diagnosed. Peoples that were included in the undertaking were all 1s that had been officially diagnosed with Lupus or their household members, this was non a de-legitimization of those who were non officially diagnosed, but those that volunteered their life histories and replies were those that had been officially diagnosed. The interviews were set up after r eaching a big database of lupus sick persons, which were followed up with posters on the online forum. Interviews ranged from one to three hours long, which were followed up upon with the persons at subsequently day of the months. Following the interviews with Lupus sick persons, I formulated an online questionnaire that people could make full out anonymously, this method allowed me to include those that did n't desire to take part in interviews, but still wished to show their positions on the research subject. Questions that were posted online were wide open-ended inquiries, which were used with the purposes of acquiring respondents to give a greater history of their experiences and jobs. This on-line questionnaire was posted by my research proposal, on the online forum, every bit good as circulated via electronic mail to assorted Lupus sick persons. Regular users and intermediate users of the site all had entree to my research proposal, which got over 600 reads after posting. By posting up my research proposal I allowed for the participants of the survey to cognize precisely what I was research, and how I wanted to accomplish these ends. It besides allowed them to subject inquiries and general enquiries, this feedback that I received from sources have been fed back into my research and developed the findings presented here. Having already touched really briefly the ethical concerns earlier, it would look practical to turn to them at this point. Covering with informations that concerns persons ‘ lives means that allowing namelessness to the individuality of the person and anyone else they may advert is a main concern. Permission for my research was given by the UK Lupus website decision maker, and although this permission was given officially I besides the purposes and aims of my research accessible and clear by posting my proposal for sing anterior to engagement in the research undertaking. Persons besides gave their countenance prior to questioning and were made aware of the right to retreat their part at any phase. Transcripts of the interviews have been made for my ain usage but to protect the individuality of the participants the anonym they used online were kept. Anything that the participants wanted to retreat in hindsight was besides taken into history. For the posters in the three above-na med togss no consent was taken, as all subscribers use anonym. The usage of anonym at times can be a drawback in the research, as these give no indicant of their societal position, their sex, or their age.Chapter 3: Literature Reappraisal:â€Å"Truth is to be understood as a system of ordered processs for the production, ordinance, distribution, circulation, and operation of statements.† Michael Foucault The foundations of medical anthropology are legion, but some of the most influential beginnings are the physical anthropologist ‘s research in development, version and other domains, the ethnographic wonder in witchery and thaumaturgy, the partnership of anthropologists and psychologists during the wartime period, and eventually the international public wellness motion that occurred after World War II ( Foster & A ; Anderson 1978 ) . Following from World War II, the survey of ‘popular and modern medical specialty ‘ became an of import country of research, with comparings between modern biomedicine used in the western universe and the ethno-medicine beginning to rule the medical anthropology sphere ( Bendix 1967, Foster & A ; Anderson 1978, Press 1978, & A ; Simmons 1955 ) . History, clip, and procedures within societies have frequently been combined into one overarching class ; nevertheless Hagiographas from Evans-Pritchard have drawn attending to the integrity of a nthropology and history when discoursing societal orders, and these societal orders can non be analyzed without cognition refering its ‘internal kineticss ‘ ( Comaroff & A ; Comaroff 1992 ) . Put merely all societies are involved in procedures with multiple constituents, elements which create a societal environment, and these constituents engage human histrions and different bureaus in a dialectical relationship ( Comaroff & A ; Comaroff 1992 ) . Ethno-medicine and disease etiologies acknowledge and incorporate input from assorted beginnings, including â€Å"economic, familial, ritual, moral and other institutional sectors† ( Press 1978:71 ) , whereas the modern ( biomedicine ) can be seen as a â€Å"closed system, ‘based on exactly defined cognition, technique and processs, all of which are discontinuous from ordinary societal process'† ( Press 1978:71 ) . â€Å"Human life can non be studied without taking into history both how persons are situated within and constrained by societal constructions and how those persons construct an apprehension of and enforce intending on the universe around them† ( Dressler 2001:455 ) . Explanatory theoretical accounts of unwellness ( EM ) are a set of beliefs which provide people with ways of believing about manners of and theoretical accounts for world, they create order and significance ; this set of beliefs is constructed non by a civilization, but by persons ( Young 1982 ) . Illness can be seen as a procedure through which disease is given socially identifiable significances ( Crandon 1983, Young 1982, Foulks 1978 ) . The manner in which people describe their societal universe through medical specialty is a contemplation of political and economic worlds of the clip ; it shows the significance of cultural dealingss ( Crandon 1986 ) . Cultural individuality can impact straight the type of unwellness believed to hold ( Crandon 1983 [ B ] , Last 1990, Press 1978, Simmons 1955 and others ) , and therefore affects the type of intervention that people are seeking. The medicative system utilised can go a cultural sphere from which people negotiate their individuality, â€Å"medical political orientation is a peculiarly powerful instrument through which certain sorts of dialogue take topographic point ; specifically those refering to cultural individuality, how people define themselves and others and their ain relationships to others† ( Crandon 1983 [ A ] :79 ) . There are three chief ways that person seeks intervention: â€Å"self-treatment, intervention by a curer, or intervention by medical doctors† ( Reeve 2000:102 ) , and these picks are made based upon the gravitation of the unwellness every bit good as the type of intervention that is required ( for either societal grounds, or the cause of the unwellness ) . Within these methods of intervention, there are countries of convergence and intermingling. Medical systems, while of import indexs of political and economic state of affairss, and a duologue of cultural dealingss, should be grappled with non merely as systems of idea, but as thought-in-use ( Worsley 1982 ) . In short, medical beliefs play an of import function in the daily lives ; they have historical significance, influence behavior, form cultural individuality, and represent a dialectical relationship with a huge scope of agents. The hurting that is experienced by persons is influenced to a great extent by their personality, societal and cultural background, every bit good as the doctor-patient interaction ( Rudich et. al 2008 ) . The manner in which the organic structure, unwellness, and hurting are understood is under direct influence of emotions, which is shown in images of the operation organic structure politic and societal organic structure ( Lock 1993, Scheper-Hughes & A ; Lock 1987 ) . It has been argued that it is virtually â€Å"impossible to free powerful human experiences of metaphor, of cultural representation ( although it is, of class, both possible and in many instances necessary to alter the images and significances of illness, hurting, and enduring ) †¦that the hypostatization of unwellness ( as disease entirely ) is a signifier of self-alienation, of false consciousness† ( Scheper-Hughes & A ; Lock 1986:138 ) .Covering with confusion and uncertainnessâ€Å"The I in unwellness i s isolation, and the important letters in health are we† ( Author Unknown ) . One Latin adage pronounces, â€Å"illness shows us what we are† , this is seen in ethno-anatomical perceptual experiences, which give rich ethnographic stuff on the societal and cultural facets of being human, on wellness and ailment wellness, and on the societal experiences that we are believed to hold. â€Å"The ways in which the organic structure is received and experienced in wellness and illness are, of class, extremely variable† ( Scheper-Hughes & A ; Lock 1987:7 ) , which can be seen particularly in respects to autoimmune upsets where the organic structure is perceived to be assailing itself, it is a extremely individualized experience. Lupus is an crippling immunological upset, which is frequently hard to name, as there is no nonsubjective trial for it. It ‘s a disease that ‘s non-objective, changing in clip, and ill-defined. Illness in the context of a dislocation of the immune system enables it to suit all unwellnesss ; therefore, the unwellness is both an single unwellness, different for each individual, but besides corporate and a common syndrome. The immune system allows the explanatory system to finally flexible. The immune system besides was an overall account, warranting why it was that there are so adult male different unwellnesss and illness experiences. The immune system was damaged: with each individual reacting to this diminished immune system in different ways, stressing the singularity of the unwellness for each person. â€Å"Human life can non be studied without taking into history both how persons are situated within and constrained by societal constructions and how those persons construct an apprehension of and enforce intending on the universe around them† ( Dressler 2001:455 ) . Explanatory theoretical accounts of unwellness ( EM ) are a set of beliefs which provide people with ways of believing about manners of and theoretical accounts for world, they create order and significance ; this set of belie fs is constructed non by a civilization, but by persons ( Young 1982 ) . Illness can be seen as a procedure through which disease is given socially identifiable significances ( Crandon 1983, Young 1982, Foulks 1978 ) . For these grounds one of the chief concerns throughout fieldwork was the relationship between acquiring diagnosed and deriving societal legitimacy, as, frequently without this diagnosing people are at hazard of being denied the societal acknowledgment of being sick and accused of ‘faking it ‘ . One user relates her issues of merely desiring her diagnosing to go on: I ‘m rather nervous of traveling to my physician and stating that I ‘ve seeking to self diagnose on the cyberspace because I know that ‘s non a good thing to make, but I merely want to cognize that I ‘m non a hypochondriac or that I ‘m non traveling huffy. Each clip I search yet another virus/pain/problem, the word lupus frequently appears. I go to my physicians normally to be told I ‘m run down, I ‘m down, my blood trials are by and large all right so nil to worry approximately. This accusal of forging it is felt among many sick persons ; and as a consequence on-line communicating becomes a utile tool in combating this accusal. Online forums are utilized as a soapbox, users take the clip to try to educate others in their experiences, and what was successful for them in the conflict for diagnosing. The usage of biomedical facts, the certification of unwellness symptoms that are seeable, and utilizations of diaries to document hurting are frequently sited as ways to derive entree to the socially acceptable ill function, to derive diagnosing. These tips, schemes, biomedical facts, and shared medical articles can be seen over and over once more in a assortment of forums. The hurting that is experienced by persons is influenced to a great extent by their personality, societal and cultural background, every bit good as the doctor-patient interaction ( Rudich et. al 2008 ) . I am ready for bed but wanted to post speedy with a update from my assignment today†¦.for the biopsy he told me that he will non make a biopsy as they truly do non demo much OK, so I proceed to courteously dispute him and state him about The Lupus Site, my friends here, the narratives I have read about skin biopsy ‘s that clearly show a batch and are really helpful to help in diagnosing or at least aid to paint a clearer image. He did non like that really much and reminded me that in fact he was the M.D. , non me. †¦So the lesson of the narrative here is I pissed off the physician today because he was merely a grandiloquent know it all who in my low sentiment did non make his occupation and disregarded the petitions of my Rheumy. When I got place I called my Rheumy and left a message for him to name me back and discourse this. I know that he will non be happy and the war between physicians will get down The obvious inanity of enduring from unwellness and the biomedical speculation of reason will be addressed in the context of long-run chronic unwellnesss, such as lupus. Bing rejected by physicians if one does n't suit into the ideal ill function is frequently a common experience, as one sick person here relates: Over the following twosome of hebdomads the lay waste toing giddiness and gesture illness returned ( which would subsequently go forth me incapable of driving a auto for over a month ) and I could n't even sit in a auto without acquiring ill. I told the following physician I was scared I had chronic EBV, and handed him my labs. He took one expression at them and threw them off. Literally, he threw them off in the rubbish can. He said, your EBV panel shows no active disease, but merely consequences of person who had mono in the yesteryear. This was the first clip I learned the lesson that physicians were n't ever right†¦.the back of my head for so many old ages I knew my issues were acquiring worse and hated that the doctor ever merely dismissed it. Lupus sick persons ever start from a point of view of uncertainness, no 1 seems to recognize what is go oning, and many have non even heard of Lupus until official diagnosing. There is a clear cognition that something is non right with their organic structures, and their unwellness symptoms go a utile narrative when they come into contact with others who are sing the same issues. The oncoming of Lupus is frequently merely a list of symptoms to sick persons, a chronology of failures, and things that they can no longer do ; and it seems in many instances that these symptoms do non do sense, they are non cohesive or comprehendible. Explanations that are given to sick persons are frequently non satisfactory ; they are either discharged, or are still holding symptoms that they believe are non answered by the diagnosing given to them. Searching for an account, or merely to farther explain physicians ‘ accounts and readings, many stumble upon on-line forums. It can be seen as Kirmayer ( 2000 ) has shown, that the clinical state of affairs is based on the usage of medical linguistic communication, as parties, lupus sick persons and physicians, effort to convert the other of their unwellness. For many, this deficiency of certainty, populating with an unknown disease, or an undiagnosed unwellness led to different ways of research. Once on-line, and shoping through the forums on lupus, if they managed to happen them, many feel a sense of self-recognition. The narrations that are available online are unusually similar to their ain, and the experiences begin to do sense. As Kilshaw points out â€Å"this minute can be seen as what Dilthey has referred to as an ‘impression point ‘ , a freshly inspired reading of one ‘s life reflecting a cardinal displacement in personal meaning† ( Kilshaw 2004: 152 ) . Sufferers begin to see their unwellnesss as a medical issue, and no longer believe that it is a psychological upset ; they are armed with medical accounts to speak to their physicians about. This medicalization allows for a agency of assisting those enduring through the building of their ain personal narrations, which help to do sense out of what they are populating through. Forums can frequently take the signifier of a sick person naming off symptoms, to see if anyone else is sing the same issues. This can be seen many times over, and is illustrated by this user: I am enduring from widespread ahces/pains, some sever all chronic, utmost enfeebling weariness, encephalon fog attach toing address troubles, IBS, blood force per unit area runs on norm anyplace from 82/47-95/53, labs ever ‘off ‘ high sed, white cell up, ANA wonky, assorted peripheral neuropathes, eccentric toe/leg spasms, continueous chills/low basal organic structure temperature, fingers turn red/white sensitive and injury when cool, vision deteriorating, blurring†¦.This last, what I call ‘flare ‘ , I had sudden onset high febrility, pleurisy, little white blisters on my fingers that eventually peeled, I work 12hr displacements and on my off yearss I literally slept round the clock and did perfectly nil else†¦ nil, except preserve energy for my following tally at my job†¦.I ‘m sorry this has been so long. I do n't believe I ‘ve of all time sat down and set it on ‘paper ‘ before. I ‘m non certain I wrote it all dow n, ya ‘ll cognize how that goes. I likely missed some stuff..my dry eyes, see..I keep thought of small things. I do n't believe it ‘s hypochondria? There is a barter of symptoms and they discuss the results of these, and ways to document and maintain path of the symptoms. As Kilshaw demonstrates, it is â€Å"through duologue these individual events or experiences are linked together, held up and understood as pathological† ( 2004: 153 ) ; the belief is no longer based on a psychological disease, something that is merely in their caput. The illness narrative provides coherency and legitimacy to the experience of the sick persons, the corporate action online orders and provides significance for the sick persons experiences of pandemonium and falling apart. And at the same clip, the person is supplying support for the corporate, as it is an add-on to the narrative. Lupus is a known status, although it is a obscure 1 that is highly difficult to name, which can in instances add a different dimension to the on-line narration. Because the trials are non conclusive, and many of the trials are non able to name the disease straight off the chiropteran, the narrations that are posted in the online forums frequently provide construction and weight to the unwellness. There are infinite stations in the forums that reading the on-line lists of symptoms, and on-line narrations of other sick persons provided more legitimacy to their cause, the fact that so many other people are traveling through what they are allows them to believe that it is n't a instance of â€Å"faking it† . One adult female here relates her experience, including her symptoms, and societal jobs when combating with the disease: I ‘m a 42 twelvemonth old adult female merely looking for hints and for person to state me I ‘m non losing it. I may be manner off the grade here but I came across this site a piece ago while seeking the cyberspace in my effort to do sense of all my unwellnesss. Each clip I search yet another virus/pain/problem, the word lupus frequently appears. I go to my physicians normally to be told I ‘m run down, I ‘m down, my blood trials are by and large all right so nil to worry approximately. But this twelvemonth entirely I ‘ve had tonsillitis 4 times, 3 UTIs, thrush a just few times, otitis interna, a flu-like unwellness ( which I ‘m still retrieving from ) , a HPV flair up and on top of that I have, and have had for ages, invariably bombinating ears, painful articulatio genuss, little dry sore spots of tegument with a big spot of something bumpy, flakey and scabby on the dorsum of my caput ( yuk ) . I besides have a thrombocyte map upset which was disco vered because I bruise easy and had really heavy periods, I ended up holding a hysterectomy because nil else worked. If I go farther back than this twelvemonth I ‘ve besides had things such as herpes zosters, pleurisy, vermilion febrility ( ! ) , glandular febrility and a big assortment of viral unwellnesss with no name. I have ungratified leg syndrome and I quite regularly get truly bad shoulder hurting in my left shoulder that lasts for hebdomads and injuries to take a breath even. I do take antidepressants because I do acquire depression but certainly all of my unwellnesss ca n't be because I ‘m run down and depressed.I besides worry that my employers will finally lose forbearance with me. After reading people ‘s experiences on here I understand that what I ‘m enduring is n't half every bit bad as what others live with, nevertheless does any of this sound familiar? Is it possible that all of my unwellnesss could be related and due to a status such as lupus? I ‘m rather nervous of traveling to my physician and stating that I ‘ve seeking to self diagnose on the cyberspace because I know that ‘s non a good thing to make, but I merely want to cognize that I ‘m non a hypochondriac or that I ‘m non traveling mad. Adding to and imputing to the online Lupus narrative consequences in the single deriving an individuality and a community of people that they can associate to, it releases them from the isolation that is frequently felt when combating to acquire diagnosed. It provides a sense of coherence to the experience of pandemonium, through this duologue their single narrative becomes clearer to the sick person, it is legitimized. Although the disease is felt otherwise for each user, the narrations that are created online are consistent narrations, one that is able to integrate different necessities and experiences. Corporate sharing of information is one primary intent of a societal motion. These persons used to experience stray and entirely, they were confronting down the medical establishments that were built to assist ; they are now able to pull from the corporate online experience in order to assist them voyage these establishments.Contending for acknowledgmentPulling upon work done by Jos eph Dumit, Alan Young, and Susie Kilshaw, one can see how people are understanding, sing and utilizing their organic structures as opposition to the positivism of biomedicine. The squeeze of variable symptoms into unusually bantam bureaucratic holes requires run intoing the demands of 1s variableness into often-strict demands of the judgements of the experts. My current nurse practician scheduled me to see a nurse practician working at a Rheumatology office. My assignment included a history of symptoms, which at the clip were non that varied, but still included developing joint hurting, and even more increased weariness. I told her that I had a feeling it was Lupus, but I had no existent difficult grounds behind me except for one lab consequence, a bad memory of physicians assignment, and an internal inherent aptitude shouting the reply. The corporate sharing of personal narrations helped in the opposition of psychological incrimination and psychological responses. Because Lupus is such a enfeebling immunological upset, it is really hard to name ; this leads to psychological diagnosing ‘s, which can weaken the claim to the ill function, sick persons are invariably holding to work towards converting friends, household and coworkers that their unwellness is existent, legitimate and enfeebling. Bing able to carry through the ill function is of import to many people with Lupus, because there are frequently no codifications for their agony, no speedy diagnosing for their diseases, and no seeable complaints of the disease they are frequently subjected to judgements of forging and indolence. Trying to pull off and keep a ill function in society is near to impossible when 1 is being flatly denied being ill by the physicians that sick persons are seeing. There is a go throughing off of patients, from physician to sophis ticate as the Lupus sick person attempts to acquire diagnosing. Deriving entree to a diagnosing frequently gives the patient cogent evidence of agony, as psychological diagnosing weakens their claim to the ill function in society. One sick person relates the sum of physicians visited in their conflict for diagnosing: I saw my GP in June after several months of fatigue. By the clip I saw him a roseola had developed and I was holding shuddering febrilities at dark and had swollen secretory organs in my neck†¦.I was referred to a skin doctor who diagnosed urticarial vasculitis†¦.Since so I ‘ve been seeking different drug governments ; presently on loratidine, fexofenadine, Atarax and Zantac. After a class of steroids my tegument is great. I gave nevertheless developed hiting strivings at random topographic points, normally my custodies and pess, and intoxicant gives me febrility symptoms. My skin doctor has referred me to a rheumatologist and eye doctor ( my eyes on occasion show marks of uveitis ) . My GP has advised that in visible radiation of my symptoms and positive car antibodies ( DNA, Ro and La ) I about surely have SLE. One must account for unwellness under the biomedical system, and this requires go toing to both the ways in which the scientific facts are circulated and used, and the ways in which these same facts are used in societal experiences, how they are used, controlled, and subjugated. Dumit shows how through many doctor-patient interactions there is a comined consequence of discourse of disease to bring forth ‘symbolic domination ‘ ; patients see this â€Å"as a system in which they must ‘prove ‘ their unwellness and their agony through mobilising facts† ( 2005:577 ) . However, corporate wisdom of single experiences offers a powerful manner of opposition to this sort of power. When a physician can non call the unwellness after series of trials and scrutinies, many people come to believe of the patient as non truly being ill, and non truly enduring. This is a clear instance in Lupus, as it is both difficult to name, and has really few seeable symptoms. The hur ting that is felt is something that can non be seen, nevertheless it is frequently described as debilitating. And there are instances, that even if one does accomplish diagnosing of lupus through the physician, and therefore has legitimate entree to the ill function through that means, friends, household and colleagues for the sheer ground that it is non a seeable disease deny them entree. Following these denials, sick persons now have a tool chest that they can entree in the signifier of the online forums. There are set out letters that can be used to show the feelings and sentiments of Lupus sick persons, both a missive to household and friends that is vouched for, every bit good as a narrative called the Spoon Story. All these efforts at account and taking portion in the medical system is to accomplish some sense of proper function in society. The ill function has specific demands, and these demands are frequently capable to alter and use.Many sick persons have rejected their nor mal ego, as because they are inveterate sick, they have a immense desire to return to when they were healthy, being invariably denied the ill function in society has immense effects on their sense of individuality and ego. Many sick persons were busy persons, who held normal occupations, and have now become isolated from friends and household, many of whom doubt the unwellness. The undermentioned sick person relates to being ostracized by those who are close to her: Keeping it off paper saved me when I moved, changed occupations and needed to remake my insurance. Now I ‘m in a different part, different rheumy [ sic ] and my status has deteriorated†¦ Now a diagnosing on paper would be a good thing! ! ! The ground for my sudden urgency in acquiring a diagnosing is my occupation. My concern is that mine is more of a CNS type because of the troubles I have with words/speech. I have a hold sometimes in my thought procedure and more and more in acquiring the connexion between acquiring the words to/from the encephalon to the oral cavity. I ‘m non believing every bit rapidly as I need to. Part of my occupation is 911. I have to be able to think/speak or acquire a diagnosing explicating why I can non. Something that says it is merely an achings and strivings, can sit in my chair and still travel my oral cavity sort of unwellness is non gon na [ sic ] help the following shriek company I answer†¦.The worst thing is I feel so bad that I happening it difficult to acquire up to travel into work which is sad as I love my occupation. I was attracted to the sight because everyone seems so supportive and I could make with some of that right now because everyone keeps stating me I look so good now I have developed a roseola – antecedently my face was pale. Therefore on-line communicating has several of import factors. First, the treatment groups are mentioning the media all the clip, it is one manner in which sick persons are maintaining each other informed to what is go oning in the populace sphere with their status. News articles, telecasting visual aspects, and current research documents are frequently cited and posted. This can be used to both rise consciousness, promote instruction about the disease, and as a utile forum to make statements in response to those articles that are n't suiting with the positions of those posting online. Second, the forum provides a safe oasis where self-depiction can take topographic point. Many sick persons of lupus are non all that easy to prosecute with face to face. They are excessively fast or excessively slow, excessively tired, agitated, pained or undependable. The Internet, with its asynchronism and bandwidth mediates this enormously leting fluid ‘normal ‘ communicating to take top ographic point. Online postings are able to demo their feelings, and non hold the judgmental point of view of physicians, friends, and household ; depression is non merely something that is psychological to them, it is something that is from the unwellness that has attacked their really ability to execute in society. For many sick persons of this unwellness, a common subject of treatment on every bit good as off the cyberspace concerns how a sick person should near their physician, instructions are given on how to dress, how to move, what to convey, and what symptoms they should associate to the most. These instructions are frequently accompanied by what the physician might state in response, or what tests they so might order, and what tests a individual should be forcing for in the physicians office. The sick persons are taking control of the state of affairs, and pull stringsing physicians into diagnosing ; but it has besides been seen that although physicians are inquiring inquir ies and giving responses, they are inquiring inquiries that elicit a response that the physician believes is right ( Dumit 2006 ) . The use of the clinical brush can be seen as walking a thin line, as if one does non make the portion convincingly plenty, they can be accused once more of forging it, of moving ailment ; nevertheless if they do non, there is a opportunity that they might non be considered sick at all. Therefore â€Å"their lone pick is to feign to be who they really are, in the establishment ‘s position. They must work at ‘achieving appropriate visual aspect ‘ and ‘look and act sick'† ( Dumit 2006: 586 ) . Sick persons frequently experience Lupus, as a contested disease, in the signifier of societal exclusion. Since the disease is so difficult to name, there is frequently a deficiency of attention and support for those with it. They deal with this uncertainness by giving the unwellness facts that they see on-line, and they frame them in medical footings, in order to extinguish this uncertainness and societal exclusion. The attendant treatments form the footing of changeless experimentation with schemes, tactics, individualities and relationships. They besides form treatments on the expected alternate therapies, referrals, and supply a topographic point for emotional support. The Internet, with its asynchronism and bandwidth mediates issues of being sick enormously, it allows those that are sick to move normal, and allows for an easy signifier of communicating. The issues that are addressed and the resources provided to the sick persons online provide the footing for the webs of little groups, and larger cyberspace communities, and allows for covering with mass media, in order to do life more liveable for sick persons. The Internet provides a community and offers alternate personal narrations, and schemes for lasting, giving emotional support to those that are in demand.