Wednesday, January 29, 2020

OCD in Motion Picture Essay Example for Free

OCD in Motion Picture Essay As Good As It Gets is a movie that portrays the life of a person with a psychiatric disorder called obsessive-compulsive disorder (OCD). The protagonist Melvin Udall (played by Jack Nicholson) is a novel script writer who lives in an apartment with Simon Bishop (played by Greg Kinnear) as his neighbor. Melvin’s odd behaviors make his life difficult when dealing with people around him. He is preoccupied with too many compulsions that he did not have time to build a healthy relationship with other people. He is not sensitive to the words he say not knowing that he is already hurting the person’s feelings. His life starts to change when Simon was hospitalized and Melvin was forced to take care of Simon’s dog, Verdell. The dog acted as a bridge for Melvin and Simon to become friends. Melvin also became close acquaintances with Carol Connelly (played by Helen Hunt), a waitress in the restaurant where he always dine. He falls in love with Carol but due to his unpredicted odd behaviors, Carol moves away from him. Thanks to Simon, he helped things become okay between Carol and Melvin. Deeply in love with Carol, Melvin tries to change his ways and the movie ended with a bright yet uncertain future. As the psychiatric disorder progresses, the patient as well as the people surrounding him starts to complain about his behavior. Below are several complaints the patient and his significant others have in the movie â€Å"As Good As It Gets†: Melvin to Simon: â€Å"Im clearing my head, dont like myself anymore. Im tired. † Melvin to Dr. Green: â€Å"Dr. Green, how can you diagnose someone with an obsessive- compulsive disorder and act as if he have some choice? Are you teasing me? † Carol to Melvin: â€Å" Dont you have any control of how creepy you are about to get? † â€Å"I want my life for just one minute but my biggest problem is somebody else has a free convertible so I can get out of this city! † â€Å"Stop it! Why cant I just have a normal boyfriend? Why? A regular boyfriend who doesnt go nuts on me! † Simon to Melvin: â€Å"Youre sick. Everything looks distorted and everything inside you. You hate everything so you can barely find a way to complain. † Generally speaking, the people are complaining about Melvins attitude. His attitude is so bothersome that it prevents him from building a healthy relationship with other people. Melvin tries to be nice to some people but his present attitude serves as a bias why most of them consider his kindness as an act of insult or deceit. He somehow develops an obsession with Carol. In order to know the problem of the client, it is better if the health provider would take some sort of history taking. History taking is important since it serves as a baseline to know the roots of a certain disorder. The history taking can be started with simple questions regarding the patients name, age, occupation and the like. Taking OCD into consideration, the health provider should ask specific questions that will help in understanding the disorder of the patient. If a patient is asked to describe his/her past childhood experiences, the client may state that he/she has experienced rigid toilet training. Toilet training is an important aspect that must be accomplished during toddler years. Considering the fact that autonomy must be favored more than shame and doubt, toilet training must be done in way the child practices his autonomy. The client may also say that whenever he/she experiences anxiety, he/she begins performing repetitive actions. Exploring deeper into the question, the client may also say that his compulsions or rituals take him several minutes or hours to accomplish. Attempts to stop these compulsions are reported to be unsuccessful. If asked about his/her relationship with other people, the client may say that he/she finds it hard to build a healthy relationship because his compulsions prevent him from doing so. In the movie, As Good As It Gets, actor Jack Nicholson portrays the role of a person with an obsessive compulsive disorder. Obsessive compulsive disorder is an anxiety disorder wherein the person has recurrent unwanted thoughts called obsessions. To relieve the anxiety brought by these thoughts, the person is involved in repetitive behaviors such as hand washing, checking and counting. These so called rituals or compulsions reduce a persons anxiety while deprivation from these rituals increases the person’s anxiety. However, the action only provides temporary relief. Jack Nicholson shows odd behaviors which add humor to the movie. Whenever he washes his hands, he always uses a new soap then throws it away. He also avoids stepping on the cracks on the floor whenever he goes outside his apartment for a walk. At the same time, he feels that he should eat on the same table in his favorite restaurant and even bring along his plastic utensils whenever he dines there. The way of locking and unlocking the doors of his apartment is complicated as well as turning the lights on and off. He needs to follow certain number of times before getting over with it. He is characterized as verbally abusive which offends people most of the time. He also lives in solitary and has no friends at all, although he is considered as a famous novel writer. Those living with this kind of people find themselves in a state of frustration. The obsessions as well the compulsions make the lives of these people difficult. To support the diagnosis of OCD on Melvin Udall, certain criteria must be met with DSM TV IR. Obsessions of a client with OCD must be intrusive, inappropriate, recurrent, and persistent, and causes distress and anxiety. There are unsuccessful attempts to ignore the obsessions with positive adaptive actions and thoughts. People with this disorder are not excessively worried about real life problems and they usually recognize that these obsessions are produced by their own thoughts. On the other hand, the compulsions of a person with OCD are converted to repetitive behaviors such as hand washing, counting, and arranging things according to color, height, and the like. They display these excessive behavior or mental acts for them to prevent distress or frightening events. At some point during the course of the disorder, the client will recognize that these excessive thoughts and behaviors are inappropriate or unreasonable. The compulsions themselves are time consuming and they interfere with the client’s ability to perform for their daily needs. Such needs would include food, occupation, social activities, and healthy relationship with other people. Lastly, these obsessions and compulsions are not side effects of other substances such as alcohol or medications. They are merely coping mechanisms for a person to relieve anxiety. Considering that the patient has obsessive compulsive disorder, sets of treatment are planned to help relieve the patient’s anxiety. Treatments or interventions can be divided into three: therapeutic relationship, psychopharmacology, and milieu management. Starting off with the therapeutic relationship, the nurse must ensure that the basic needs such as food, clothing, grooming, and the rest are met by the client. Client has less time in dealing with these activities since they are preoccupied by their obsessions and compulsions. Provide time for the patient to finish the ritual. Setting limits has more advantage than stopping the ritual abruptly because it may ensue panic than relief. Prepare simple yet structured activities for the client. This is a good and productive diversion for the client’s obsessive compulsive behavior. Whenever the client demonstrates a non-ritualistic behavior, give praise or recognition. This will increase self-worth and self-esteem. Be empathic with the client and be aware of the need in performing the rituals. It will convey acceptance and understanding on the client’s situation. Certain drugs also help the patient deal with OCD. Clomipramine is considered as the drug of choice in dealing with these clients. However, a certain group of drug is said to be effective for this kind of psychiatric disorder. They are called Selective Serotonin Reuptake Inhibitors (SSRI). SSRI is a kind of antidepressant that treats depression, anxiety disorders, and some personality disorders. As the name suggests, it prevents the reuptake of serotonin whose action is to elevate the mood. Since OCD is an anxiety disorder, it is proven to be effective and helps in dealing with the anxiety of the patient. Some of SSRI drugs commonly used are fluoxetine, fluvoxamine, paroxetine, and sertraline. However, one should watch the side effects of these drugs. SSRIs are known to cause gastrointestinal symptoms like nausea and diarrhea. They are also known to cause anticholinergic effects as well as sexual dysfunction. Milieu management also helps in the treatment of anxiety disorders particularly the cognitive behavior therapy (CBT). Although rooted in two different theories, it is found to be effective in treating patients with anxiety disorder. The basic concept of using the CBT in anxiety disorders is systematic desensitization or in vivo approach. It is believed that fear is learned and continued to be learned unless the client is exposed to certain stimuli. Initial exposure causes an increase in physical and emotional distress. As the desensitization therapy progresses, the client then will learn how to unlearn hi/her fear. In OCD, there is what we call exposure with response prevention which is directly under the CBT. The aim of CBT is the same with systematic desensitization. Nonetheless, as anxiety is relieved, so is the ritualistic behavior of the client. Others would also consider thought stopping, a technique wherein the client’s intrusive obsessions are substituted with adaptive ones such as deep breathing or walking. As the treatment goes, several outcomes must be predicted in order to evaluate whether the treatment is effective or not. It can be short term or long term. Short-term outcomes would include the following: 1. Patient will be able limit the time needed in performing rituals. 2. Patient will report and identify strategies and actions that will be substituted for compulsions. 3. Patient will be able to finish and focus on the structured activities given to them by their health provider. These short-term outcomes must be followed in order for the client to achieve long-term outcomes. Nonetheless, long-term outcomes would include: 1. Patient will be able to develop strong and healthy relationship with the people surrounding him/her. 2. Patient will be able to substitute compulsions with positive adaptive behaviors and thoughts. References Ziskin, L. (Producer), Brooks, J. L. (Director). 1997. As Good As It Gets [Motion Picture]. United States: TriStar Pictures

Tuesday, January 21, 2020

Kate Chopin Gives a Womans Voice to Realism Essay -- essays papers

Kate Chopin Gives a Womans Voice to Realism Kate Chopin succeeded in giving a woman's voice to realism. While doing this she sacrificed her career. This seems to be a "higher order of feminism than repeating the story of a woman as victim...Kate Chopin gives her female protagonist the central role, normally reserved for the man, in a meditation on identity and culture, consciousness, and art." (Robinson 3) "The role of woman in the society Chopin creates is of special interest and relevance. (Robinson 6) Introduction to Kate Chopin Before Kate Chopin came onto the writing scene, women had an insignificant role in society. Women never did anything that would cause some sort of controversy. All literature focused around a male main character as well. Most stories being written at the time were about male characters and their stories, not the women. Kate Chopin changed that. Kate Chopin was born Katherine O'Flaherty. She was born in St. Louis, Missouri in 1851. Her father was an Irish immigrant and her mother was of French descent. They introduced Kate to music and writing at an early age. (Elements of Literature 481) At nineteen she married Oscar Chopin, who was a French Creole from New Orleans. They had six children together. After her husband's sudden death IN???, she moved back to ST. Louis and began to write. In 1890 she published her first novel. Her stories concerned the life of French Creole in Louisiana and were praised for their accurate portrayal of the French. Her themes are a much more controversial matter: it was the repression of women in Victorian America. This theme was presented in her famous novel The Awakening. (Robinson 15) The Awakening Kate Chopin's most well... ...s. She accomplished her goals, and made a major impact on writing. Kate Chopin influenced many other women writers today. She was "a pioneer of her own time, in her portrayal of women's desires of independence and control of their own sexuality." (Toth 481) Bibliography: 1. Allen, Priscilla. "Old Critics and New: The treatment of Chopin's The Awakening." The Authority of Experience: Essays in Feminist Criticism, eds. Arlyn Diamond and Lee R. Edwards. Amherst: University of Massachusetts Press, 1997. 2. Chopin, Kate. "A Pair of Silk Stockings" Elements of Literature. Orlando, Florida: Holt, Rinehart, and Winston, Inc., 1993 481-484 3. Moers, Ellen. Literary Women: Garden City, NY: Doubleday, 1976 4. Q. Arpin, Susan Allen Toth. Elements of Literature, 5th Course. Orlando, Florida: Holt, Rinehart, and Winston, Inc., 1993

Monday, January 13, 2020

A Critical Evaluation of Myself

Life is a continuous succession of events. The happiest incidents always linger in our minds as sweet memories. The most memorable incident in my life is the transition of Hong Kong into an integral part of the great country China. This brought about great changes in the life style and the political affairs of the people.I am proud to be a Chinese citizen now. Actually, I was born in Shanghai and brought up in Hong Kong. I consider myself to be very lucky to be the part of a very large country with a glorious past and a rich cultural heritage. The ‘great wall of china’ is one of the greatest wonders of the world. This beautiful structure clearly demonstrates the glory and power of ancient China.Growing up in modern Hong Kong was a great opportunity. Hong Kong has an international culture firmly rooted in age-old Chinese traditions. Life in Hong offers a fine blend of tradition and modernity. My life itself is proof of this wonderful fusion.Though I come from a traditiona l family, I was given the freedom to choose my life and pursue my career. I chose to major in art for my graduation. This may appear a bit odd for a person living in a commercial metropolis like Hong Kong. My ambition is to become a great artist. I believe I can achieve my dream because I am a very imaginative person. My specialization is photography and each time before I take a picture, I imagine how it would look like. This critical thinking power has greatly helped me to become an excellent photographer.All great countries are built upon the solid foundations of their culture. A number of great kings belonging to different dynasties who ruled China built up its great traditions. I love the Tong dynasty very much because they had developed China into a very powerful nation. Today China is a modern nation built upon the foundation of its tradition and culture.The success of a country is defined by its harmonious blending of the past and the present as in the case of Japan as well. The Japanese are rooted in history and tradition, but they are ready to embrace the new as my Japanese friend Satoko Nishikawa (2009) says: â€Å" In the city, there are tall buildings and old temples next to each other.Japanese culture is very traditional but at the same time people like to embrace the new. Japanese try to find a guide into tomorrow by taking lessons from the past†. Similarly, my other Japanese friend, Lidia Asato talks about the advantages of the fusion or blending of two diametrically opposed cultures. Born and brought up in Peru, Lidia   Asato (2009) though a full-blooded Japanese, grew up imbibing the Peruvian culture. Unlike the Japanese who are low profile and disciplined, the Peruvians are extroverts with a sense of humor.Mylinh Phu (2009), my Vietnamese friend also believes in accepting other culture without losing one’s own identity by declaring that â€Å"I grew up in America but I am proud to be a Vietnamese.   I still maintain my own culture by teaching my children how to speak Vietnamese†. This attitude is a clear proof of the power of critical thinking in myself as well as in my friends.

Sunday, January 5, 2020

Ethics - 629 Words

Ethics Keith A. Bates Sr. MGT/498 4 April 2012 Richard Rignall Ethics Ethics and Social Responsibility in Developing a Strategic Plan Ethics are values that guide personal thoughts and actions in knowing right from wrong. Personal conduct and behavior is based on how the individual views unethical behavior. Social responsibility is the company, management, and employees working and conducting themselves by following rules of society. Companies that include ethics and social responsibility into the companys mission and vision statement have a greater chance of succeeding. Ethics is based on an individuals actions. These individual actions affect the business. Adelphia, one of The United States largest cable company, failed because†¦show more content†¦Companies need good employees and good employees do not want to work for an unethical company. Employee turnover will be high, increasing training time and expense and decreasing the functionality of an organization. Employers will experience low morale, more sick days, and employees will not be motivated. Investors do not want to invest in an organization th at lacks ethics. Example of a company overstepping ethical boundaries for stakeholders Ford Motor Corporation put profits ahead of consumer safety with the Pinto exploding on rear impact crashes. Ford Motor Company engineers had a design to fix the explosion issue, but management decided not to implement the design change. The design change would have cost Ford $11 per car to install. Ford estimated that the design change would have cost $137 million compared to the $49.5 million in benefits if the change were implemented. What types of preventative measures could be taken to avoid this type of situation. Ford Motor Company did not violate any federal laws by not correcting the problem causing the Ford Pinto to explode. Ford was criticized for using the risk/benefit analysis and for making the choice of profits instead of consumer safety. Fords financial theory used to make the decision did not take into account the repercussions of negative publicity and the number and amount of judgments and settlements against Ford Motor Corporation. Conclusion In conclusion, Fords decision cost more thanShow MoreRelatedEthics And Ethics : Ethics922 Words   |  4 Pagesand friend group to be altered. One change I was not anticipating making was my approach to ethics. Over the course of the past fifteen weeks, my knowledge of ethics as well as my approach to ethics has changed. I have become more knowledgeable about the different approaches to ethics and have gained insight as to where I stand in my approach to ethics. One thing that has changed in my approach to ethics since the beginning of the semester is I am now adamant that it is impossible to arrive at aRead MoreEthics : Ethics And Ethics Essay1578 Words   |  7 Pages†¢ Define ethics. 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