How to Write an Essay Essay Example for Free

How to Write an Essay Essay Writing a good essay is what any human being can do but writing an exemplary essay only some can achieve. Learning and comprehending what you learn is completely different then just interpreting it and not putting that hard work into work. People always struggle with the beginning of the essay and getting started. To begin an essay you must always have an introductory paragraph. This paragraph consists of a thesis statement and a tone. The thesis statement should tell a reader what you will be writing about. Your tone will help the reader understand why you’re writing what your writing and for what. In other words, are you informing the reader, or persuading, or even trying to amuse them? You want to make sure that the tone suits the topic of your essay. Now, the essay will provide us with what is next in writing an essay. Once you begin an essay with your introduction you want to keep a reader entertained with your writing. By doing this you then follow with your body paragraphs which contain from three being the very least to as many as you need. The body paragraph is your main part in the essay. These paragraphs provide the support to your introduction paragraph and also to your thesis statement. They fill the essay with details and examples. However, each body paragraph should have one topic sentence and possibly a concluding sentence. You also want to improvise by showing the writing of elements such as parallelism, definition, description, contrast, analysis, repetition, summary, amplification. Understanding your essay is also a major factor. Make sure you review your work closely and repeatedly. Although, your essay should understand you must also stay on topic, remembering to focus on your thesis statement. Your essential focus of your essay should be expressed in the thesis statement. While writing you want to provide transition between each paragraph that will guide your reader to a conclusion that will sum up the essay. Amplification in an essay is adding more detail to the word itself. Such as, â€Å"The professor gave a presentation in which he showed us different slide; music slides, text slides, illustration slides, chart slides, video slides, just too many slides.† An example of parallelism would be â€Å"Whether at home or at work, he was always busy† this element is using the same pattern of words to show that two or more ideas have the same level of importance. Definition would be best defined as elucidating a word into greater detail so it could give a better view of what you’re writing about to the reader. Description could be another use of using many adjectives in your essay, describing a noun into depth. For example â€Å"The sky is remarkably beautiful today with blue skies, no clouds and the sun beaming onto your skin making you warm but not hot.† Accomplishing everything that has been instructed in the past paragraphs leads you to one last thing to do. Reviewing your essay from grammar mistakes, punctuation mistakes or lack of transition words is an important task you want to complete. You would also want to make sure that there are no run on sentences. These sentences basically are statements that have already been said. For example a run on sentence would be â€Å"Adam is a sweet boy he really loves animals.† The correct way to write that would be â€Å"Adam is a sweet boy. He really loves animals.† You want to make sure that you are able to speak to your reader as if he or she were sitting in front of you. In other words, instead of writing the essay, try talking the essay. Proofread your essay until it reads just how you want it to sound. With this in mind your concluding paragraph comes last. In the conclusion you want to recap your idea in a clear summarizing manner. You want to make sure that after your reader is finished reading the essay the message you intended to communicate was understood. You need to keep in mind that the last paragraph should be short and avoid any extra information that would discredit anything you said. One last element of writing would be the summary. The summary is the whole essay being put into account and re reading it to make sure you stayed on topic and kept the whole essay organized for your reader to understand. All you’re trying to do is make a benevolent exit, and most probably all the really important points have been made previously in your essay. However, you should not repeat your thesis either. Once you’ve done all that’s been elucidated you should have a strong essay and be able end your essay without any difficulty.

Different Between Comprehensive Assessment And Risk Assessment Nursing Essay

Different Between Comprehensive Assessment And Risk Assessment Nursing Essay Assessment helps care planning professionals in examining their clients life in much detail so that correct diagnosis, suitable treatment post, problem lists, and treatment goals can be developed (Health in All Policies, 2010). Generally, a clinical assessment identifies client or patients recent experiences and their physical, psychological, and socio-cultural history to settle on exact treatment needs (Smith Capon, 2011). Assessment can be done in different ways but the most two types of assessment used on the basis of underlying differences are as follows: Comprehensive Assessment: Comprehensive assessment is a type of clinical assessment that enables the health professional or treatment provider with the determination of clients most suitable treatment placement and treatment plan. Comprehensive assessment could be defined as a multidisciplinary investigative and treatment procedure that distinguishes medical, psychosocial, and functional restrictions of an unhealthy person with an aim to formulate a corresponding plan to maximize on the whole health with aging. Usually comprehensive assessment is used for the health care of an older adult as it is far more than the traditional medical management of illness. Providing care to old people need evaluation of number of issues such as physical, affective, social, cognitive, financial, environmental, and spiritual aspects that could be identified effectively with comprehensive assessment (Mazza Harris, 2010). Comprehensive assessment relies on the premise that a methodical evaluation of older individuals by a team of health professionals helps in discovering a number of treatable health issues and direct towards effective health outcomes. Comprehensive assessment is generally initiated with a referral by the primary care clinician or from some professional clinician working in hospital. Every patient could not be referred for comprehensive assessment as there are specific evidences to identify appropriate patients for comprehensive assessment. Although there are no set criteria to refer patients for comprehensive assessment, but some specific points or criteria used in this concern are: Age Medical comorbidities like heart failure or cancer Psychosocial disorders like depression or isolation Specific geriatric conditions like dementia, falls, or functional disability Earlier or anticipated high health care utilization (Wanberg Milkman, 2009). Change in living situation One outpatient approach for referring patients for comprehensive assessment is to refer patients who have problems in various areas, whereas an inpatient approach to refer would be to refer patients for CGA who are found to have problems in multiple areas during geriatric assessment screens. An inpatient approach used to refer patients for comprehensive assessment is to refer patients admitted in hospital or clinical care institute for a specific medical or surgical reason (Phillips, McKeown Sandford, 2009). Comprehensive assessment helps clinical care professionals in providing care with the help of six steps that are data collection, team discussion, development of a treatment plan, execution of the treatment plan, monitoring response to the determined treatment plan, and revising the treatment plan. A comprehensive assessment is undertaken with the help of qualified and trained clinicians that in turn assist the treatment provider to determine the most effective treatment placement and treatment plan (Wanberg Milkman, 2009). Risk Assessment: In contrast to comprehensive assessment, risk assessment refers to making decisions on the basis of acquaintance of research evidence, familiarity of the individual service user and their social background, knowledge of the service users own experience, and clinical judgement. In risk assessment, the clinician must collect information from two main information sources to direct clinical decisions (OConnell, Ostaszkiewicz Hawkins, 2011). Understanding of statistical factors in regard to the increased risk is needed, along with clinical and contextual information specific to patient or clinical service users present situation. Evidence of known risk factors can be attempted from the clinical data as well as from the patients demographic information (Mazza Harris, 2010). Demographic information like age, gender or past behaviour may be related to increased risk. Although, all these factors are static, so risk may not be decreased through the modifications in these factors. Dynamic factors on the other hand can be modified like factors related to patients mental state or socio-economic conditions etc (Phillips, McKeown Sandford, 2009). Information collected from dynamic factors is more effective to inform care planning. Therefore, in risk assessment information specific to the patient and his/her contextual information need to be incorporated. The concentration of risk assessment is to guide and support positive approaches to risk management whereas in comprehensive assessment focus is on the development of treatment placement and treatment plan. Risk assessment and its management in clinical care is a step-wise procedure that includes following steps; social and environmental context, defining the risks, distinguish who is at risk, information collection, evaluation of risks, determining which risks factors need to be modified, resource significances, communication, care planning, and review. Continence Assessment A continence assessment is executed by healthcare professionals with an aim to assess an individual ability to control bladder or bowel function and to agree on factors that may be imparting to incontinence. For continence management, it is vital to take continence assessment and it is undertaken in two parts: an interview and a physical assessment. As well, patient may also need to fill a bladder diary before his/her assessment (Chiarelli, 2011). A bladder diary refers to a diary of evidences and what patient was doing at the time evidences took place. A bladder diary serve health professionals with significant clues in regard to the type of incontinence an individual is facing and what are the activities that may be contributing to incontinence. In the interview portion of the continence assessment, patient could be asked with a series of questions such as prior medical history, medication being taken, overall health, weight, smoking history, history of prostate issues (for men), pregnancy/childbirth history (for women), diabetic, problem with frequent constipation etc. In the physical assessment portion a urinalysis is done to check for kidney or bladder problems, such as infection (Ferrell Coyle, 2010). At the same time, if needed healthcare professional (generally a nurse continence expert or a doctor) may also carry out a physical exam, together with a vaginal exam for women and a rectal exam for men. It is done to evaluate the strength of patients pelvic floor muscles (Phillips, McKeown Sandford, 2009). Physical assessment makes it easier for healthcare professionals to identify a physical problem due to which incontinence is occurring. A continence assessment is significant to identify the reason of incontinence, and recommend patients in regard to managing incontinence (Chiarelli, 2011). A continence assessment significantly contributes in a comprehensive health assessment and this could be understood with an example of an old person comprehensive health assessment. Today, old patients have multiple problems like diabetes mellitus, chronic chest conditions etc. For dealing with all these health issues of older people, it is vital to undertake comprehensive health assessment that if also includes a continence assessment would benefit a lot to identify the actual causes of all problems in old aged patients (Miller, 2011). Diabetes mellitus can result in number of bladder problems, including polyuria, urinary retention and urinary tract infection, so at the time of comprehensive health assessment is a continence assessment is also done it becomes easy to control the health problems and its affects at earlier stage (Chiarelli, 2011). A continence assessment assist health care professional a lot in their comprehensive health assessment as without identifying bladder functioning it is not possible to arrive at suitable treatment plan (Ferrell Coyle, 2010). Abnormal Findings and Actions to deal with it: The prevalence of urinary incontinence heightens with age, so the diagnosis of it on time is essential for women. As the population of US ages, quality care professionals confront increasing number of inconsistence (Massoud, Mahshid Behrouz, 2011). At the time of performing continence assessment one might expect these three abnormal findings: Stress Incontinence: It refers to the spontaneous loss of urine throughout an increase of intra-abdominal pressure brought about from activities like coughing, smiling or exercising. The underlying abnormality is generally urethral hyper mobility due to the breakdown of the normal anatomic accompaniments of the urethrovesical junction. Being a planning care professional one can deal with this abnormality with the diagnosis along with various tests to assess the severity of leakage as well as undertaking specialized tests such as urodynamics and cystourethroscopy (Continence Assessment, 2010). Detrusor instability or Detrusor hyperreflexia: These abnormalities are all due to overactive bladder. For dealing with this abnormality, a planning care professional may undertake several simple or complex urodynamic studies to arrive at the definitive diagnosis of Detrusor instability or Detrusor hyperreflexia. As well, some patients may also be treated without experiencing invasive testing. Behavioural therapy could also be used as bladder retraining and biofeedback that tries to re-establish cortical control of the bladder by appropriating the sufferer ignore exigency and void only in retort to cortical signals in waking hours (Ferrell Coyle, 2010). Ectopic ureters and diverticulae: Another abnormality that is expected to come up at the tiem of performing continence assessment is ectopic ureters and diverticulae. For dealing with this type of abnormality, a completed history is obtained and a physical examination is performed to initiate treatment. Treatment of women with urinary incontinence secondary to a urinary or gynecologic deformity or lack of continuity usually calls for surgery by an urogynecologist or an urologist (Continence Assessment, 2010).

Social Media Impact on Fast Food Chain (KFC)

Social Media Impact on Fast Food Chain (KFC) Uuse Table of Contents (Jump to) 1. Introduction 1.1 Research aim 1.2 Research Questions 1.3 Research objective 2. Literature review 2.1 Social media 2.2 Impact of social media 2.3 Fast food chain 3. Research methodology 3.1 Research design 3.2 Population and Sampling method 3.3 Data collection 3.4 Reliability and validity 3.5 Ethical consideration 3.6 Data analysis 3.7 Research limitation 4. Anticipated findings 1. Introduction This report is targeted on exploring and understanding the impact of social media on fast food chain, focusing on fast food companies of UK. So, we have chosen KFC for case study to carry out the research on this topic, as KFC is well known company in fast food industry not only in UK but worldwide. In today’s world, people are attached with the social media and defy on it while selecting any organization they need to deal to fulfill their needs. So, social media impacts on the buying behavior of customers and on selection of the organization. Social media is used by the companies in order to advertise their products and services. In this report, we first sort out research aims and research questions that start the plan for research. Then in literature review, the concepts on social media along with its impact and the fast food chain are discussed. Further, we choose research method and research design for this report and then we also choose the methods of data collection and data analysis. Finally, in this research proposal we discuss the anticipated findings that we could achieve from this research. KFC is a fast food company now owned by Pepsico and was established in the service station of USA serving chickens. The full form of KFC is Kentucky Fried Chicken, based in Lousville, it is one of the few brands in USA that can boast about having 59 year old history of success and innovation. KFC serves chicken along with varieties of other products like burger, mashed potatoes, and sandwiches also. It has been serving customers foods as prepared at home at very affordable price that could be bought by people of even low income also. It has opened its 15,000 outlets in 105 countries like Malaysia, China, UK and so on. In this report, we carry out our research in the outlets that are situated in different places in the capital city of UK that is London. KFC is famous for serving chicken with unique taste that has been able to win hearts of several people all over the world. It has many employees working through its outlets in several countries speaking different languages and from dif ferent cultures and tradition but are dedicated to the achievement of organizational goals and objectives. The unique taste of fried chicken of KFC as well as different flavors of chicken curry, tom yam chicken, hot and spicy and original recipe etc. has been unique feature of KFC which has made it popular among its customers and a successful company in the fast food industry. 1.1 Research aims This report is concerned on social media and the fast food chain, so the aims of this research are also based around it. This research aims to find following facts on the fast food chain, To understand the social media used by KFC. To find the impact of social media on customers. To find the impact of social media in the company. To find the effectiveness of social media. 1.2 Research Questions This report is determined to find out the answers to following research questions: What is the effect of social media on KFC? What is the social media used by KFC? How is social media being helpful to KFC? What is the impact of social media on customers? 1.3 Research objectives This report is based on the hypothesis on finding the impact of social media on fast food chain. So, it sheds light on the effects of social media on the fast food companies. This research has been carried out with certain objectives which are sorted out in following points: To gain knowledge on the use of social media by KFC. To understand the impact of social media on KFC. To study the impact of social media on customers and employees of KFC. 2. Literature review In literature review section of this report, we gain knowledge on social media, its use in fast food industry and also its impact on the organization. We also discuss about the fast food industry and the fast food chains. In this report the discussion is centered on the role of social media in daily life, its consumption, customer’s perceptions of advantages and disadvantages of social media, the acceptance and impact of social media advertising, the level of engagement of brand through social media and the role of other media in reinforcing social media communication. 2.1 Social media Social media has revolutionized the communicating methods of the individuals, community, organization or the whole world. It can be defined as,† a group of internet based applications that is build on the ideological and technological foundations that allow the creation of exchange of User Generated Content.† It has been convenient way of communicating with the people not only within a certain region but within the globe. It has become an essential part of an organization in order to communicate with its customers, suppliers, investors as well as its employees. Rapid use of social media by the customers has enforced the organization to use those media in order to communicate with their customers as well as to build solid relationship with them that helps in customer retention. So, they are using blogs, wikis, podcast, social networking sites, websites and you tube so as to stay in touch with their customers and to get informed of new offerings on the market. Most of the o rganizations are using social media for marketing and include these media in their marketing strategies and plans. As consumers are turning away from traditional sources of advertising like radio and television, social media has become modern solution for advertising within the mass and wide range of people. Blogs are a kind of social media where people post images, ideas or links. Social networks are places where people with common interest meet and form personal websites. Content communities are websites where particular content can be organized or shared with others. Forums are sites for exchanging ideas or information around particular interests. Some of the most popular social media that people use are facebook, twitter, You Tube, Flickr, and Wikipaedia. Social media sites have been attracting millions of users around the world and some researches also show that most of the people in the world remain in touch with the social media sites daily. Social media is combination of sev eral internet tools that enable users to generate, exchange and modify content continuously. Social media like facebook, twitter, instagram, you tube websites, mobile social media etc have overwhelming number of followers increasing day by day. As the fast food industry in UK has become very competitive along with entry of several players, it has increased the level of competition and challenged the marketing players. So, KFC though is very popular needs to use more advertising sources in order to get a competitive edge and to win over its rivals. Social media has been rapidly used by KFC in order to gain global access and also for reducing its transaction costs. Further, it also facilitates access to potential customers along with customization of products and services and exchange of service and information. It has also become easiest way of taking orders for the food items for the company as well as its customers due to overwhelming use of social media. 2.2 Impact of social media Social media as being used rapidly by the people around the world attracts attention and encourages readers to share it with their social network sites. It acts as a platform for everyone who has easy access of internet. Social media also serves as the best advertising media as it is driven by word of mouth and can be considered as earned media rather than paid media. It also helps in increasing brand awareness through increased communication activities. It can be helpful in marketing campaigns for the recognition of the organization in the newer market as well as existing market. Social media is an online content created by people using highly accessible and scalable publishing technologies. It provides numerous opportunities for strengthening and expanding relationships to customers. Social media impacts the customers for the selection of the organization they want to deal in order to fulfill their requirements as they are closely related to these media nowadays and trust these media the most to get information. For this research, it is important to understand the effect of social media on the potential customers when they are deciding which product or services they want to acquire. Customers use social media to enable them to create and share content, and communicate with one another build relationship with other people. Social media has become major factor in influencing various aspects of customer behavior including needs, recognition, information acquisition, opinions and attitudes, purchase behavior and post purchase communication. Social media develop horizontal relationship ranging from customer service to customer retention and acquisition. Increasing use of social websites perceive as a tool in forming online communities of users. Also companies can obta in various feedbacks and comment regarding their services so that they can improve their service in order to meet the needs and satisfaction of customers. Development of social media has helped in growth and expansion of business of fast food companies like KFC. 2.3 Fast food chain Fast food industry was not been available since ancient times but it has now becoming rapidly growing industry along with busy and scheduled life of people. As its name this industry is famous within its customers in providing quick food service for the rush hour of rapidly moving people. Mostly fast food industry serves quick foods like hamburger, sandwiches and also meat contained product. This industry is one of the most competitive and saturated industry in developed countries like UK or USA. Fast food service has culture has been embraced by several people due to their busy schedule and also easy availability of food when they want. 3. Research methodology 3.1 Research design This research is based on fast food chains and needs to explore the facts on impacts of social media, so it follows positivism theory of research methodology and deductive approach as the process of this research arrives at conclusions based on the interpretation of the meaning of the results of data analysis. This research is of exploratory nature as less previous researches have been found regarding this subject and general nature of the problem along with factors related to it has to be discovered. So, this research is commanded by qualitative methodology as it is of exploratory nature. Through deductive process, this research aims to uncover rich and detailed descriptions with a holistic focus. 3.2 Population and Sampling method In the proposed study, the population to be studied has been first identified and sampling frame was developed. The population for this study comprises all the customers and employees who are related to KFC belonging to different levels of jobs they are employed to. As this research is carried in KFC stores located at London Chinatown and Marylebone in London, UK, the population for this report is the customers and employees who are related to the stores there. Further, non-probability sampling method will be used for this research as it doesn’t involve random selection which is not feasible for this research. This research is of exploratory nature, so convenience sampling method is appropriate where the samples are selected looking into the ease of their accessibility and interest for the study. As the name reveals, convenience sampling is selected because it is convenient and often saves time and effort of the researcher to select a random sample. 3.3 Data collection As per the need of the study, both primary and secondary data will be collected, but priority will be given to collection of primary data, which will be both quantitative as well as qualitative. Primary data will be collected by some of the popular techniques used in this field. Primary data will be collected via field study where the researcher will visit KFC stores in order to collect data. In KFC stores, the researcher will collect the data through questionnaire method by distributing questionnaires to the respondents and then after they finish collecting it. So, questionnaire will be designed in view of data requirements and will be distributed to the respondents in the field. The respondents will be convinced that their responses will be kept confidential and average time taken to fill the questionnaire will also be limited. Secondary data will be collected adopting various secondary means and through the access of some secondary sources available conveniently. It will be collected from previous researches, previous studies, published or unpublished documents, annual reports of KFC, journals on KFC and other related articles that can be useful for this research. Secondary information available will be useful in checking the validity and reliability of empirical field data. The methods adopted in the study to generate relevant data will be guided by research objectives, questions and type of data required for the study. 3.4 Reliability and validity A reliable measurement is one which gives consistent results on independent testing. If the findings of one piece of work can be replicated by another research group, or by the same research group at a later occasion, then it produces the same result, then it is deemed to be reliable. Though total reliability is difficult to be achieved, quantitative methods are likely to aspire to it. In order to eliminate the chances of error, it is always better, if there are repeated observations and the measurements of the same individuals or situations. Validity concerns whether a research method gives a true picture of what it claims to have recorded, and shows social realities as they really are. No matter how reliable data may be, it will always be limited in its validity if the researcher cannot show that it gives true account of what it is being studied. It is the strength of our conclusions, inferences or propositions. It is an element that addresses the issues of whether the researcher is actually measuring what they want to. Reliability estimates the consistency of measurement and validity estimates the accuracy of your measurement. A measure can be perfectly reliable but yet not valid, which shows that reliability and validity differ from each other. 3.5 Ethical consideration In present situation, researchers have to carry out their research along with the consideration of ethical issues as well as obligations regarding the people participating in the research as well as the organization. Researchers need to do everything in their authority to make sure that their research doesn’t harm the cultural or ethical respect of the participants. So, for the research, written permission to conduct it has been sought and the Code of Good Research Practice of KFC will be followed. The respondents will be chosen based upon their willingness towards the research. Privacy, anonymity and confidentiality (PAC) of the studied groups will be strictly maintained. The data collection method includes personal information of the respondent also, so the information will be kept confidential and will not be used for other purposes than the research. Further, data provided by KFC will be secured in files with password protection. The final reports will not be provided for other researches and will not be provided for wider circulation. The participants as well as the organization under study will be provided with the required information on the research as well as the researcher. Further, while doing research the researcher should also ensure that the participants will be provided with certain questions to be answered and given certain time which will be recorded by the researcher. Further, the rules and regulations of KFC as well as of the business schools shall be followed while carrying out the research. 3.6 Data analysis Data analysis is very decisive in research as researcher has to highlight how in what ways data has to be tabulated and analyzed. The data collected from secondary and primary sources will be analyzed to obtain findings of the research. Statistical procedures will be clearly indicated. Quantitative as well qualitative data will be analyzed using the techniques that are available and easy to use. Simple statistical techniques will be espoused for analyzing data such as charts, diagram, figures percentage rank etc. so, qualitative and quantitative data will be analyzed, categorized and tabulated according to the objectives of the research study. 3.7 Research limitation Like every other researches, this research is also bound into certain limitations that has to be followed and considered while carrying out this research. There are certain limitations for this research which binds this research in a small boundary with restricted time frame. Hence, major limitation of this research is termed as the timetable that limits this research in a boundary of time frame for completion of this research. Further, limitation of this research also has been observed in the research method to be used which is in the sampling method to be used in this research. The limitation also can be observed in the scope of this research. Also, the research methodology of this research is chosen for the shorter span of time and less time consuming method due to restriction of time. So, this research may not shed much light on the impacts of social media but can be useful in order to carry out other researches in future regarding the same subject matter. 4. Anticipated findings After the analysis of data collected from the research, this report may shed light on various facts on social media and its impact on the fast food chains. So, we can assume that we can be able to shed light on the following points of the subject topic: Reveal the involvement of KFC in use of social media. Provide information on impact of social media on KFC. Provide information on advantage or disadvantage of social media regarding fast food chains. Provide suggestions on use of social media for benefit of fast food chains.

Comparing Ron Howards How the Grinch Stole Christmas to Dr. Seuss Gri

Comparing Ron Howard's How the Grinch Stole Christmas to Dr. Seuss' Grinch Whether or not you consider Ron Howard's version of Dr Seuss's classic How The Grinch Stole Christmas comical, yet disgraceful, there's no ignoring the little green monster's reign over the box office. The movie, How the Grinch Stole Christmas starring Jim Carrey, was released in November of 2000, reaching a gross high of over $200 million in the U.S alone (The Numbers). However, I feel that this version has over exaggerated the original story, and I will back this up by showing many examples of how Dr. Seuss’s classic turned into a marketing, franchise frenzy. Dr. Seuss's original fable is a simple story told with a great moral that criticizes the commercialization of Christmas. The original story features an â€Å"Ebenezer Scrooge† type creature that lives up the mountains outside "Whoville." The Grinch indulges himself in the annual ritual of spoiling everyone's festivities with a series of nasty pranks. This particular year however he plans to sabotage the holiday season by dressing as Santa Claus, clim...

The Use Of Symbols In Macbeth Essay -- essays research papers

The Use of Symbols in Macbeth   Ã‚  Ã‚  Ã‚  Ã‚  In the play Macbeth, Shakespeare uses many symbols to add to his story. His use of blood, water, light, dark, rampant animals, and even the witches are examples of how he used symbols to add depth to his play. These symbols were often times recurring and they were all related to the central plot of the play.   Ã‚  Ã‚  Ã‚  Ã‚  Shakespeare used blood in this play several times. Blood is first mentioned by Macbeth shortly after he had slain Duncan. The subject of blood was introduced again when Duncan's murder was brought up by Lady Macbeth, as well as others later in the play. In the aforementioned circumstances, blood was used to symbolize the guilt, and pain that Macbeth and his wife were experiencing as a by-produc...

Hemingway: The Relevance of Biography to Interpretation Essay

Even a cursory examination of the literature addressing Hemingway’s writing and his life can seem overwhelming. The purpose of this paper, however, is to demonstrate that some of Hemingway’s writing can be best understood through reference to his own life experiences. This is not meant to suggest that the text does not at times provide some internal textual evidence regarding the meaning of the piece as a whole, for it most certainly does, but that external biographical evidence must also be considered and weighed when interpreting Hemingway’s work. In this paper it will be suggested that an examination of the external evidence, as it relates to Hemingway’s own life experiences, is particularly relevant to any interpretation of Ten Indians or Hills like White Elephants and that in these short stories a reconciliation of the external biographical evidence with the internal textual evidence may better aid in understanding the stories themselves. Significant Biographical Characteristics: Machismo and Gender Relations In order to better understand Hemingway’s writing it is necessary to know about the man himself and some of the major events and experiences which shaped his thought process. With reference to the short stories specifically addressed in this paper there are two biographical characteristics which seem to aid in efforts to interpret meaning or to otherwise try to make sense of the text. The first biographical characteristic is often referred to as Hemingway’s extremely masculine lifestyle or what some scholars have referred to as his macho orientation. It is well-established among scholars and historians, for instance, that Hemingway thoroughly enjoyed rigorous physical activities and pursuits; it has been noted that Hemingway was known for his â€Å"highly developed skills in such ‘manly’ fields as hunting, fishing, boxing and sailing. ( Harry Sylvester, who used to box with Hemingway frequently, once told me that Hemingway was the strongest man he had ever known. )† (McCaffery 12). He was, in short, an independent-minded writer whom enjoyed physical exertion, challenging himself through a variety of pursuits, and outdoor activities. While some scholars, such as McCaffery, have viewed Hemingway’s manliness in a positive light there are some whom have viewed him in a less flattering light; indeed, as a leading Hemingway scholar has pointed out â€Å"Others view his masculinity as negative machismo. They consider him the worst example of a sexist, racist, homophobic man, and often refuse to read or teach Hemingway, or make apologies when they do. † (Moddelmog 2). Whether loved or hated, therefore, scholars seem to agree on his manliness and his abrasively macho view of life. For purposes of interpretation, this informs us that though a gifted writer, and an artist, Hemingway was not the sort of intellectual that was confined to a library or a desk at home; quite the contrary, unlike many other writers, he actually did live in many respects the very type of life which he wrote about. His were not speculative musings, or romantic idealizations, but reflections and comments on situations and characters with which he was intimately familiar. Any attempt to understand or interpret his written work, therefore, must to some extant take note of Hemingway’s own life experiences and philosophical mind-set.. The second biographical characteristic which can aid in the interpretation of Hemingway’s text more specifically, with respect to Ten Indians and Hills like White Elephants, involves his personal experiences with women and how he dealt with gender issues such as relationships and fatherhood in his writings. Hemingway, to put it mildly, experienced the company of many women and seemed almost forever to have troublesome or difficult relations with the opposite sex. He loved women and yet he seemed to struggle to understand them in reference to his own lifestyle and psychology. Referring to Hills like White Elephants, one researcher has observed that â€Å"the subtle and dramatic dialogue in ‘Hills Like White Elephants’ reveals a clear, sensitive portrait of two strong personalities caught in a pattern of miscommunication due to gender-linked language patterns† (Smiley 92); another researcher, referring to Hemingway’s writing more generally, has argued that he must be understood as a human being whom was never quite comfortable about â€Å"his own failed or failing marital and/or extramarital relations. † (Spilka 299). Gender communication or the lack thereof, particularly that dealing with romantic relationships, is pervasive in Hemingway’s writing and can to some degree be related to his own life. In sum, external biographical evidence is extraordinarily relevant when attempting to interpret Hemingway’s writing and it must be considered alongside the internal textual evidence of each written piece of work. Ten Indians An initial and superficial reading of Hemingway’s Ten Indians suggests a rather common plot in which a young boy falls in love, in which he is subsequently betrayed, and in which innocence is lost or diminished in the process. In the instant story, the protagonist is Nick Adams and he falls in love with a young Indian girl whom he apparently adores and whom he trusts feels the same as he does; the twist is that she has been spotted with another boy and that Nick is forced to confront the betrayal. The betrayal, however, is not easily predicted; it is not easily predicted because Hemingway creates a pleasant setting and a happy family atmosphere within which to develop his more depressing plot. Indeed, the protagonist Nick Adams returns home to his father after spending a happy Fourth of July with his friends the Garners. Over a late meal of cold chicken and huckleberry pie the father, who â€Å"made a big shadow on the kitchen wall,† informs Nick that his Indian girlfriend Prudence Mitchell spent her Fourth of July â€Å"threshing around† in the woods with one Frank Washburn (Carter 103) Everyone had seemed quite happy. The Fourth of July is a joyous occasion for friends and family, and young Nick Adams is in love. Although scholars have debated Hemingway’s intentions, because of different conclusions discovered in preliminary and final drafts of the manuscript, it is true that â€Å"In the final part of the published story, Nick goes into his room after the conversation with his father, gets undressed, and climbs into bed, lying with his face in the pillow and thinking, ‘My heart’s broken†¦. If I feel this way my heart must be broken'† (Nolan n. p. ). Thus, the story would appear to be a familiar one of trust, betrayal, and heartache. Further and more careful readings of the text, however, suggest deeper and, possibly, more metaphorical intentions by Hemingway. If from a superficial point of view the story appears to characterize the fallen world of young love then from a more careful examination of the text, reference to the aforementioned biographical characteristics and the relevant scholarly literature the story may also be said to characterize the fallen world of a man’s sense of orderly nature itself. This notion of metaphor, that the text sets forth a young boy’s broken heart to represent a larger type of destruction, is persuasive given the context in which Hemingway set the story and given the way in which the destruction of the wilderness is simultaneously presented in the text. As an initial matter, it is important to understand that Ten Indians was one of many short stories written by Hemingway which detailed and explored the coming of age of Nick Adams. Some scholars have suggested that the protagonist, Nick Adams, was in many ways a personal reflection of Hemingway’s own coming of age story and that he was an autobiographical figure for Hemingway in certain respects. Indeed, there are several interesting connections between Hemingway’s personal history and the people and places created in the short story, Ten Indians. First, although Hemingway was born in Illinois, it is commonly understood that he considered his spiritual home to be in Michigan. This area served as the setting for this particular short story. Second, he relied upon the local Indians of the region to create some of his important characters; in fact, he drew upon his real life observations of the Ottawa and Ojibwa Indian tribes. Indeed, the Indians and their country had a profound effect on Hemingway’s imagination. From his first attempts at fiction and in his later Nick Adams stories, he would draw upon his experiences at Walloon Lake, using Indian characters and wilderness settings. (Nagel 108) Together, these real life experiences helped Hemingway to create both the setting and many of the main characters for his short stories. In addition to providing inspiration for his setting and characters, there was a deeper conflict which Hemingway’s real-life experiences contributed to his writing design in Ten Indians; more specifically, drawing upon Indian tribes whose lives had become fundamentally changed through close contact and interaction with a different American culture, Hemingway was able to cleverly depict a metaphorical illustration of innocence lost through the betrayal of Nick Adams by the Indian girl. Nick’s innocence, it can be argued, has been destroyed in much the same way as the Indian wilderness. Hemingway lamented the modernization which infringed on the forests of northern Michigan and the parallels between the destruction of the wilderness and the destruction of Nick Adams’ heart are striking. These parallels have been noted by one scholar whom has suggested that: Hemingway shows the wilderness being destroyed and, with the loss of the trees, the end of the Indian way of life. This fallen world is the setting of â€Å"Ten Indians,† a story that centers on the adolescent Nick Adams’s first disappointment in love as he learns that his Indian girlfriend, Prudence Mitchell, has been unfaithful (Nagel 108-109) When examining the text of Ten Indians, therefore, it is important to note these important parallels, Hemingway’s love of nature and his view of man’s place in nature. Literally speaking, Hemingway drew on a familiar and beloved setting and populated much of the story with the type of Indian characters that were well-known to him. Figuratively speaking, or metaphorically speaking, Hemingway managed to link the fallen world of the pristine natural wilderness with the fallen world of a young man’s broken heart. It is against this contextual framework that any analysis of Ten Indians must proceed. This is not meant to suggest that either fallen world was the predominant theme; to be sure, both the text and the scholarly literature would seem to demonstrate that Hemingway found both the destruction of the wilderness and the destruction of a first love as betrayals that would inevitable shatter an individual’s innocence and mark another stage in the coming of age of young boys. A young boy, reconciling the external evidence with the internal evidence, might be better advised enjoying the beauty of the forests than the beauty of insincere wiles of young girls. Hills like White Elephants Although a comparatively short story, Hemingway’s Hills like White Elephants is full of tension and moral dilemma; more specifically, the text appears to suggest that the man and the woman are debating whether the woman should have an abortion and what the implications will be depending on whether the abortion is done or not done. What is most striking, from a textual analysis, is the contrast between the rather relaxed atmosphere or setting and the deeply personal nature of the discussion. On the one hand, for instance, the man and the woman are relaxing at a train station, drinking alcohol, and waiting for a train. This would seem to imply a happy couple, an anticipated journey, and a relationship that will endure at least until the train arrives. These contextual clues, however, are sharply betrayed by the underlying discussion regarding whether the woman, Jig, will undergo an operation to have an abortion. One might anticipate some form of closure, some final decision arrived at by the main characters, but instead Hemingway leaves the reader grasping for answers as the story comes to a conclusion. He leaves them grasping for answers because rather than stating what decision has been made, and whether the American and Jig will actually ever see each other again, Hemingway finishes his story without a definitive declaration in either respect. With respect to the operation for the abortion, the woman states that she is willing to have the operation; the American man, however, doubts her sincerity. The reader is therefore forced to wonder, as the American wonders, whether the woman is agreeing or temporarily attempting to placate her partner and lover. With respect to the relationship itself, the reader desiring a firm and resolute statement is left grasping for straws. This is because, rather than departing on the train to Madrid together as planned, the American places their bags or luggage at different positions on the platform before rejoining Jig. The story then finishes up with the man being suspicious of the woman’s true motives and convictions and with the placement of the bags providing a possible clue that the relationship is doomed. The couple is together and yet the bags are separate; this is where Hemingway leaves his readers and scholars themselves have grappled with both the meaning of the story and the likely outcomes. The scholarly analysis of Hills like White Elephants has traditionally tended to focus upon the use of internal textual clues to determine whether Jig intended to have the operation and the fate of the relationship between Jig and the America; more recently, however, some scholars have begun to analyze whether and to what extant the short story may have been influenced or otherwise inspired by Hemingway’s own life. This bifurcated focus has been summed up, analyzed, and synthesized by one leading Hemingway scholar whom has stated the scholarly emphasis thusly: â€Å"Two recurring themes in analyses of Ernest Hemingway’s ‘Hills Like White Elephants’ are the debate over whether or not Jig will carry her pregnancy to term and the search for biographical experiences that may have inspired and influenced the story. † (Wyche n. p). This section will examine each of these scholarly inquiries in turn. The traditional scholarly interest has involved an examination of the text for clues in order to determine whether an abortion was actually pursued and the fate of the couple. A review of the literature reveals at least four possibilities: Three different scenarios have been seriously considered: the girl will have the abortion (albeit reluctantly) and stay with the man; the girl will have the abortion and leave the man; or, the girl will not have the abortion, having won the man over to her point of view. However, there is strong support in the narrative for a fourth outcome that fits in, with the dark overall prognosis presented in other scholarly interpretations: the girl will indeed have the abortion, expecting in this way to stay on with the man, but after the operation has been performed, he will abandon her. Various verbal and non-verbal indications found in the story support this interpretation of the narrative, as does the very symbolism of the title itself. (Hashmi n. p. ) Although an extended analysis of each scenario is beyond the scope of this paper, a rationale for selecting the most plausible outcome based upon the text is not. The most persuasive outcome would appear to be the fourth; more specifically, a superficial reading of the text suggests that Jig will indeed have an abortion and that the American will abandon her despite her attempt to maintain the relationship. First, the American places their bags in different parts of the platform. Analyzed literally, this seems to suggest that he doubts her sincerity regarding the abortion and that he is preparing for a separation. Second, they stand together and Jig tells the American that despite the strain of the abortion decision she remains fine. The man has made the decision to separate the bags whereas Jig would appear to believe that things will work out in such a way as to maintain the relationship. The man’s actions represent separation whereas Jig’s actions and words represent togetherness. It is therefore plausible to argue that she will pursue togetherness by having the abortion and that the man will pursue separation by encouraging the abortion and then abandoning or otherwise terminating the relationship. Although never explicitly stating such a conclusion, the fourth scenario is supported by the aforementioned textual clues. Other scholars have instead focused on Hemingway’s own life in order to understand the story; in this way, the abortion issue is treated figuratively rather than literally. As one scholar pursuing this biographically-oriented type of analysis explains â€Å"While the figurative abortion in ‘Hills Like White Elephants’ can be understood on the basis of internal evidence, the concept of abortion as metaphor invites consideration of a number of biographical influences on the story,† (Wyche n.  p. ). While such an analysis requires a reconciling of certain parts of the text with information known about Hemingway’s personal life there are interesting parallels. One illustration involves the fact that Hemingway has been reported to have said that the birth of his first child led to the dissolution of his first marriage, that he was at the time too young to have become a father, and that â€Å"the author’s ambivalence toward fatherhood is well-documented† (Wyche, n. p. ). Against this larger framework, comparing the author’s real life with his written work, it may become plausible to argue that the scholarship dealing with the outcomes regarding the abortion and the relationship are in actuality tangential or irrelevant concerns insofar as the author was concerned; more precisely, it might be argued that Hemingway was merely incorporating difficult moments from his own coming of age experience without intending to offer concrete conclusions. In the final analysis, while it is both challenging and interesting to explore what Hemingway may have intended as a conclusion, it is perhaps more enlightening to view Hills like White Elephants as a writer’s reflections about his own past in which firm and absolute conclusions were never intended. Hemingway was placing the reader in his own shoes and asking what the reader might do, what the reader ought to do, in similar circumstances. Such an interpretation is consistent with the biographical data known about Hemingway and makes the story more powerful and personal by forcing the reader to draw his or her own conclusions rather than being force-fed a set of conclusions by the author. Conclusion In conclusion, what makes Hemingway so alluring is that he actually lived the type of life that he wrote about. It is therefore impossible to completely separate his own life from his writing as one might be able to do with other writers. As a consequence, interpretation must necessarily involve a balancing act in which external biographical evidence is weighed and considered alongside the internal textual evidence. It is this interplay, between real life and fiction, that perhaps makes Hemingway appear larger than life.

Effective Treatment for Drug Addiction Essay

â€Å"Every year, hundreds of thousands of Americans undergo treatment for substance use disorder, also called addiction† (Hart & Ksir, 2013, p. 409). Drug addiction is a complex brain disease because the abuse of drugs leads to changes in the structure and function of the brain. It is a condition characterized by an overwhelming and uncontrollable desire or craving to continue taking a drug to which one has become habituated through repeated consumption. It also produces a particular effect, usually an alteration of mental status. Drug addiction is usually accompanied by a compulsion to obtain the drug, a tendency to increase the dose, a psychological or physical dependence, and detrimental consequences for the individual and society. For many people, drug addiction becomes chronic, with possible relapses even after long periods of abstinence. Hart & Ksir (2013), for example, state: â€Å"Substance dependence is often a chronic illness that shares many characteristics with other chronic illnesses such as diabetes, hypertension, and asthma† (p. 22). The pathway to drug addiction initiates with the act of taking drugs, and over a period of time, an individual’s ability to choose not to do so becomes compromised, and as a result, seeking and consuming the drug becomes compulsive. This behavior results mainly from the effects of persistent drug exposure on brain functioning. â€Å"Addiction affects multiple brain circuits, including those involved in reward and motivation, learning and memory, and inhibitory control over behavior† (Huffman, 2010, p. 201). Some individuals are more vulnerable than others to becoming addicted, depending on genetic makeup, age of exposure to drugs, other environmental influences, and the interplay of all these factors. Huffman (2010) argues that â€Å"Psychoactive drugs influence the nervous system (and our thoughts, feelings, and behaviors) in a variety of ways† (p. 186). Treatment for drug abuse or addiction is not simple or easy because drug abuse or addiction has so many dimensions. Effective treatment programs typically incorporate many components. Green (2010) notes that: Each component must be directed to a particular aspect of the illness and its consequences. For example, addicted treatment must help the individual stop using drugs, maintain a drug-free lifestyle, and achieve productive functioning in the family, at work, and in society (p. 148). Because addiction is a disease, addicted people cannot simply stop using drugs for a few days, months, or even years to be cured. The most part of the patients require long-term or repeated episodes of care to achieve the ultimate goal of sustained abstinence and recovery of their lives. Indeed, scientific research and clinical practice have demonstrated the value of continuing care in treating addiction, with a variety of approaches having been tested and integrated in residential and community settings such as inpatient and outpatient community programs. The use of 13-step principles is crucial for addiction treatment to be effective and/or fruitful. 13 Principles for Effective Treatment 1) Family and the drug addict must recognize and understand that drug addiction is a complex but treatable illness that affects brain functioning and behavior. They need to be aware that the abuse of any drug alters the brain’s structure and function. The alterations will result in changes which will continue for a long time even after the drug use is stopped. It also will make the family and the drug addict to understand why drug abusers could relapse at any time even if s/he still in treatment, has experienced potentially devastating consequences, and/or has had long periods of abstinence. Hart & Ksir (2013) note: Drugs work on the body to cause a mood-altering effect by the chemical impact they have on the brain. Through the blood supply, the drug is carried to the brain. Once the drug is released to the brain, the drug’s effect begins because the brain concentrates on the drug (p. 88). 2) Family and the drug addict must understand that no single treatment is sufficient, adequate, or appropriate for everyone. Each treatment differs depending on the characteristics of the patient. For example, the type of drug being used, the period of time that the drug has been used, the age and race of the individual, environmental conditions, genetic influences, behavior, the wiliness and ability to react to the treatment, life style, and the broader health of the individual, etc. The National Institute of Drug Abuse notes that: Drug addiction shares many features with other chronic illnesses, including a tendency to run in families (heritability), an onset and course that is influenced by environmental conditions and behavior, and the ability to respond to appropriate treatment, which may include long-term lifestyle modification. Human studies of addictive behaviors have clearly implicated both environmental and genetic influences, as well as interactions between the two. While genetics play a major role in defining who we are, the environment in which we are raised is just as influential (NIDA, n. d. ). The good match treatment setting, such as interventions, therapies, and others services designed only to the individual’s particular problems and needs, is crucial for that person to success to return to his or her normal and productive life. 3) Treatment must be easily available. Many drug-addicted individuals struggle even when they decide to entering treatment. This step is critical for them, so the program should be readily available for them in order to take full advantage of the available services. When the treatment program is not easily accessible, potential patients will be lost, and the likelihood of positive outcome for those patients will diminish because as with other chronic diseases, when the treatment is offered earlier in the disease process, the probability of positive outcomes will be greater. If the treatment is easily available, â€Å"Overall, it will be considered to be effective because it will help many people to abstain often for many years†¦ The benefits far exceed the cost of providing the programs† (Hart & Ksir, 2013, p. 423). 4) An effective treatment shouldn’t include only the issue of drug abuse, but the diverse needs of the individuals as well. Hart & Ksir (2013) assert that â€Å"Substance dependence is often a chronic illness that shares many characteristics with other chronic illness such as diabetes, hypertension, and asthma† (p. 422). A treatment to be considered effective, it must address the individual’s drug abuse issue and all the related issues surrounding the addiction, for example, medical, psychological, physical, environmental, biological, social, vocational, and legal problems, among others. Also, age, gender, ethnicity, social status, and culture should be taken into account. 5) Staying in treatment for a reasonable period of time is crucial. â€Å"Long-term treatment of more than three months tends to create more concrete habits, as well as allows the client more time to develop etter methods to prevent relapse† (Shewood, 2013). A long-term treatment is especially good for those individuals recovering from using drugs for a very long period of time. The appropriate length for a specific individual will depend on the type of drug used and the degree of his or her problems and necessities. Many studies have demonstrated that most addicted individuals will need at least three months in treat ment to greatly reduce or stop using drugs. In addition, the studies have showed that the best results take place with longer durations of treatments. Recovering from any type of drug addiction is not an easy task to do, but with a long-term process and sometimes the requirement of multiple episodes of treatment, the recovery is possible. Sometimes relapses could occur. To prevent this, individuals should not leave the treatment prematurely. A treatment program should include a set of strategies to engage, motivate, and keep its patients in treatment. 6) Behavior therapies should be included. Behavior therapies such as counseling (individual, peer, and/or group) are very effective forms of treatment for drug abusers. These therapies may include: motivating the patient to change, providing incentives for abstinence, building skills or abilities to resist drug use, substituting drug-using activities for positive, helpful, and rewarding activities, developing or improving problem-solving skills, and facilitating better social relationships. The participation in those therapy programs (individual, peer, or group) during the treatment will greatly help drug addicted individuals to maintain drug free. 7) Medication is a fundamental part for the treatment of numerous patients. To obtain better result, they may be combined with behavioral therapies. Hart & Ksir (2013) state the following: An intense amount of research efforts have focused on developing medications to treat substance abuse and dependence†¦ Some medications that have been used to help substance abusers deal with withdrawal symptoms and maintain abstinence from alcohol, nicotine, opioids, cocaine, and cannabis are: Benzodiazepines, Disulfiram, Naltrexone, Acamprosate, Bupropion, Varenicline, Methadone, Buprenorphine, Naltrexone, Modafinil, and Dronabinol† (pp. 414-415). As with all complex diseases, the environment plays a vital role in the life of the individual to determine the course and outcome of the disease. 8) The individual’s plan such as his or her treatment, resources, and services must be evaluated constantly. The constant evaluation of the treatment plan is a very important thing that should be done to ensure the program is meeting his or her present or changing needs, if not, it should be modified right away. The modification could include a combination of services and treatments during the process of treatment and recovery. Those changes can be counseling, medication, psychotherapy, medical services, social skills, parenting education, vocational training, and legal services, etc. The continue evaluation and changes during the treatment will provide very positive outcomes to the patient. 9) Drug-addicted individuals should be treated for other mental disorders too. Because many drug abusers beside their drug addiction suffer from other mental illness, they must be evaluated and treated for the specific mental illness as well. The treatment should focus on both the addiction and the mental disease with the inclusion of medications if they are needed. The National Institute of Drug Abuse note that: When two disorders or illnesses occur simultaneously in the same person, they are called comorbid. Surveys show that drug abuse and other mental illnesses are often comorbid. Six out of ten people with a substance use disorder also suffer from another form of mental illness. But the high prevalence of these comorbidities does not mean that one condition caused the other, even if one appeared first. Patients with mood or anxiety disorders are about twice as likely to also suffer from a drug disorder. In addition, patients with drug disorders are roughly twice as likely to be diagnosed with mood or anxiety disorders. The rates of specific comorbidities also vary by gender. Among men and women in drug treatment, antisocial personality disorder is more common in men, while women have higher rates of major depression, posttraumatic stress disorder, and other anxiety disorders. 10) Detoxification medically assisted should be just the first phase of drug addiction treatment. Detoxification can be viewed as an initial and immediate goal during which medications are administered to alleviate unpleasant withdrawal symptoms that may appear following abrupt cessation of drug use† (Hart & Ksir, 2013, p. 415). Medically assisted detoxification can securely manage the acute physical and psychological symptoms of withdrawal. 11) Any type of drug use during the whole treatment should be monitored constantly to prevent relapses. For many patients, the alertness that their drug use is monitored all the time is a powerful incentive, and many times it also helps them to stay away from drugs. Moreover, monitoring is helpful to prevent possible returning to drug use. If the continuously monitoring shows that the client is using drugs again, the treatment plan for that specific individual should be adjusted to better meet his or her needs. 12. Treatment programs must assess its patients for sexually transmitted diseases such as HIV, AIDS, chlamydia, hepatitis, tuberculosis, and other infectious diseases as well. Counseling to help drug-addicted patients to modify or change their behaviors which place them at risk of contracting or spreading any infectious disease is a very important piece of the treatment. If the counseling is focused specifically on how to reduce sexually transmitted diseases that put the patients at risk, it could help those patients to reduce or avoid substance-related and other high-risk behaviors. If a patient is already infected, s/he will manage with more responsibility his or her disease, and also it will facilitate adherence to other medical treatments. 13) The addiction treatment plan should be hundred percent ethical. Counselors, as mental authorities, have a lot of power, so they never should use this power for personal reasons or beliefs (such as bias) or to reject a patient. Counselors always must follow the NAADAC set of ethical codes when working with patients. According to the NAADAC, â€Å"counselors have the power to do great, good, or great harm. Counselors always must remember: Today, let me remember my power and take care to use it wisely. † In addition, the counselor should accept the fact that the patient has the right to accept or refuse any treatment plan when s/he is aware of the pros and cons of the treatment. The counselor is not supposed to go against the patient’s will. Conclusion Drugs have been a part of our society for many years now. Every year, hundreds of thousands of Americans receive treatment for substance abuse. Drug addiction is a complex illness that is considered a brain disease. Many drug-addicted individuals in order to become drug free, they must undergo an effective treatment program that typically incorporate many components. Each component must be directed to a particular aspect of the illness and its consequences. The use of 13-step principles is crucial for any addiction treatment to be effective and/or fruitful. They are: (1) Family and the drug addict must recognize and understand that drug addiction is a complex but treatable illness that affects brain functioning and behavior; (2) Family and the drug addict must understand that no single treatment is sufficient, adequate, or appropriate for everyone; (3) Treatment must be easily available; (4) An effective treatment should include the issue of drug abuse, and also the diverse needs of the individuals; (5) Staying in treatment for a reasonable period of time is crucial; (6) Behavior therapies should be included; (7) Medication is a fundamental part for the treatment of many patients. 8) The individual’s plan such as his or her treatment, resources, and services must be evaluated constantly; (9) Drug-addicted individuals should be treated for other mental disorders too; (10) Detoxification medically assisted should be just the first phase of drug addiction treatment; (11) Any type of drug use during the whole treatment should be moni tored constantly to prevent relapses; (12) Treatment programs must assess its patients for sexually transmitted diseases; and (13) The addiction treatment plan should be hundred percent ethical.