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Stranger in a strange land critical essay

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personal narrative essay . Stranger In A Strange Land Critical. This assignment was one of great ease to me. I sat down and immediately came up with an idea centered on a memory . or experience. Once I pinpointed that experience, I began the brainstorming process, followed by a rough draft, and then a solid final draft. The only biology, struggle happened when I began trying to expand the short narrative into a full length essay , as required. Stranger Strange Land Essay. After a considerable amount of time attempting to tweak and expand on the first essay , I finally understood.

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This should . Stranger In A Land Critical Essay. include your initial reaction to the essay title, your basic ideas and an essay on man sparknotes, thoughts and some quotations you want to use. You may find that you do not stick completely to your plan and this is in a land critical essay okay, as the more you think about an essay your ideas will evolve and ss bonding singapore essays, change. You should, however, have formed your ideas and opinions before you start writing. In planning your essay. Critical thinking , Essay , Essays 1062 Words | 3 Pages. paragraphs and also has a certain intriguing appeal - it arouses the reader's curiosity and impels him to read further. The first sentence, however, could . easily have been dropped - the second sentence would make a more compelling introduction to the essay . Paragraph 2 Here the writer develops on the thread of diversity. Note that there is an emphasis on land critical essay aspects that are important to observational learning essay, an MBA course (strong analytical skills, math skills, work experience). The writer shows effectively that she. Balance sheet , Essay , Essays 842 Words | 3 Pages. my essays were about summarizing a chapter from a book or writing a short story.

There was no set length it had to be and there were not any . Stranger In A. specifics to focus on such as to ss bonding singapore, focus on a strong introduction or to focus on being organized when writing. The essays that I wrote in high school were just for a quick grade or to in a land, help out our grade. I did not really have that much experience in writing essays . Packard. In the past semester I have grown more as a writer than I have in the past years. My essays have. Better , Essay , Essays 1419 Words | 4 Pages. An Essay is stranger strange land a piece of writing which is on man often written from an author's personal point of view. Essays can consist of a number of land, . elements, including: literary criticism, political manifestos, learned arguments, observations of daily life, recollections, and reflections of the author. The definition of an an essay on man sparknotes, essay is vague, overlapping with those of an article and a short story. Almost all modern essays are written in stranger critical prose, but works in verse have been dubbed essays (e.g. Alexander Pope's An Essay on. Alexander Pope , Essay , Essays 746 Words | 3 Pages.

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I was not particularly good at English and had doubts . on whether I should ask the teacher to move me down to the college prep class. Observational Essay. Just like a seed, I was a plain little student sitting in an honors class. Maybe from last year’s English class, I was fully aware my writing was not anything special. That was what I thought because I compared myself to stranger in a land critical essay, my friends, but for sure, one thing I was positive was that. Better , Essay , Essays 1086 Words | 3 Pages. ? Email Writing Essay Writing Professional Email Writing Effective Professional Emails are the result of good thinking and careful . Essay. planning”. Steps: o Planning o Typing o Revising o Editing Important features Rules of Effective Professional Email Writing *Direct-The reader should be able to stranger critical essay, understand the message in the first reading.Meaning should be clear and straight. Observational. *. Courtesy- Be respectful,polite,reasonable and use decent words.Courtesy creates goodwill,helps in stranger strange critical making good relations.

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We have an stranger strange land essay, ethical duty . to always be suspicious of words. The three arguments Havel makes to biology 1 term paper, support this claim are that we've always believed in the power of words to change history, and all events in the real world always have their prologue in the realm of words. This conclusion needs a lot of support and strong examples that are relevant, reasonable, and sufficient. Havel's. 2002 albums , Argument , Czechoslovakia 910 Words | 3 Pages. ENG 102 WP-1 - Evaluation Essay Write an essay that evaluates the value or effectiveness of something according to stranger in a strange critical essay, criteria . you establish or identify in ss bonding the essay . The Genre: You’re familiar with the stranger essay, book and hewlett packard study, movie reviews that appear in strange critical newspapers, magazines, and websites. They are just one kind of evaluative writing, but from them we can identify the key components of the genre. First, there is the object to be evaluated. An Essay On Man. Often this is a single thing—a music CD, a scholarly study, a corporation—but. Academia , Academic publishing , Essay 768 Words | 3 Pages. ?WRITING AN ESSAY (See simplified example at the end) Intro: Actually state the question or title that you are going to answer Say what you . are going to do: State that you will define the key words and concepts That you will discuss the background to the key concepts and major, relvant, opposing theories That you will weigh up the pros and cons, strengths and weaknesses, arguments for and against And state that you will then summarise the question, i.e “…in order to summarise and amswer.

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Make sure you read the criteria on which you will be assessed. You are now ready to thesis sentences essays, organise your ideas and the information you've collected into stranger in a land critical essay a logical sequence. But where do you start? It is useful to begin with an essay outline. Ss Bonding Essays. The Structure of the Essay Outline The.

Consumption function , Debut albums , Economics 1577 Words | 5 Pages. writers gave bold imagine about how environment looked like twenty years ago. Stranger Strange Essay. From our perspective that environment is better in old days so; however did . anyone concern about environment twenty years ago? Let’s take look at two authors’ essays to discuss. The first essay is hewlett packard study questions A Fable for Tomorrow, written by Rachel Carson (1907-1964), another one is “But a Watch in the Night”: A Scientific Fable, written by stranger in a essay, James C. 1 Term Paper. Rettie (1904-1969). To begin with I will provide a brief background about two authors. In A Strange Land. Earth , Essay , Essays 1804 Words | 5 Pages. 12/05/12 Critique of ss bonding, Essay Who’s going to hell? That is the question. Well, it is at least for in a land critical essay Bernard Lewis, Author of “I’m right, you’re . Sentences. wrong, Go to hell’—Religions and the Meetings of Civilizations”.

In the essay Lewis discusses the different views of religions and how the stranger in a strange land critical essay, subdivisions of those religions affect it as a whole. It is apparent to see that this topic arouses the author, as he exudes much passion and noticeable knowledge of the subject matter. Thesis Sentences. The point of the essay is not very detailed. Argument , Christianity , Civilization 958 Words | 3 Pages. Strange Land Critical Essay. Persuasive Essay on study Recycling Coursework, Essay and in a land critical essay, Homework Help from Marked By HOW MBT WORKS part of the . student room group HOME GCSE essays AS AND A LEVEL essays MEET THE TEAM PRICING Log in Sign up my account | my saved essays INTERNATIONAL BACCALAUREATE essays UNIVERSITY DEGREE essays Search Advanced search Home GCSE English English Language Writing to Argue, Persuade and Advise Persuasive Essay on Recycling Persuasive Essay on Recycling . Elizabeth Barrett Browning , Essay , Homework 1076 Words | 5 Pages. ? Science Essay Evaluation Rubric assignment # __11________ Student Name:Julia Score:100 This analytic rubric is used to verify . specific tasks performed when producing an essay . If the biology 1 term, task has been successfully completed, all points are awarded. No points are awarded if the task is stranger in a not complete.

Category Scoring Criteria Points Student Evaluation Self Peer Teacher Evaluation Introduction 20 points A thesis statement makes the purpose of the essay clear. Biology. (Thesis.

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Part 8 - Examples of Good and Bad Writing. Learning to write often works best by example. The following are excerpts from nine first-year student essays. Most of the examples are bad, although I did find a two good examples in stranger strange land critical essay, the bunch. In most cases, the names and dates from the observational learning, essays have been changed to not compromise the subject matter for stranger strange land critical future students (in other words, don't use any of the apparent research information here in your papers). I have tried to categorize the errors as best as I could. Errors or bad portions are usually bolded to help you identify them. Smith was a religious, Christian man. His notion of monads included contextual references to learning essay, God. He believed that God controls the harmony of life through these monads.

The essay then goes on to discuss these monads in a Christian context. Had the stranger in a strange land essay, student omitted the above sentences, however, the discussion of hewlett case study religion would have been completely out of in a strange critical essay place, given the essay's topic. Sleepwalking? But since the person being discussed had religious views that affected his theories and work, it is relevant to mention the religious aspect. Had Smith's religion not been a direct influence on his work, it would have been irrelevant. Similarly, you wouldn't mention other things about someone in an essay if it wasn't relevant to the topic. For example, it is stranger in a land essay, irrelevant to mention a scientist's race in an essay about their discovery unless the essays, race impacted the discovery. An example of stranger critical this might be if a black scientist's prime motivation to essays, find a cure for sickle cell anemia was because that disease strikes black people in proportionally higher numbers. If the same scientist was researching some aspect of physics, it would probably not be relevant to mention the race at all. An introductory paragraph: On March 4, 1849, John Smith was born to Anna Bradcock Smith and James Smith.

Although certainly not of humble origins, John was acquainted with several prominent and essay, influential men of an essay sparknotes politics with whom he discussed matters of mathematics, history, science, logic, law, and land, theology. Smith was brilliant in biology paper, each of these fields, but he became known particularly for his contributions in the fields of philosophy, mathematics, and stranger in a strange land critical, logistics. Essay? This paper will not only strange essay, shed light on some of Smith's theories and words regarding these three areas, but will also tell of the events in his life that made him the man that he was. This is the introduction to thesis sentences essays, a chronologically-ordered essay about Smith's life and discoveries. Stranger In A Strange Land Critical? As such, the choice to begin with his date of birth is a good one. The paragraph summarizes the fields touched by Smith and singapore, also mentions the strange land essay, key areas he studied. The paper sets up an expectation for sentences the reader of both a detailed explanation of in a strange land critical Smith's discoveries and anecdotes describing his personality. The sentence structure is thesis essays, grammatically sound and flows well. In the in a strange land critical essay, late 1650's , Smith's mother returned to learning essay, London , she then pulled him out of school with the intent to make him a farmer . Apostrophes indicate possessiveness or contractions, not plurality. The decade is the 1650s. The sentence is land critical, a run-on.

It should either end after London, beginning a new sentence with She then, or the she then should be changed to and. To make someone a farmer is to create a farmer for them. The student meant: to turn him into a farmer or to encourage him to be a farmer. Smith invented the singapore essays, widgetiscope and paved the way for future widget watching. Stranger Strange? All-the-while remaining a simple and learning, humble man who considered himself to be part of stranger strange land critical a team working for the greater good. The bolded part is not a complete sentence.

The entire thing should be one sentence. All-the-while does not require hyphenation. The two differing approaches of development already described, eventually led to the development of the hewlett study questions, two original branches of widgetry; fingleish and fnordleish. This sentence is mispunctuated. The comma is confusing and should be removed, and the semicolon should be a colon. Another of Smith's ideas was the in a strange land critical, method of differentiation. The university re-opened after the plague in 1667.

Smith was elected to a minor fellowship, and awarded a major fellowship after he received his Master's Degree (Bogus 4). Observational Learning Essay? After the realization that Calculus was important, and was being recognized, a document to stranger in a strange land, record all of the theories became a necessity. Biology? The Methodis Differantium, the document that contained the elements of the stranger in a critical essay, theory of differentiation, was created in 1667. Smith believed he was being pulled in learning, two directions when it came to publishing his theories and making his work known. Stranger? He felt a need for fame and fortune, yet on the other hand he had an abundant fear of rejection. To the 1 term paper, dismay of many future mathematicians, it was never published because of Smith's fear of criticism. Since he was not focusing on publishing his work, Smith pursued his career as a professor.

This so-called paragraph is an utter mess. There are far too many ideas in land, it, all of ss bonding essays which are strung together haphazardly without any logical flow. I'll try to dissect and stranger in a land critical essay, rewrite it, but I won't make errors bold because the entire paragraph would be bold if I did. First, let's pick out the different topics being addressed: the method of hewlett study questions differentiation the university re-opening after the plague Smith's ascension through the university ranks the need of stranger strange land critical a document detailing differentiation, which was eventually created Smith's mental state, desires and fears. Now, if we replace each sentence with the number of the corresponding idea, we can see what a jumbled mess this is: 1, 2, 3, 4, 4, 5, 5, 4, 3.

Don't introduce a paragraph with one topic and then leap to another topic in the next sentence. While it may sometimes be necessary to mention something as an aside to complement the topic, the return to the topic should be swift and easy to understand. Don't bounce around within the paragraph as this student has done. Another problem: there doesn't seem to be a coherent timeline within the hewlett packard case study questions, paragraph. Did the land critical essay, university re-open in 1667, or was the plague in sentences, 1667? Is the student saying that Smith was elected to a minor fellowship that year or another year? Similarly, when did the major fellowship and Master's Degree come in? It's unlikely to have all happened in one year, though it is stranger in a strange critical essay, possible. The document was created in 1667, it seems, but when did Smith decide not to publish and seek work as a professor instead? Also 1667?

It sounds like that was a very busy year for poor Smith! The sentences themselves are also awkwardly constructed, making the entire thing hard to understand. I'll make some assumptions regarding the confusing date information. Here is how this information should have been presented: Smith's ideas on the method of differentiation were gaining recognition in the mathematical community, which made it necessary for him to produce a document detailing all of his theories on the subject.

Thus, when the university re-opened in 1667 following the plague and Smith was elected to a minor fellowship, he wrote Methodis Differantium. Although Smith wished to attain fame and fortune, he also feared rejection. This dichotomy resulted in his failure to publish Methodis Differantium; a failure that would be mourned by mathematicians well into the future. Still, Smith was awarded a major fellowship after receiving his Master's Degree in [insert year]. Since he was not interested in biology paper, publishing his work, he concentrated instead on pursuing a position as a professor. Queen Esmerelda knighted Jones in 1705 to be given the title of stranger strange land Sir Joe Smith, which made him the first scientist to be so honored for his work (Bogus) . The phrase to be given is awkward here. An Essay On Man Sparknotes? It would be better written: Queen Esmerelda knighted Jones in 1705, which gave him the title of Sir. Who else could be honoured for Smith's work other than Smith?

It should say: . which made him the first man to be honored for scientific work. There probably should be a page number listed in in a strange, the citation. Jones had a main idea of ss bonding analytic geometry. What does this mean? Does the student mean that one of Jones' main ideas concerned analytic geometry? Does he mean that one of the main ideas of analytic geometry was conceived by Jones? Or does he mean something else entirely?

This makes little sense and is very awkward. Whether Smith made no use of the stranger in a strange, manuscript from which he had copied abstracts , or whether he had previously invented the essays, widgetiscope, are questions on which at this distance of time no direct evidence is available . If Smith made no use of the manuscript, he can't have used it to copy abstracts. This is a very awkward way of saying that the stranger in a strange land, events in question happened so long ago that there is no longer sufficient evidence to ss bonding, answer certain questions. It would be better written: Questions as to whether Smith made further use of the manuscript from which he copied abstracts or whether he had previously invented the widgetiscope are rooted so far in the past that it is impossible to gather sufficient direct evidence to in a strange critical essay, provide answers.

This is still a bit awkward. On Man Sparknotes? It's best when broken up into smaller sentences: There are still questions as to in a strange land essay, whether Smith made further use of the manuscript from which he copied abstracts or whether he had previously invented the widgetiscope. Such questions are rooted so far in the past, however, that it is an essay, impossible to gather sufficient direct evidence to stranger in a land critical, provide answers. Smith formed a political plan to try to persuade the Germans to attack the French due to essay, him not agreeing with their political agendas and this proved the means of his visiting Hamburg. Due to him not agreeing with is a very awkward way of saying: because he disagreed with. Stranger Land Critical Essay? The second bolded part should be a separate sentence. Proved the means of his visiting is a very awkward way of saying is why he visited.

Jones explained ideas too enormous to understand, and simplified problems too complex to approach. Not only is this hyperbole, it's also logically impossible. If the ideas were too complicated to understand, Jones couldn't have understood them himself. If the problems were too complex to approach, Jones could not have approached them. Mismatched Words, Phrases, and ss bonding, Pronouns. After marrying Elizabeth, Smith's father fell ill for stranger land essay several months. After no sign of recovery, a lawyer was summoned to the manor. A will was drawn up, including one hundred acres of ss bonding singapore land, the manor house, livestock, grain, and Smith Senior's death (Bogus 10). His mother gave birth to stranger land critical, Smith three months after Smith senior died. He was premature after suffering from illness due to the shock of sentences essays her husband's passing during the fall . The phrase after no sign of recovery is not properly attached to Smith's father.

Instead, it is saying that the lawyer did not recover from strange land essay, something. A will does not include land, a house, etc. It states to thesis, whom such things are bequeathed. This should say: A will was drawn up leaving one hundred acres of land, the stranger in a, manor house, livestock and grain to essays, [whomever]. I don't even understand how and Smith Senior's death fits into this sentence. His in the sentence His mother gave birth. refers to the antecedent Smith Senior. Land Essay? Thus, Smith Senior's mother gave birth to Smith Senior's son. That would necessitate incest, and is clearly not what the student meant to say. They should have simply said Elizabeth gave birth. Who else but someone's mother gives birth to them anyway? Given the confusions regarding the various Smiths, it would have been better if the student had used first names during this part of the essay.

There is inconsistency in capitalization. It is Smith Senior once, and Smith senior another time. The he in he was premature again refers to singapore, the wrong antecedent. Smith Senior was not premature. Smith did not suffer illness due to the shock of Smith Senior's passing. Elizabeth did. This sentence says that Smith suffered the in a strange land critical, illness. The student suddenly introduces the phrase during the fall when no other mention of the season has been made. An Essay On Man Sparknotes? This could be confused with Smith Senior dying from a fall.

Lastly, the inverse relationship between area and the tangent were never attained. The relationship is singular, even though it refers to multiple elements. Thus, the verb were should be singular as well, and changed to stranger land, was. It was this century where many of the worlds most honorable and highly respected mathematicians created what we know today as calculus. A century is not a place, it is sparknotes, a section of time. Say it is a place where. or a time when.

In this case, It was this century when. Strange Land Essay? Adding an 's' without an apostrophe in this case is pluralization, not indicative of thesis sentences essays possession. The student means world's. But perhaps the largest obstacle , which the Greeks could not overcome, were their insufficient number and measuring system . Were is plural, but obstacle and system are singular. It should be was. Tragically at the age of stranger in a land critical six, Smith's father died. This says that Smith's father died at the age of observational six. The student means: Tragically, when Smith was six years old his father died.

Jones, now familiar with Smith's discoveries, wrote Smith a letter soon after the publication of his discoveries. After the publication of whose discoveries: Jones' or Smith's? Jones reasoned that if he could calculate the angles of the projected colour, a new law of refraction could be made . People can make legal laws, but natural or scientific laws are discovered. To make a new law of refraction, Jones would have to alter physics. During the seventeenth century, the inhabitants of stranger land critical essay England did not realize the importance of scientific advancement. Inhabitants could well mean non-human creatures, and is thus a poor choice of a word. Are we to understand that ALL of the people in England failed to realize the importance of scientific advancement for an entire century? It would have been better if the student had said most people in England.

At the current time, the dominant belief was that light traveled in wave . The current time is the moment the reader is on man, reading the sentence. The student meant to say that the in a strange critical, belief was such during the historical time period being discussed. Current should be omitted. The phrase in wave has an error. It should either be in waves or in thesis sentences essays, a wave. Both may be correct, but such an error can be misunderstood if one is stranger land critical essay, incorrect.

This would likely have been caught if the student had read the learning, paper out loud. Secondly, Jones' reliance on geometric algebra rather than symbolic notation created considerable impedance to strange, the identification of ss bonding solutions of computational features found frequently to different problems. Here is an example of a student not knowing the proper meaning of a word. Impedance means opposition to the flow of electric current. It does not mean the same as to impede, which is to be an stranger in a obstacle. Singapore? This could be an instance where a student used the thesaurus in a word processor to come up with a word without bothering to in a critical essay, check if the word fit the context. Sleepwalking Essay? It could also simply be that the strange land critical essay, student had mislearned the word themselves. Incidentally, a quick check of MS Word 97 shows synonyms to impedance to be obstruction, block, baffle, hindrance, breakwater, fin, and maze.

So here is biology, direct proof that you shouldn't always trust what a word processor thesaurus tells you is an equivalent word. Be diligent and look up unfamiliar words in the dictionary before using them in your essay. In studying widgetry, it serves as great importance that one is stranger strange critical essay, aware of the two systems of widgetry; fingleish and fnordleish. Something does not serve as great importance, and one being aware doesn't fit either. This is a student trying to biology 1 term paper, sound fancy but instead making no sense. The sentence should read: In studying widgetry, one should be aware of the two systems of widgetry; fingleish and fnordleish.

It was thought that Jones hated his stepfather and in a strange critical essay, his mother, partly for abandoning him at such a young age. Who thought so? This entire statement, which implies something that cannot be proven and is thus not a basic fact, had no attribution in the essay. Since it was about someone historical and the student couldn't possibly have known this unless they got it from a source, it was plagiarism to include it without attribution. Smith managed one friendship through this time and the value of biology 1 term paper that is always questioned. Who is questioning the value? There is no attribution to explain who questions it or to prove that it is questioned by anyone other than the student. What precisely is being questioned?

The value of only having one friend, or the stranger in a strange critical essay, value of the one friendship to Smith in particular? . which means that the thesis sentences, cut in the # of in a strange land critical points is equal to the degree of the curve. Using the # symbol instead of the sentences essays, word number is a bad short cut, and certainly inappropriate for a formal essay. Smith also helped to improve the essay, scientific community ; his focus was mainly regarding widgetry. How does a focus on a subject help to improve a community? It might improve the understanding of the 1 term, subject in the community, but does that improve the community itself? This is stranger in a land, a badly worded assertion.

If it truly did benefit the scientific community as a whole, the student should cite a source demonstrating that to be the on man, case. Land Essay? No attribution was present. In one day, John's attitude towards school changed for the better. Packard Case Questions? A boy ranked just above him kicked him in the stomach. At the end of the day John challenged the in a strange critical essay, boy to a fight. Even though John was much smaller than his opponent, his determination overtook the boy.

Winning the fight was still not enough. John applied himself in class, and soon became the top student in the school. This entire paragraph introduces an on man anecdote for the purpose of explaining what drove John to become a better student. Incredibly, it manages to completely fail to stranger in a strange critical essay, mention the relationship between the anecdote and John's new-found classroom enthusiasm. The relationship is implied and the reader can guess that John wished to beat the boy in more than just a physical fight, and thus worked hard to outrank the boy in the classroom, but that is not stated. Sleepwalking? The paragraph is very choppy and the sentences do not flow well. Read it out loud, and you'll hear how it sounds like a grade school book instead of a university essay. During this time, Smith constructed a water clock. He constructed the clock out of an old box. This is choppy. It could be easily combined into stranger critical one sentence.

Jones became began to study motion. This error was probably due to a sentence that once legitimately contained the word became being edited without became being removed. If the student had read the biology, essay out loud or given it to a friend to read, this error likely would have been noticed. Yet, in 1679, Jones would discover that his initial calculation the stranger land essay, Moon's distance from Earth was incorrect. Here is another example of packard case study a simple error of omission that could have been caught if the student had read the in a essay, essay aloud or given it to a friend to packard case study, read. The word of land critical essay should be between calculation and the. That one small error makes the entire sentence awkward and confusing. If the instructor has to sleepwalking essay, reread the sentence to try to understand its meaning, the flow of the essay is interrupted. If this happens often enough in the essay, it gives an overall bad impression on what otherwise might be a very good paper in terms of research. More examples of errors that could have been caught if the students had bothered to read their essay:

One of Smith's main contribution was his use of. Widgetry emphasized the notion of the in a land essay, infinite widget, which in fact cam as a great service to Smith in that it served as an important too in helping explain his branch of widgetry. Jones might have in fact perputuated the ideas, but he was also at a loss when he could not make good sense of them from the essays, beginning. Admiration for Smith grew in the filed of widgetry. With Jones' encouragement, Smith drafter a number of monographs on religious topics. Smith considers out universe to be a gravitational system. On August 10, 1777, Jones was ent a letter from. In later research , it was proven that Jones was incorrect and science rejected his theories about light until the next century. Thus, it was scientifically proven that Jones' theories about quanta (tiny particulate packets of energy) were indeed correct . The wave formulation was also correct . When was this later research?

Who performed the stranger land critical essay, research? In discussing whether someone was proven incorrect or not, it is a good idea to fully explain who did the proving when, and sleepwalking essay, possibly even how they came to their conclusion. These sentences contradict each other. Was Jones proven incorrect or correct? Does the student mean that Jones was erroneously proven incorrect, but science later found that he was correct after all? Or was Jones correct about some things and stranger critical essay, not others?

The use of Thus implies causality. How does the proof that Jones is incorrect and the rejection by science suddenly become scientific proof of his theory being correct? Regardless of what the student meant by the flip from incorrect to correct, there is nothing given to an essay, establish causality. It's disappointing to see such sloppiness as this in an essay. This particular essay featured clipart, so it was obviously done on stranger strange essay a computer with a modern word processor. It clearly wasn't spell-checked. Such complete disregard is automatically indicative of a student who doesn't care about their final product, and while the error itself is minor, it gives a bad impression to the grader. In fact, this essay had several spelling errors that could have been caught. That's inexcusable at the university level. It was also during this time that he traveled to his uncle's place in Brunswick. Place is colloquial.

Use home, apartment, residence or other such appropriate word instead. Smith attempted to obtain his doctorate of essay law degree at the University of Anytown but was denied because positions were being held for the older students -- and Smith was much too young. Smith's secretary claims that he was told many times, however, that Smith was denied admission because of negative feelings that the Dean's wife held for him. Smith's secretary is probably dead, since this essay is strange essay, about someone from the biology 1 term paper, 19th century. Therefore, they no longer claim anything. It should be past tense. Since the student doesn't cite this, there is an stranger in a strange implication that perhaps the biology 1 term, secretary is not dead and the student went so far as to interview the secretary personally.

That is, of course, quite unlikely, meaning that this student has plagiarised this information from one of stranger in a land critical essay their sources. The following are a few concepts that form the basis of Leibnizian calculus: [followed by three bulleted paragraphs comprised mostly of direct quotation] Using bullets in an essay on man sparknotes, a formal essay is rarely appropriate. It is preferable to write out the bulleted information into proper paragraph form. This student seems to have been too lazy to bother paraphrasing a bunch of direct quotations into stranger in a land critical a formal essay structure. Along came the Joe Smith, a mathematician considered by numerous scholars to essay, be a pioneer of calculus, including other renowned mathematician, Bill Jones.

The Joe Smith? There has only been one? The student means another, not other. Sloppy. The first page of the stranger in a essay, essay starts with: have been developed (5). The second page starts with the header Introduction and 1 term, the opening paragraph.

Clearly, the student stapled the pages out of order. What a sloppy mistake! Pages should be numbered unless you're specifically instructed not to for some reason, and you should always ensure that all of the pages are present and in proper order before binding the essay. If the instructor has to begin by figuring out what the heck is going on, they will automatically have a bad impression of your essay and possibly of you. Jones was quite a busy man in stranger in a land essay, that along with his position in the Court of Mainz, he also managed to ss bonding essays, serve as Baron Johann Christian von Boineburg as secretary, librarian, lawyer, advisor, assistant, and most importantly, friend. Quite a busy man is a bit colloquial. A busy man would do. The first as is an stranger in a land critical essay error, since Jones did not serve as the an essay, Baron, he served the Baron. This may have been caught if the student had read their essay out loud.

His Chummy, Bill Jones, who Smith shared a room with until his resignation from this fellowship in 1683. Chummy should only be included if it was Smith's actual word for Jones. If this is the case, it is a quotation from a source and strange land, should be cited. Hewlett? If not, it is colloquial and should just say His friend Bill Jones. Who should be whom in this case. A site called Grammar and Style has information on how to use who and whom. This isn't even a complete sentence. Smith was born prematurely and was so small when he was born that they thought he might not live. Repeating that he was born is redundant.

Who does they refer to? Doctors? Parents? Relatives? Townsfolk? It is a pronoun without an antecedent. In this publication, Jones has a discourse between the belief systems of the natural philosophical world around him. Has is the wrong word here because the essay is about a person who is now dead.

Dead people don't have discourse with anyone in the present, so the word should at least be had. But even had is awkward, and stranger essay, a better word would be wrote. Essay? Discourse means to converse, especially orally. One does not speak orally in a publication. It is written. This word should be omitted. Stranger Strange Land Critical? Between denotes at least two participants, but Jones is the sleepwalking essay, only one having the supposed discourse. Land Critical Essay? This too should be omitted. Natural philosophical world is confusing. Does the student mean the natural, philosophical world, which would be the world described as both natural and philosophical?

Or do they mean natural philosophical world, in which natural modifies philosophical and not world, in which case the grammatically correct phrase would be naturally philosophical world? This would be better written as: In this publication, Jones wrote of the belief systems of the natural, philosophical world around him. or, depending on the answer to essay, the fourth point: In this publication, Jones wrote of the belief systems of the naturally philosophical world around him. He was home for approximately 18 months, according to Jones the 18 months was the most predominant time period of in a land critical his life.

This is a run-on sentence. It should either end between 18 months and sparknotes, according, or it should be rewritten to make it a proper sentence. 18 months is repeated for no reason. 18 months is plural, so it should be 18 months were not 18 months was. Stranger In A Essay? Predominant means superior especially in power or numbers. Something cannot be most superior.

Most should be omitted. Essay? Predominant is not the best word in this case anyway. If the student means it was the most powerful time of Jones' life, they should be clear about that. If they mean it was the in a strange land critical essay, most superior numerical time of an essay his life, then he logically cannot have been more than 36 months old. Simpson was content after his ability to reproduce Smith's experiment. Jones was not that easy, the two men fought constantly. The student probably means that Simpson was content once he was able to reproduce Smith's experiment.

The current phrasing doesn't quite say that, and in a land, is awkward and confusing. Jones was not that easy to what? The student probably means Jones was not that easy to satisfy or something equivalent. This is a run-on sentence. It should end after easy, or be rewritten to essay, be grammatically correct. Which two men? Simpson and Jones or Smith and Jones? The information on physics before this section is important to understanding whom Newton was, but arguably, his greatest advancements were in the field of stranger land mathematics, most importantly Calculus. Incorrect use of essay whom. Stranger In A Critical Essay? Should be who.

A site called Grammar and Style has information on how to use who and whom. Ss Bonding Essays? There should not be a comma between arguably and his. Stranger In A Strange Land Essay? There is no citation as to anyone arguing that Newton's greatest advancements were in sentences, mathematics. This might be because it would be difficult to prove in the face of the importance of Newtonian physics. Advancements is probably the wrong word. Achievements or discoveries would be better.

Newton's advancements are more likely to be funds paid in advance of publication. The addition of most importantly is awkward. Particularly would have been a better word. The use of greatest and most importantly referring to in a, Calculus is hyperbole. Given that this essay was for a Calculus class, it sounds like a kiss-up. The declarations of superiority are superfluous, unattributed, probably erroneous, and possibly pandering. 1 Term Paper? It's all very ugly. A concluding sentence: Smith's great work, theories, and studies will continue to live on forever in the ever-changing world of science and mathematics . How can the in a critical, student know that Smith's work will live on forever? That's an impossible assertion to an essay, make. Work, theories and studies don't live.

They exist, but they are not organic creatures. If the world is ever-changing, how again can the student know that Smith's work won't one day be considered nonsense? Or lost entirely? World is singular, but it refers to two worlds, one of science and stranger in a land, one of mathematics. Essay? This conclusion reeks of hyperbole. Stranger In A Strange? (So does the phrase reeks of hyperbole, but this is not a formal essay.) A scientist before Smith by the name of Jones knew that he could demonstrate the ration between two infinite sums. The phrasing here is a bit awkward.

It would be better phrased: Jones, a predecessor of sleepwalking essay Smith, knew that. Ration is the wrong word. The student meant ratio. This is one of those errors that a spell-check cannot find, but if the essay had been read aloud it may have been noticed. One man was proclaiming to be the stranger in a land critical, inventor of the widgetiscope and another man was proclaiming the exact same thing; who is telling the truth? The main problem here is the change in singapore essays, tense. You can't go from was to is if the stranger in a land critical, subject remains fixed in time. Furthermore, it is incorrect to refer to someone who is dead as doing anything in the present besides being dead (and possibly rotting). A dead person is not telling anything right now, but they were in the past. Try to avoid using the passive form was proclaiming and instead use proclaimed.

This particular statement is also bad because of the subject matter. Biology? The student has already shown in the essay that both men happened to independently invent the widgetiscope, but the issue is who deserved the title for inventing it first . So actually, neither one was necessarily lying, and the student should not make it appear that one or the other may have been doing so. You must be careful not to libel people. The phrasing here is awkward and possibly a bit too conversational in stranger land essay, the final question. A better way of writing this would be: Two men proclaimed to observational learning essay, be the inventor of calculus, but only one could be given the stranger strange critical, credit. The argument was so drawn out that a decision was not easy to come by which worked against Smith's favor. Sleepwalking? Jones had been considered the stranger in a strange land critical, sole inventor of the widgetiscope for fifteen years already, which gave him the packard study questions, upper hand.

The student meant to say that the duration of the argument caused Smith to lose. But because the student failed to put the stranger in a strange land critical, necessary comma between the bolded words, this sentence actually says, by means of a complicated string of ss bonding essays multiple negatives, that it was not easy to come to a decision against Smith, meaning he won. This sentence would be better worded this way: Because the argument took so long, Smith lost. But then, at the beginning of the stranger strange land essay, next paragraph, the student writes: The argument took years to unravel and never really came to a definitive decision. This negates what the student had asserted before: that Smith lost because of the duration of the argument. This also repeats the fact that it was a long argument, which is redundant. It was from the Greeks, where the underlying of singapore essays widgetry emerged and set the basis of what widgetry has become. The Greeks are a people, not a place, so things come from land essay, whom, not where. Observational Learning Essay? The comma in this sentence should not be there.

It sets up an essay expectation that the essay, portion after the in a strange land, comma is a separate clause, as in: It was from the hewlett, Greeks, who also invented blodgetry, that widgetry came forth. Note that because the who is in stranger in a land essay, the separate clause, it should not be whom. Hewlett Case Study? The underlying what ? You can't just say the in a essay, underlying of biology 1 term paper widgetry. It has to be the in a strange land essay, underlying something of widgetry, whether that something is basis, foundation, etc. Although there was a time of intellectual heightening , there came a period of darkness in the development of mathematics (Ewards 45) . Intellectual heightening is an icky, awkward phrase.

Intellectual development would have been much better. In going over packard study questions, this old essay, I wondered if perhaps this was a typo of the stranger in a land critical, name Edwards. I checked the bibliography to confirm the name, and discovered that nothing by Ewards, Edwards, or any similar name was there at sentences essays all. Strange Land? Had this gone noticed when the paper was being graded, serious questions would have been raised as to the validity of the student's sources and bibliography. Be sure to case, list all sources in your bibliography, and be sure to spell them correctly when citing!

One motive of Sumerian algebra was to in a strange land essay, impose on themselves a concepts that they could not fully understand and hewlett packard questions, precisely compute, and for stranger in a strange critical essay this reason, rejected concepts of irrational as numbers, all traces of the infinite, such as limit concepts, from their own mathematics. Motive applies to Sumerian algebra, not Sumerians. Therefore, that motive cannot be imposed on an essay themselves. It should be written: One motive of the Sumerians concerning their algebra was to impose on themselves. although that is still an awkward phrase. Concepts should not be plural. This is sloppiness that probably could have been detected if the student had bothered to read over his essay. The sentence should end after compute. A new sentence should begin, For this reason. The word they should be put between reason and rejected to say: For this reason, they rejected concepts.

This sentence is so garbled with mismatched subclauses that adding another is stranger in a strange land critical essay, just icky. I'd put such as limit concepts in parenthesis, or rewrite the sentence to bring that idea out on its own. If Greek rigor had surmounted their need to succeed in these elements and on man sparknotes, refused to use real numbers and limits till they had finally understood them, calculus may have never formed and mathematics as a whole would be obsolete (Apostal 102). The verb refused applies to Greek rigor, not Greeks, which is nonsensical. Stranger Land Critical Essay? Be careful to ensure that your verbs match the subject you intend for them. Don't use till when you mean until.

That's colloquial at best, and not really a proper use of the word at all at worst. The proper phrase is have never been formed. To say something never formed begs the question: What didn't it form? Even though there is a citation for this extreme declaration that mathematics as a whole would be obsolete, it's still probably hyperbole. I wonder if the case, source actually said that, or if the student's paraphrasing has overstated the source's point that mathematics might be different without the advent of in a strange essay calculus. Be careful that you don't paraphrase in such a way as to claim a source said something that they did not. If this source really says mathematics would be obsolete without calculus, it's a bad source. Such a statement would render even basic arithmetic and counting as obsolete, which is ridiculous.

Essentially , it is a case of Smith's word against a number of suspicious details pointing against essays, him. He acknowledged possession of a copy of part of one of Jones' manuscripts, on more than one occasion he deliberately altered or added to important documents before publishing them, and a material date I none of his manuscripts had been falsified (1675 had been changed to 1673) (Bogus, 78) Essentially isn't technically incorrect here, but students do have a tendency to use words like essentially and basically too often. Stranger In A Land Critical? It's somewhat conversational, and possibly colloquial. Try to sparknotes, avoid it unless something is truly essential. Stranger Essay? A number of on man suspicious details pointing against him is an awkward way of saying: suspicions of stranger in a land his guilt. But what the student means is singapore, not suspicions, but points of evidence.

When you list several examples of something you've indicated, the way to punctuate it is as follows (note the stranger critical, placement of the colon and subsequent semicolons): [Point being made]:[proof 1];[proof 2];[proof 3]; and[proof 4]. This way each proof can have punctuation such as commas without being confused with other points, and each proof still points to packard, the main part of the in a land critical, sentence. This entire thing should be rewritten to say: It is a case of Smith's word against the evidence of his guilt: he acknowledged possession of a copy of packard case questions Jones' manuscripts; on more than one occasion he deliberately altered or added to important documents before publishing them; and his manuscripts had been falsified by changing 1675 to 1673 (Bogus, 78). After quoting a dictionary definition: The editors of the famous dictionary are probably unaware of the fact that they have just committed a cardinal sin in the mathematical world , in that they only described fingleish widgetry, and failed to in a strange critical, include an explanation of fnordleish widgetry.

It's okay to question a source, and at paper higher levels of education it might even be required. Stranger In A Strange Essay? But if you're going to do it, be careful to do it well and with evidence. Sparknotes? This just sounds presumptuous. The student has not shown whether or not the dictionary has separate definitions for widgetry or otherwise accounts for its apparent lack of sufficient definition. Saying the dictionary is famous is probably unnecessary, and possibly hyperbole. A cardinal sin is a sin of fundamental importance. In the Judeo-Christian context, this would mean something very bad, like murder. Thus, calling a disagreement in definition in a dictionary a cardinal sin is definitely hyperbole. Even if it was a cardinal sin, the sin was committed in the dictionary, not in the mathematical world.

The student meant against in a critical, the mathematical world. It is surprising how people could be satisfied such a vague definition, as was the singapore, case in stranger in a critical essay, Webster's Dictionary, on 1 term a subject that has tested such great minds for strange critical essay centuries upon centuries . It is surprising how students could be satisfied with such drivel in biology 1 term paper, their essays. That sounds nasty, doesn't it? That's because it is. Sentences like this are insulting and off-putting, and don't belong in a formal essay. Stranger Strange Land Essay? Such great minds requires an sentences essays example. The word such should be omitted. Centuries upon centuries is redundant. Just say centuries and leave it at that.

Jones' first object in Paris was to stranger in a strange essay, make contact with the French government but, while waiting for such an opportunity, he made contact with mathematicians and philosophers there, in particular Davis and hewlett study, Myers, discussing with Davis a variety of topics but particularly church reunification (Bugle 57). An object is a thing. The student means Jones' first objective. This is a bad run-on. It should be broken up like this: Jones' first objective in stranger land critical essay, Paris was to make contact with the observational essay, French government, but while waiting for an opportunity to do so, he made contact with mathematicians and philosophers such as Davis and Myers.

He discussed a variety of topics with Davis, particularly church reunification (Bugle 57). Smith's contribution to math has helped our society become more technological in building things . In this particular case, Smith made many contributions, not just one. Math is the colloquial version of mathematics. Did Smith's contributions only help our society? What about other societies? More technological in land, building things is a really awkward way of ss bonding singapore saying improved our technological aptitude. Undoubtedly, Jones was one of the greatest geniuses that ever lived and this paper will demonstrate that, starting from his childhood until his death . Smith may have been a genius, but to blow that up to one of the stranger critical essay, greatest geniuses that ever lived is hyperbole. Even if it is true, the paper didn't demonstrate it because the essay, paper didn't compare Smith to other great geniuses that have lived.

The paper showed that Smith was a genius, perhaps, but not his rank amongst all of the in a strange land critical, geniuses that have ever lived. If you start from 1 term paper, something, you go to or follow through to another something. The phrase starting from his childhood until his death actually means you're starting from the section of time inclusively between his childhood and death and strange land, not saying where you're going. Furthermore, the paper does not start from Smith's childhood because it was not being written when Smith was a child. The student means, starting with his childhood and following through to his death. That is learning essay, still awkward, and the sentence would be best written:

Undoubtedly, Jones was a genius, and this paper will demonstrate that by examining his entire life. So John lived for seven years with his mother's parents who did not really show him any affection . So in this context is colloquial and should be omitted. This really should be cited. John's address may be a matter of public record and therefore doesn't have to be cited, but comments on the emotional quality of the household imply research, and stranger in a essay, the student should give credit to biology 1 term, the source. In A Land? Really is colloquial, and should be omitted. While at biology 1 term paper Cambridge, Smith's genius was most productive in his dedication to math . Who is Smith's genius?

The student means Smith's intellect, but an intellect cannot be productive. It facilitates productivity, but it is not productive itself. A better way to write this would be: Smith's intellect was best displayed in his dedication. Math is colloquial. It should be mathematics. This information helps us to stranger land, understand how we, as humans stay on the ground; we are matter as well and do have an invisible force weighing us down as we push against it and it pushes back against us . Essays? This hand full of knowledge has helped our scientist understand our universe of heavenly bodies and their movement. It has also allowed scientist to in a strange critical essay, delve further in exploring our galaxy.

Does gravity only affect humans? Granted, the student is trying to make the science seem more personal, but this is an awkward way of doing it. It is also something that seems to indicate an essay geared to children. While you should usually write essays so they can be understood by singapore laypersons, you can assume those laypersons are your age and in a strange land critical, intellectual peers. Hewlett Questions? The description of the stranger in a strange essay, invisible force is very awkward.

A better wording would be: do have an invisible force that we push against as it pushes back against us. Gravity does not, in fact, weigh people down. The student's own definition of it earlier in the essay mentions this, and here too it is accurately described as a push, not a pull. To add in the bit about paper it weighing us down is contradictory. The student means handful. This is a bad description anyway, since the student is stranger strange land, trying to show how this knowledge is sleepwalking essay, monumental to scientists. Stranger Land Essay? Both instances of scientist should be pluralized. One delves further into something, not in it.

The Royal Society always had someone coming in an essay on man, each week they met to show off their invention . Always had someone coming in is colloquial and awkward. It should say: The Royal Society hosted a guest each week. The second part of this is a separate sentence and should be capitalized and punctuated accordingly, or else brought into the first sentence with appropriate conjunctions. Show off is colloquial. Demonstrate would be better. Since more than one invention was demonstrated, invention should be plural. A concluding paragraph: Jones was a great man who made an impact in all of our lives . He is stranger in a strange critical essay, recognized as one of the centuries brilliant-minded people who helped to further math along. Observational Learning? This intellectual man has created something which has and will be used for years to come. This is an important part of history which will and should never be forgotten. The essay has shown that Jones was brilliant and in a land critical, invented some useful things.

It has not, however, demonstrated that he was a great man. A great man is one that embodies greatness in an essay sparknotes, all things, including attitude, relationships with others, and their contributions to their society. Jones may have been all of this, but the essay did not reflect it, so it is in a critical, hyperbole to declare it in the conclusion. It is also a highly subjective comment; what makes someone great to one person may not for another. Centuries is the plural of century, not the 1 term, possessive. The student means century's.

But Jones was not of our current century, so the student should define which century they mean. Impacts are made on, not in. If by all of us the student means everyone on the planet, this is incorrect. Jones' contributions to mathematics hardly impact the life of someone living in land, a non-literate, non-industrialized society. Study Questions? Even if the student merely means her peers, it is stranger essay, still hyperbole to declare that everyone has been impacted. If you're going to mention that the person did something in your conclusion, mention what that something is.

While it is unlikely that Jones' history will be forgotten, the hewlett packard case study questions, student cannot effectively predict the future in this way. Some of these comments may seem nitpicky, but the fact of the matter is errors such as these reflect poorly on you and your essay. No one is perfect, and an essay with one or two awkward phrases won't be marked down just for those instances. But an essay that is full of the errors listed above prevents the reader from stranger critical, understanding the content. If the sleepwalking, instructor doesn't know what you mean, they can't possibly give you a good grade. Last updated in February 2005. Copyright #169 2000-2005 Kimberly Chapman. All rights reserved. This original work is available for distribution, provided the following: it is only distributed in this complete form, it contains my name and copyright, it is not altered during distribution without my consent, and it is essay, not used to generate income for anyone without my consent.

I would strongly appreciate knowing if anyone is an essay sparknotes, distributing this in printed form. If you want to receive notification of stranger land critical essay updates on any portion of this site, simply enter your email address here and on man sparknotes, click/select the button to enter. In A Critical? You will be required to sign up for a free Yahoo! account to complete registration. Please note that Yahoo!'s privacy policy and other management are outside of's responsibility. Users are encouraged to perform their own due diligence before signing up with any online service.

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Therapist guided internet based cognitive behavioural therapy for body dysmorphic disorder: single blind randomised controlled trial. Objectives To evaluate the essay efficacy of therapist guided internet based cognitive behavioural therapy (CBT) programme for body dysmorphic disorder (BDD-NET) compared with online supportive therapy. Design A 12 week single blind parallel group randomised controlled trial. Setting Academic medical centre. Participants 94 self referred adult outpatients with a diagnosis of body dysmorphic disorder and essay a modified Yale-Brown obsessive compulsive scale (BDD-YBOCS) score of ?20. Land Critical Essay! Concurrent psychotropic drug treatment was permitted if the dose had been stable for at least two months before enrolment and remained unchanged during the paper trial. Interventions Participants received either BDD-NET (n=47) or supportive therapy (n=47) delivered via the internet for 12 weeks. Main outcome measures The primary outcome was the BDD-YBOCS score after treatment and follow-up (three and six months from baseline) as evaluated by land, a masked assessor. Responder status was defined as a ?30% reduction in learning, symptoms on the scale.

Secondary outcomes were measures of depression (MADRS-S), global functioning (GAF), clinical global improvement (CGI-I), and strange land quality of 1 term paper life (EQ5D). The six month follow-up time and all outcomes other than BDD-YBOCS and strange critical essay MADRS-S at 3 months were not pre-specified in thesis essays, the registration at because of an in a strange land critical administrative error but were included in the original trial protocol approved by the regional ethics committee before the biology 1 term paper start of the trial. Results BDD-NET was superior to supportive therapy and was associated with significant improvements in severity of stranger land critical essay symptoms of singapore body dysmorphic disorder (BDD-YBOCS group difference ?7.1 points, 95% confidence interval ?9.8 to ?4.4), depression (MADRS-S group difference ?4.5 points, ?7.5 to ?1.4), and other secondary measures. At follow-up, 56% of those receiving BDD-NET were classed as responders, compared with 13% receiving supportive therapy. The number needed to treat was 2.34 (1.71 to 4.35). Self reported satisfaction was high. Conclusions CBT can be delivered safely via the internet to patients with body dysmorphic disorder. Strange Land Critical Essay! BDD-NET has the potential to increase access to evidence based psychiatric care for this mental disorder, in line with NICE priority recommendations. It could be particularly useful in a stepped care approach, in which general practitioner or other mental health professionals can offer treatment to people with mild to moderate symptoms at biology 1 term low risk of in a strange land suicide.

Trial registration ID: NCT02010619. Body dysmorphic disorder (BDD) is a psychiatric disorder characterised by a pervasive preoccupation with perceived defects in physical appearance accompanied by avoidance and time consuming compulsive behaviours, such as mirror gazing and excessive camouflaging to hide perceived defects.1 If left untreated, this is an essay on man sparknotes a chronic and unremitting disorder that is critical essay associated with functional impairment across multiple life domains, relatively high rates of an essay on man sparknotes psychiatric admissions to stranger strange land critical essay, hospital, substance dependence, and suicidality.2 3 4 Although the disorder is often underdetected and underdiagnosed within the mental health services,5 6 epidemiological studies show that it is a common mental health problem, with a prevalence ranging from 0.7% to 2.2% in the general population.7 8 9 10 It is common for those with body dysmorphic disorder to seek non-psychiatric care, such as dermatological treatment or plastic surgery, in paper, an attempt to “fix” the strange land perceived defects; however, such interventions rarely work and thesis can lead to a deterioration of symptoms.11 12. Evidence based treatments for body dysmorphic disorder include psychopharmacological treatment and cognitive behaviour therapy (CBT).13 14 15 16 Guidance from the National Institute for strange land critical Health and singapore essays Clinical Excellence (NICE) recommends that adults should be offered the choice of either a course of a selective serotonin response inhibitor or specialised CBT that deals with the key features of the disorder.17 There is, however, a gap between supply and demand of CBT because of stranger in a land critical essay various factors, such as a lack of trained therapists, direct and indirect costs associated with treatment, and geographical barriers that prevent people with body dysmorphic disorder from essays, receiving specialised CBT.18 19 20 In two surveys, only 10-17% of people with body dysmorphic concerns reported that they had received an empirically supported psychotherapy (such as CBT), and 19-34% reported that they had received an SSRI.19 20 Thus, one of NICE’s key priorities for stranger critical essay implementation—namely, that each primary care trust, mental healthcare trust, and children’s trust that provides mental health services should have access to a specialist multidisciplinary team offering age appropriate care—is currently far from reality.17 The growth in demand for mental healthcare exceeds available National Health Service (NHS) resources in the United Kingdom, and this gap is likely to increase up to sleepwalking essay, 2020.21 Cost pressures require that providers find innovative ways to deliver services. The UK government’s mental health strategy “no health without mental health”22 recommends the increased use of stranger in a essay information and communication technology to improve care and access to services. UK government initiatives such as “Digital First” aim to reduce unnecessary face to face contact between patients and healthcare professionals.21 Many people with body dysmorphic disorder report that one important reason for hewlett packard case study questions not seeking treatment is related to feelings of shame and stigma associated with their concerns about appearance, making telecare options potentially suitable.19 20. Internet based CBT is in a land critical essay a burgeoning area of mental health aimed at increasing access to specialised behavioural treatments.

In some countries (such as Sweden, Australia, and the Netherlands) internet based CBT has been implemented as part of the regular healthcare system and is efficacious and cost effective for a wide range of mental health disorders.23 24 With the biology primary aim of increasing access to evidence based care for body dysmorphic disorder, we recently developed a therapist guided internet based CBT programme for body dysmorphic disorder (BDD-NET). In a pilot study, this was found to be safe, highly acceptable to patients, and potentially efficacious.25 Crucially, the treatment required only a fraction of the therapist time associated with regular CBT. We evaluated the stranger in a land critical essay efficacy of BDD-NET compared with online supportive therapy in the management of adults with body dysmorphic disorder. Supportive therapy was chosen as a control as most patients report that they receive non-specific talking therapy when they seek help.19 We hypothesised that BDD-NET would be superior to online supportive therapy in reducing symptoms, as well as other psychiatric symptoms, and improve quality of life. This was a single blind parallel group superiority trial conducted at Karolinska Institutet from November 2013 to January 2015. Case Questions! Participants were randomly assigned to 12 weeks of in a land critical essay BDD-NET (n=47) or online supportive therapy (n=47) in a 1:1 ratio without restriction.

Both groups were followed for three months after the end of treatment (six months from essay, baseline). Land! This follow-up point was not included in the trial registration ( due to thesis, an administrative error but was included in the original study protocol. Participants randomised to stranger strange land critical essay, supportive therapy were offered BDD-NET after the six month follow-up assessments. Thesis Sentences Essays! No changes to methods were made after the trial started. The study is reported in accordance to the Consolidated Standards for in a land critical Reporting Trials (CONSORT) statement for non-pharmacological treatments.26. Eligible participants were individuals with access to the internet, aged 18 or over, and with a principal diagnosis of sentences body dysmorphic disorder according to strange land critical, the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5),1 with a score of at sentences least 20 on the modified Yale-Brown obsessive-compulsive scale (BDD-YBOCS).27 Exclusion criteria were changes in psychotropic drug treatment within two months before enrolment, completed CBT for body dysmorphic disorder within the past 12 months, current substance dependence, bipolar disorder or psychosis, acute suicidal ideation, a severe personality disorder that could jeopardize participation in treatment (such as borderline personality disorder with self harm), and concurrent psychological treatment. Participants who were taking psychotropic drugs and had been taking a stable dose for at least two months before enrolment were asked to stranger in a land critical, keep their dose stable during the study period. Recruitment and determination of eligibility. Participants were recruited from all over Sweden.

Flyers were distributed to biology paper, psychiatrists and general practitioners throughout Sweden with information about the study. In addition, the strange land critical essay study was advertised in national newspapers. Sleepwalking! Interested applicants had to critical essay, register on the study’s secure website and complete an 1 term online screening consisting of the Montgomery-Asberg depression rating scale self report (MADRS-S),28 alcohol use disorders identification test,29 drug user disorders identification test,30 body dysmorphic disorder questionnaire,31 and general background information. Stranger In A Critical! The body dysmorphic disorder questionnaire is on man a screening instrument that has shown excellent sensitivity and specificity.31 Potentially suitable participants underwent a structured diagnostic interview with a clinical psychologist or with a trained student in the final semester of stranger strange critical essay a five year clinical psychology programme. The interviews were conducted over telephone, which is a reliable administration format for structured psychiatric assessments.32 To establish a diagnosis of sleepwalking body dysmorphic disorder, we used the structured clinical interview for DSM-IV axis I disorders, with an added question about the presence of repetitive behaviours to reflect the updates made to stranger in a land critical essay, the diagnostic criteria of body dysmorphic disorder in DSM-5. The mini-international neuropsychiatric interview was used to determine the sentences presence of other comorbid psychiatric disorders.33 All assessors had received extensive training in stranger in a land, structured diagnostic interviews. Observational Learning! To ensure reliability of diagnostic procedure and eligibility criteria, a consultant psychiatrist reviewed each case and made the final decision on enrolment. BDD-NET is delivered through a tailored online platform with a dedicated hospital server with encrypted traffic and an authentication login function to guarantee participants’ confidentiality.

Treatment lasted 12 weeks, and none of the participants had any face to face contact with a therapist. The treatment protocol is based on a CBT model for body dysmorphic disorder, emphasising the role of negatively reinforced avoidance and safety seeking behaviours (such as mirror checking and camouflaging perceived physical defects) as maintaining factors of body dysmorphic disorder. The treatment protocol has been validated in a previous trial, and the treatment effects are comparable with those gained in traditional face to face CBT.25 The main intervention in BDD-NET is systematic exposure to fear eliciting situations or events combined with response prevention until anxiety and urges to ritualise subside (such as leaving home and stranger strange critical refraining from compulsive mirror checking). In total, BDD-NET consists of eight interactive modules delivered over 12 weeks, with the first five modules containing the core treatment components.23 Each module is devoted to a special theme and covers psychoeducation, a cognitive behaviour conceptualisation of body dysmorphic disorder, cognitive restructuring, exposure and response prevention, more on exposure and observational learning essay response prevention, values based behaviour change, difficulties encountered during treatment, and prevention of relapse. To progress to the next module participants have to complete homework assignments (such as reading text material, answering a quiz at the end of stranger essay each module, filling out worksheets, or doing exposure and response prevention) and report to their therapist. Ss Bonding Singapore Essays! The participants had contact with an identified therapist throughout the stranger in a strange critical entire treatment using a built-in email system on the BDD-NET webpage.

Participants could log in thesis sentences, and send emails at any time. All homework assignments and questions from the participants were reviewed and answered within 36 hours, except on weekends. The role of the therapist was mainly to guide and coach the participant throughout the treatment, provide feedback on in a strange land, homework assignments, answer questions from the participants, and consecutively grant access to the next treatment module. The participants were notified by ss bonding singapore essays, an automated text message (SMS) when they had a new email in stranger land, the treatment platform from their therapist. The therapists guiding the participants through the treatment were four clinical psychology students who had completed their basic clinical training (320 hours) and had provided therapy in essay, milder cases under the supervision of a senior psychologist. The clinical psychology students had no prior experience of in a strange land treating body dysmorphic disorder but were closely supervised by hewlett case study, the lead author (JE) with weekly meetings throughout the trial. The duration of therapist contact and in a essay sent emails was automatically recorded by the BDD-NET platform. Median therapist time spent weekly per participant reading and answering emails was 13.2 minutes.

To ensure treatment integrity and adherence to on man sparknotes, protocol, the stranger strange land lead author monitored the messages sent by the therapists throughout the entire treatment, and provided supervision. Appendix 1 shows a screenshot of BDD-NET. Participants had access to the integrated email system on the BDD-NET webpage and case unlimited access to stranger in a land, an identified therapist. They were given the opportunity to talk freely about their experiences, thoughts, and thesis sentences feelings about stranger in a strange essay, body dysmorphic disorder and how it affected their life. The therapist sent an email at least once a week, encouraging the participant to discuss distressing life events and to promote problem solving. The therapists used skills drawn from counselling techniques and included minimal encouragers, reflecting, empathising, and summarising. All emails from the participants were reviewed and answered within 36 hours, and participants were notified by an automated text message when they had a new email in the treatment platform. Treatment lasted 12 weeks, and none of the participants had any face to face contact with a therapist. Non-directive supportive therapy delivered via the internet has been shown to reduce symptoms associated with obsessive compulsive disorder,34 though there are no reports of its efficacy for body dysmorphic disorder. The supportive therapy served as a control for caregiver attention and the possible anxiety alleviating effect of sharing one’s distress with a therapist. The same therapists that guided participants through BDD-NET delivered the supportive therapy.

Therapists spent a median of sentences 6.3 minutes per participant per week reading and answering emails. To ensure treatment integrity, the lead author monitored the messages sent by the therapists throughout the entire treatment and provided supervision. In A Strange Critical! No therapist drift (deviation from treatment protocol) was detected in either of the groups. Participants were randomised on a 1:1 ratio with simple randomisation with no constraints. To prevent potential selection bias related to essays, the randomisation procedure, an external party not involved in the inclusion process used a true number service (

Allocation concealment was ensured through randomisation after the decision to include each participant had been made. Immediately after randomisation, participants received information about which treatment they had been allocated to and how they could log on to the land critical essay secure website. Assessors in the trial remained masked to treatment allocation at baseline and three and six month follow-up. Because of the nature of the intervention, participants and hewlett packard study questions therapists were not blinded to in a strange land critical, treatment. All participants were assessed at baseline and case questions then received 12 weeks of treatment. Follow-up times were three and six months from baseline (after treatment and three months after treatment, respectively). After the six month follow-up, participants in the supportive therapy group were offered BDD-NET and reassessed after receiving 12 weeks of additional treatment with BDD-NET. Participants also completed online self report measures at these time points, a method that has been shown to be as reliable and as valid as written administration.35 36. The primary outcome was change in severity of symptoms of body dysmorphic disorder assessed with the BDD-YBOCS administered by a clinician.27 The BDD-YBOCS can be considered the ideal for assessing symptom severity and has a total score of 0-48, with a higher score indicating more severe disorder. To ensure quality of assessments, clinicians in this trial practiced together on in a critical, case examples with excellent reliability between raters (intraclass correlation 0.95, 95% confidence interval 0.89 to 0.98).

Secondary outcomes included responder status defined as an empirically derived cut off point of ?30% reduction from baseline on the BDD-YBOCS.37 Remission was defined as patients who no longer met diagnostic criteria for observational learning body dysmorphic disorder. Depressive symptoms were assessed with the stranger strange land MADRS-S.28 Clinician rated global functioning and improvement was assessed with the singapore essays global assessment of stranger land functioning scale (GAF)38 and the clinical global improvement scale (CGI-I).39 Quality of life was assessed with the EQ5D EuroQol (EQ5D).40 All outcomes other than BDD-YBOCS and MADRS-S at essay three months were not pre-specified in the registration at because of an administrative error but were included in the original trial protocol approved by the regional ethics committee before the start of the in a strange land critical essay trial. The occurrences of adverse events were recorded mid-treatment and on man after treatment with a self report form.41 Treatment credibility and expectancy of improvement were recorded at week two with the stranger land essay C scale (included post hoc after trial registration).42. We received input from patients from the learning essay BDD-NET pilot trial on stranger strange critical essay, the treatment material. No patients were involved in setting the research question or the outcome measures, nor were they involved in developing plans for recruitment, design, or implementation of the study. Case! No patients were asked to advise on interpretation or writing up of results.

We carefully assessed the burden of the trial interventions on the patients by collecting information about adverse events, quality of life, and time spent on the treatment. We plan to disseminate the results of the research to strange critical essay, study participants and to the Swedish OCD Foundation. Power calculation and statistical analysis. We powered the packard questions study to be able to detect at least a medium standardised effect size (Cohen’s d). In A Strange Land Essay! We based power calculations on a previous pilot trial of BDD-NET and the efficacy of online supportive therapy for obsessive compulsive disorder.25 34 A sample size of packard case study questions 39 per group was required to in a strange essay, give 80% power and observational learning essay a two sided 5% significance for strange land detecting a mean difference between groups of at least 4 and a standard deviation of 6.24 on observational, the BDD-YBOCS between BDD-NET and supportive therapy. In A Land Critical! We anticipated a potential 10% dropout rate, giving a planned sample size of at hewlett study least 44 per in a land critical group, or 88 in ss bonding singapore essays, total. There were no planned interim analyses or rules for stranger in a strange critical essay stopping.

Analyses were by intention to treat, with participants analysed in the group to which they had been randomised. Missing data were deemed to be missing at random by using Little’s missing completely at random test. Linear mixed models with maximum likelihood estimations were used to sleepwalking, evaluate the stranger in a strange critical essay effect of sentences treatment group on the different outcomes. Such models take into account the differences in stranger in a land critical essay, rate of change and differences in trajectories of singapore essays change between individuals with repeated responses and use all the in a strange essay available data for each participant.43 The fixed part of the sentences model included a treatment indicator variable (supportive therapy/BDD-NET), a time indicator variable (three or six months), and an interaction effect of treatment ? time to allow for differential change between the two groups from the three to stranger in a, the six month follow-up. Baseline (before treatment) scores on each outcome measure were included as covariates. Sparknotes! Participant varying intercepts were included as a random effect in the model. As therapist support time varied between the two treatment arms, it was included as an additional covariate in the model. Because it did not predict outcome, however, (P=0.11-0.98) it was dropped from the final model. We used ? 2 tests for stranger land critical essay categorical data and independent t tests for assessing differences between groups when time was not a factor on the outcome variable.

We carried out post hoc analysis of participants in the supportive therapy arm who later crossed over to BDD-NET after the six month follow-up using paired t tests. Effect sizes within and paper between groups were calculated as Cohen’s d. Stranger In A Land Essay! All statistical analyses were done in 1 term, STATA 13.1. Figure 1 ? shows the flow of participants through the stranger strange trial. An Essay Sparknotes! At follow-up at three and six months there was a 1% and 9% loss of data, respectively. Little’s test suggested that the missing data met the assumption for in a strange critical missing at random (? 2 =42.57, df=52, P=0.82). There were no significant differences in dropout rates across conditions at after treatment (? 2 =1.01, df=1, P=0.32) or at the six month follow-up (? 2 =1.11, df=1, P=0.29), and sentences dropouts did not significantly differ from completers on baseline demographics or on symptom measures. The two groups did not significantly differ on any baseline characteristics (P=0.08-1.00; tables 1 and 2 ? ). Fig 1 Flow of in a land essay participants with body dysmorphic disorder (BDD) through study of therapist guided internet based cognitive behavioural therapy (BDD-NET) Sociodemographic characteristics of participants with body dysmorphic disorder according to sentences, allocation to internet based cognitive behavioural therapy (BDD-NET) or supportive therapy. Figures are number (percentage) of stranger in a strange land critical participants unless stated otherwise.

Clinical characteristics of participants with body dysmorphic disorder according to allocation to an essay sparknotes, internet based cognitive behavioural therapy (BDD-NET) or supportive therapy. Figures are number (percentage) of participants unless stated otherwise. BDD-YBOCS scores were significantly lower for strange critical essay BDD-NET than for supportive therapy, both at the end of treatment (three months) and at on man six months (table 3 ? and fig 2 ? ). The standardised effect size between groups was large at stranger critical essay both time points (Cohen’s d=0.95 at three months and essay 0.87 at six months). In A Strange Critical Essay! The effect size within groups at six months was 1.42 (95% confidence interval 0.95 to 1.89) for BDD-NET and 0.55 (0.13 to 0.96) for supportive therapy. Estimated means, group differences (BDD-NET v supportive therapy), and effect sizes for primary and secondary outcomes at follow-up. Fig 2 Effect of treatment over time on Yale-Brown obsessive compulsive scale modified for body dysmorphic disorder (BDD-YBOCS) with 95% confidence intervals. Scores are shown at baseline, after treatment (3 months), and follow-up (6 months) according to treatment group. Six month follow-up point was not registered at because of administrative error. Depressive symptoms, measured with the MADRS-S, decreased over the course of the trial with BDD-NET but not with supportive therapy, and there was a significant difference between groups at both follow-up times (table 3 ? ). An Essay On Man Sparknotes! At three months, the in a strange land critical essay effect size between groups was small (Cohen’s d =0.43), whereas at learning essay six months it was medium ( d =0.58) There was also a significant correlation between the change in symptoms of body dysmorphic disorder and stranger strange land change in case, depressive symptoms at stranger strange land essay both follow-up times ( r s (92)=0.46, P0.001) and r s (80)=0.41, P0.001, respectively). Of the 51 participants with a diagnosis of ss bonding singapore essays major depressive disorder at baseline, 32/57 (56%) no longer met diagnostic criteria for depression at three months and 27/57 (47%) were still in recovery at the six month follow-up.

Post hoc analysis of global functioning and quality of life showed that there was an increase in global functioning with BDD-NET but not with supportive therapy, with a significant group difference on the global assessment of functioning scale at both three and six months (table 3 ? ). At three months, there were no significant differences between groups on land, health related quality of life (EQ5D). Biology Paper! At six months, however, the health related quality of life (EQ-5D) had further improved in BDD-NET, and there was a significant difference between groups, favouring BDD-NET (table 3 ? ). Appendix 2 shows the observed means and standard deviations at the different time points for stranger strange primary and secondary outcomes. The proportion of sleepwalking essay participants classified as responders was significantly higher in the BDD-NET group at three months (25/46 (54%) v 3/47 (6%), ? 2 =25.42, df=1, P0.001) and at stranger in a critical essay six months (23/41 (56%) v 6/45 (3%), ? 2 =17.55, df=1, P0.001). At the six month follow-up, 23/41 (56%) of the participants in the BDD-NET group were classified as improved or much improved on the clinical global improvement scale, compared with 7/45 (16%) in the supportive therapy group (? 2 =15.52, df=1, P0.001). The number needed to treat was 2.34 (95% confidence interval 1.71 to 4.35). The number of participants no longer meeting criteria for body dysmorphic disorder was 15/46 (32%) versus 1/47 (2%; ? 2 =15.16, df=1, P0.001) at three months, and 16/41 (39%) versus 4/45 (9%; ? 2 =10.92, df=1, P0.001) at six months, always favouring BDD-NET. Treatment credibility, expectancy, and acceptability. After two weeks, participants randomised to observational essay, BDD-NET rated the treatment as more credible than participants randomised to supportive therapy ( t (85)=?2.42, P=0.02), but this did not translate in greater expectancy of improvement ( t (85)=?0.58, P=0.57). Participants deemed BDD-NET highly acceptable; 13/45 (29%) were very pleased with the treatment provided, 21/45 (47%) were pleased, 9/45 (20%) were indifferent or somewhat displeased, and 2/45 (4%) were very displeased. In total, 37/45 (82%) reported that if they were in need of additional CBT in stranger strange critical essay, the future they would use BDD-NET, and 40/45 (89%) would recommend BDD-NET to a friend with similar problems. After the observational learning six month follow-up, all participants who had received supportive therapy were offered BDD-NET.

Two participants were lost to follow-up, and four declined. Participants who crossed over to BDD-NET (n=41) showed a significant decrease on the BDD-YBOCS after receiving BDD-NET, with a mean reduction of ?7.14 (95% confidence interval ?9.06 to strange land critical, ?5.23, P0.001; fig 3 ? ). Of the people who crossed over, 14/35 (43%) were classified as responders, and an essay sparknotes 10/35 (29%) no longer met diagnostic criteria after receiving BDD-NET. Fig 3 Mean scores of participants initially randomised to stranger in a strange land, supportive therapy who crossed over to BDD-NET (n=41) and received 12 weeks of additional treatment after 6 month follow-up. Similar improvements were observed on the MADRS-S with a mean reduction of sleepwalking essay ?2.18 (95% confidence interval ?4.29 to ?0.07; P=0.043) and stranger strange land critical the global assessment of observational essay functioning, with mean improvement of stranger in a land essay 4.69 (2.93 to learning essay, 6.45; P0.001). On the EQ5D, there was a non-significant increase of 0.04 points (?0.05 to stranger in a strange land essay, 0.14; P=0.378). The four participants in the supportive therapy group who declined to on man, cross over to BDD-NET had made significant improvements after receiving supportive therapy, and three of them were classified as responders. Adverse events and protocol deviations. No serious adverse events (that is, events leading to acute health risks demanding admission to hospital) were reported. Fifteen (32%) participants in the BDD-NET group and six (13%) in the supportive therapy group reported mild adverse events (that is, increased levels of in a strange anxiety and thesis sentences essays general negative wellbeing) at stranger in a strange critical essay the beginning of the trial, which had subsided for everyone at three months, except for four participants in the BDD-NET group. Of these, two participants reported increased sleep disturbances because of heightened anxiety levels attributed to the exposure exercises, one reported depressive mood, and one reported that the insight gained throughout the treatment regarding time spent on concerns about biology paper, appearance was emotionally painful but also enhanced motivation to make changes. Three of the participants reported that the adverse event had little impact on stranger land critical, their general wellbeing, except one who thought that the adverse event (sleep disturbances) had a moderate impact on wellbeing.

The occurrence of adverse events during treatment was not related to ss bonding singapore, responder status at strange critical essay follow-up (? 2 =0.91, df=1, P=0.34). All participants taking psychotropic drugs at baseline reported that they had kept their dose stable during the treatment period. After the sleepwalking start of stranger in a strange land essay treatment, one participant in the BDD-NET group had been prescribed an antidepressant but was classified as a non-responder at the three month follow-up. None of the other participants reported that they had received any other type of healthcare during the duration of the trial. From the an essay on man three to stranger in a strange essay, the six month follow-up, three participants in the BDD-NET group and two participants in essays, the supportive therapy group had received additional healthcare in the form of stranger strange land essay CBT, pharmacological treatment, or both. In this trial, we compared the efficacy of BDD-NET, a novel therapist guided internet based CBT programme for body dysmorphic disorder, with online supportive therapy, a kind of non-specific talking therapy that mimics the psychosocial support that most patients with body dysmorphic disorder report receiving in the real world.19 20 Overall, BDD-NET was superior to supportive therapy and was associated with significant improvements in symptom severity, depression, global functioning, and quality of life. These gains were maintained for at least three months after the end of treatment. At that point, 56% of those receiving BDD-NET were classed as responders, and on man sparknotes 39% no longer met diagnostic criteria for body dysmorphic disorder. The number needed to treat to achieve one responder was 2.34.

Participants in the supportive therapy group who crossed over to BDD-NET after six months also improved robustly on primary and secondary outcome measures. No serious adverse events were reported. Some participants reported mild adverse events (such as heightened anxiety levels associated with exposure tasks) during the trial, but these were generally short lived and were not associated with responder status at the end of treatment. Most participants were satisfied with BDD-NET, despite no face to land critical, face contact with a therapist, and essays deemed the treatment as highly acceptable. The results indicate that BDD-NET has potential to in a strange critical essay, greatly increase access to evidence based psychiatric treatment for patients with body dysmorphic disorder, in line with the NICE priority recommendations.17.

Strengths and limitations of study. Despite its modest size, this study represents the largest randomised controlled trial ever conducted in people with body dysmorphic disorder. The inclusion of a control intervention with high ecological validity, the use of thesis sentences essays masked assessors, and minimal data loss are other strengths of the study. In A Land Critical Essay! One potential limitation of the trial is that the results might not be generalisable to 1 term paper, everyone with body dysmorphic disorder as the stranger participants were self referred and most had reasonably good insight. We also took the precaution, on safety grounds, of excluding participants with substance dependence and severe suicidal ideation. Thus, despite the fact that most participants had been ill for essay many years, had had previous contact with mental health services, and a fifth had undergone plastic surgery, participants in this trial might have been particularly motivated to engage in psychotherapy compared with more severely affected and delusional patients seen in specialist clinics. As body dysmorphic disorder is severely under-recognised and undertreated, however, it might take many years before patients receive the correct diagnosis and are referred for specialist treatment.

This means that patients seen in specialist clinics often represent the extreme end of the severity continuum. From this perspective, our sample could be more representative of the people with body dysmorphic disorder in general than those seen in specialist clinics. Another potential limitation is that participants were informed that if they were randomised to land essay, supportive therapy, they would be offered BDD-NET after the six month follow-up assessment, although they were not explicitly told that we expected BDD-NET to be superior to packard case study, supportive therapy. It is stranger in a strange land still possible that some well informed participants knew about the NICE recommendations and this introduced a bias. Participants randomised to BDD-NET found the biology 1 term paper treatment more credible than participants in the supportive therapy group, but perceived credibility did not translate to greater expectancy of improvement as there were no differences between groups on how much participants thought they would improve at end of treatment. On average, participants in the supportive therapy group sent fewer emails to their therapist, resulting in less overall therapist contact throughout the active phase of the trial.

The estimated differences in treatment effects, however, remained unchanged when we adjusted for the amount of therapist contact. Overall, our results are in line with previous studies of face to face CBT for body dysmorphic disorder.14 15 The proportion of stranger essay comorbidities were the same in sleepwalking, our sample as in previous clinical trials, though symptoms of depression were on stranger in a essay, average of mild severity compared with moderate to severe depression as seen in the two recent randomised controlled trials of CBT for singapore essays body dysmorphic disorder.14 15 BDD-NET is not intended for the most risky and severe end of the spectrum. Conclusions and policy implications. The therapists providing online support had no previous experience of stranger strange land treating body dysmorphic disorder, which indicates that this form of treatment delivery could be easily scalable. Packard Study Questions! BDD-NET is delivered online as a series of interactive modules, and the role of the therapist is mainly to encourage the participant to engage in the treatment, making it reasonable to assume that BDD-NET can be used in non-specialist settings. BDD-NET could be particularly useful in a stepped care approach, where mild to critical, moderately affected patients can be offered BDD-NET by their general practitioner, or other health professionals, thus freeing resources for observational learning patients in more severe and complex cases to be treated in specialised settings. Logistic barriers are also eliminated, as patients receiving BDD-NET do not have to travel to the clinic once a week to receive the treatment.

This makes BDD-NET particularly promising in more rural areas, where the access to trained CBT therapists is stranger in a strange critical essay limited.18 Future stepped care trials of 1 term paper BDD-NET in stranger strange land essay, non-specialist settings are warranted. What is already known on this topic. The NICE guidelines recommend cognitive behavioural therapy (CBT) for sparknotes body dysmorphic disorder but most affected people do not have access to this treatment. Internet based CBT is a burgeoning part of mental health aimed at critical increasing access to evidence based treatments for a range of thesis mental disorders and other conditions. A pilot study suggested that therapist guided internet based CBT could be a highly acceptable, feasible, and potentially cost effective treatment option for in a body dysmorphic disorder. This large randomised controlled trial evaluated the efficacy of paper therapist guided internet based CBT for body dysmorphic disorder (BDD-NET) BDD-NET was associated with significant improvements in symptom severity, despite no face to face contact with a therapist, and gains were maintained for at least three months after the end of treatment. We thank the participants of the BDD-NET trial and Monica Hellberg, Sofia Eriksson, Vania Panes Lundmark, Martin Runeborg, Lina Anderhell Lorena Fernandez de la Cruz, and stranger in a strange critical essay Matteo Bottai for their invaluable help. Contributors: JE and sentences essays CR had the original idea for the study and, with DM-C and stranger in a critical BJ, designed the trial variables and obtained the funding. JE and CR were responsible for study supervision. All authors were responsible for the acquisition of the data.

JE, EA, and CR carried out the thesis statistical analysis. JE drafted the manuscript, which was revised by all authors. All researchers were independent of the stranger in a strange essay funders. The funders had no part in the study design, in the collection, analysis, and an essay interpretation of data, in the writing of the report or in the decision to submit the article for publication. JE and CR are guarantors. Funding: This study was funded through the in a strange land critical regional agreement on medical training and clinical research (ALF) between the Stockholm County Council and Karolinska Institutet, the Swedish Research Council (grant No: K2013-61X-22168-01-3), and the Swedish Society of Medicine (Soderstromska Konigska sjukhemmet, grant No: SLS3B4451).

Competing interests: All authors have completed the ICMJE uniform disclosure form at and declare: no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in on man sparknotes, the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work. Ethical approval: The regional ethical review board in Stockholm approved the protocol (registration ID: 2013/1773-31/4). All participants gave written informed consent. Transparency: The lead author affirms that the strange land manuscript is an honest, accurate and transparent account of the study being reported; that no important aspects of the study have been omitted; and that and discrepancies from the study as planned (and if relevant, registered) have been explained. Data sharing: No additional data available. This is an Open Access article distributed in sleepwalking essay, accordance with the stranger in a land critical Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to case study, distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

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Adhd Research Paper (Argumentative Essay) Over the past couple of decades there has been a huge increase in the diagnosis and prescriptions given out for Attention Deficit Hyperactivity Disorder. According to a news report done by USA Today over the past five years use of ADHD medications have risen 40% totaling 39. 5 million individual prescriptions (#8220;New findings,#8221; 2009). When statistics like this are seen it is only normal for stranger in a strange land critical someone to ask questions. People are becoming curious about the legitimacy of the disorder, and observational learning essay, whether or not the in a strange essay treatments being given to individuals are appropriate. Observational Learning Essay! The argument seems to be strong on both sides of the fence, but the extensive research done on ADHD leaves it hard for one to believe that it is a made up disorder. Attention Deficit Hyperactivity Disorder or ADHD is a neurobehavioral development disorder diagnosed by a number of symptoms. An article by Ayesha Sajid, Maria C. Poor, and David R. Diaz states that the history of ADHD goes back to 1902 when physician Sir George Frederick Sill came up with what he called #8220;defect of moral control#8221;(58). Stranger In A Land Critical! Dr.

Still saw this #8220;defect#8221; to on man be something beyond the sufferer#8217;s control. Sajid, Poor, and Diaz go on to talk about the disorders terminology changes up to 1980 when it was officially recognized as Attention Deficit Disorder, with or without hyper activity. #8220;ADHD has been defined by Russel A. Barkley as a disorder of stranger in a strange land critical essay, response inhibition and executive dysfunction leading to deficits in self regulation, impairment in the ability to organize behavior toward present and future goals, and difficulty adapting socially and behaviorally to essay environmental demands#8221;(Sajid, Poor, and Diaz 58). Subsequently it has been proven that neurotransmitter Dopamine plays a big role in ADHD#8217;s symptoms listed above. There are several forms of non stimulant medications that are used for stranger in a critical essay treatment but not as commonly as stimulants. Beyond medications are behavioral therapies which can be effective in treating ADHD.

The USA today article #8220;New findings raise questions about use of ADHD drugs#8221; says that at the three year mark behavioral therapies such as parenting and classroom behavioral therapies catch up to observational learning stimulant medication treatment. Consequently there was no evident difference in those who received therapies and stranger in a land, those who have been taking medications. Ss Bonding Singapore Essays! Results in studies such as these leave many to stranger land critical essay think about the appropriateness of stimulant medications. Today many argue about the risk of long term effect from 1 term, stimulant medication use. Why not go to alternative treatment methods such as behavioral therapy? And those even more opposed often deny the existence of ADHD entirely. To many it is not a disorder, rather a result of bad parenting, too much sugar, or just the result of an energetic child. It is easy to see how these conclusions can easily be jumped to.

A lack of personal experience with the disorder is most definitely a cause for lack of understanding. Those who have ADHD would be able to tell anyone it is not something that is easy to understand. Stranger In A Land Critical! The constant lack of motivation, concentration, and control aren#8217;t symptoms ADHD victims can control. Working in biology paper, school becomes nearly impossible for stranger in a strange land critical some with these symptoms and it is not just from laziness. Thesis Sentences! The lack of the land critical neurotransmitter dopamine effects these parts of the brains functions. These symptoms are something caused by a chemical imbalance rather than by the choice of an individual. Though this is true the disorder won#8217;t get better on its own. ADHD victims need to help themselves get better, it is a disorder that can be overcome. For many no matter what facts are available ADHD is simply not real. Case Study! It is easy to understand where people with this point of in a land critical essay, view are coming from. Starting off with the fact the ADHD doesn#8217;t seem to be present in singapore essays, other countries around the land critical essay world.

Children#8217;s psychologist Angela Southall claims that 90% of the worlds Ritalin is being prescribed in the United States (Southhall). Paper! So yes ADHD is in a strange land more prevalent in the United States than anywhere else in the world. This leads many to believe that ADHD is sleepwalking something made up by the United States pharmaceutical industry as some sort of hoax. This is land critical essay certainly an hewlett packard argument that can be credited even by the opposing point of view. It does seem that pharmaceutical companies are marketing their ADHD medications strategically in the United States to get as many people onboard as possible. On the opposing side of this argument it has little to do with stating whether ADHD is real or not. The ideas of the disorder did in fact come up far before pharmaceuticals were involved in the treatment. Another common opposition to ADHD is the medications used to treat it.

People wonder why hyperactive children are being treated with stimulants. The side effects of stimulant medications seem to not be so positive and stranger strange land, don#8217;t seem to be acceptable for a child with ADHD. Side effects such as motor tics, insomnia, and loss of sleepwalking essay, appetite are all commonly seen among stimulant medications. Stimulant medications are also known to be highly addictive. Their is a dangerous possibility of substance abuse with the medications.

People wonder if something causes side effects such as these, there must be some sort of possibility of long term effects from medication use. In A Strange Land! It is certain that stimulant medications are not something to be messed with. Sleepwalking Essay! They need to be used appropriately by stranger, the right people in order for the treatment to case be safe. Probably the most common argument to in a strange critical ADHD#8217;s legitimacy is that it is just the way that child behaves. Many are against putting a labeled disorder on a child or adults particular behavior.

To many a child#8217;s behavior is a result of the way they are parented. Kids that are not performing well in school must have not been parented properly at home. This is sleepwalking probably the case for stranger in a some of the children in school but certainly not all. Many parents go above and beyond to fix their child#8217;s behavior before even thinking about putting a medical diagnosis on their child. For many parents this is the last thing they would want to do.

It is essay important to in a strange critical essay understand that ADHD is a complex disorder that involves a lengthy and broad diagnosis process. Understanding ADHD is not easy and requires an extensive amount of research to gain an understanding. There are three important features when it comes to thesis sentences essays the ADHD diagnosis process. Impulsiveness, inattention, and hyperactivity levels are all tested by a checklist of symptoms. An article on ADHD states that their are five parts of the diagnosis process. It needs to be understood that all symptoms must be more severe than another individual at a comparable level of stranger in a land, development.

The five parts of the diagnosis process are labeled parts A through E (Goldstein and Naglieri 860). Part A contains the often cited 18 diagnostic symptoms; Part B requires that symptoms must cause impairment before age 7; C that impairment must be present in two or more settings; D that there is hewlett case study questions clear evidence “of clinically signi? cant impairment in social, academic or occupational function” (p. 3); and ? nally, E requires that symptoms should not occur exclusively during the course of stranger strange land critical essay, other conditions or be better accounted for by other mental disorders. Thesis Essays! As you can see a process such as this makes it difficult when trying to clearly identify whether an land essay individual has ADHD or not (Goldstein and Naglieri 860). Ss Bonding! Taking a look at ADHD#8217;s 18 diagnostic symptoms is a good way to understand they way ADHD effects a certain individual. Stranger Essay! The American Psychiatric Association lists the following symptoms to packard case be part of the inattention category of ADHD. Failing to pay close attention to detail or make careless mistakes in schoolwork, difficulty sustaining attention in tasks or play activities, not listening when spoken to directly, often does not follow through on instructions and fails to finish multiply types of work, difficulty organizing tasks and strange land critical essay, activities, often avoids or is reluctant to engage in tasks that require sustained mental effort, often loses things necessary for tasks or activities, often easily distracted by extraneous stimuli, and an essay on man sparknotes, is often forgetful in daily activities (124). Stranger In A Strange Land! These symptoms are used to classify what is considered inattentive ADHD commonly known as ADD. Biology 1 Term! The American Psychiatric Association refers to two more categories of in a strange critical essay, symptoms regarding ADHD.

The Hyperactivity category includes symptoms such as often fidgeting with hands or feet, Often leaves seat in classroom or in other situations in which remaining seated is expected, Often runs about essay or climbs excessively in inappropriate situations, often talks excessively, often has difficulty playing or engaging in leisure activities quietly (124). The next category of critical, symptoms developed by the APA regard impulsiveness. These symptoms include often blurting out answers before questions have been completed, often has difficulty awaiting turn, and an essay on man sparknotes, often interrupts or intrudes on others (124). These two categories are used to classify two different types of ADHD. Stranger In A Land! One being combined ADHD which requires that symptoms from the inattention and hyperactivity categories be present. The other type is hyperactive-impulsive ADHD which requires that symptoms from hyperactivity and impulsiveness are present. For an individual to be diagnosed with ADHD they must not only suffer from a range of symptoms but also fulfill parts B through E of the diagnosis process. Observational Learning! The second four parts of the diagnosis are what separates those with ADHD and an individual that would be labeled as lazy. ADHD is developed in adolescence.

This is a big factor in stranger in a strange land essay, separating those with ADHD, and say college students who trying to receive an Aderall or Ritialin prescription to help get their work done. When being diagnosed it would be hard for a doctor to really tell if the individual had suffered from the symptoms at an early age or not. People of this age being diagnosed results in people questioning the legitimacy of ADHD. Packard Case Study! It needs to be understood that ADHD symptoms are something that an individual must have dealt with nearly their whole lives. Part C of the diagnosis process states that the symptoms must be present in two or more settings. When a child isn#8217;t performing well in school, and matches ADHD symptoms there is not enough evidence to stranger strange land critical essay diagnose that child with the disorder. Symptoms must be seen in other aspects of the individuals life such as on a little league sports team or at home.

This makes it clear that the person actually has problems with the control of their actions. Similar symptoms in multiple environments make it clear that someone is actually having problems with ADHD, rather than just school itself. One of the most key parts of the diagnosis process would probably be part D. For and Individual to actually have ADHD the thesis symptoms must be significant. Symptoms are usually declared significant by being compared to stranger in a strange land critical essay by another individual at the same level of development. For example some children#8217;s hyperactive behavioral actions could be explained by simply being a child.

Children have a lot of energy and enjoy to play. A child who actually has ADHD would have energy levels much higher than those in observational learning essay, the rest of the class. They would appear to stranger strange be much more restless and inattentive than almost all of the individuals in their class. This is the sleepwalking essay part of the diagnosis process that really separates the real cases from the fakes. People often over exaggerate symptoms in stranger land essay, order to be diagnosed with ADHD. The final part of the diagnosis process part E is what declares that a child officially has ADHD. This part of the diagnosis process is what makes sure that a child isn#8217;t being misdiagnosed with ADHD. It is necessary to make sure an individuals ADHD is not being mistaken for another mental disorder. Learning Essay! This is where it is important that a full background check of the individual is taken into account. It is important that every little detail of the individuals history is taken in order to avoid a false diagnosis. In A Critical Essay! Usually the patients genetic background will be looked at to see if any other mental disorders are seen in that patients genetic history.

The patients background check is also an important part selecting the proper treatment. As discussed briefly earlier ADHD stimulants play a big role in learning, the ADHD controversy. It is known that stimulant medications are the most common approach to strange critical essay treating ADHD. An article #8220;Overview of ADHD#8221; make this claim about the effectiveness of Stimulant medications, #8220;With reported 65% to 75% clinical improvement in double-blinded placebo controlled trials in ss bonding singapore, both children and adults, they are considered as first-line therapy#8221; (Sajid, Poor, Diaz 58). With statistics like this the effectiveness of stimulants cannot be questioned. Sajid, Poor, and Diaz claim that stimulants are the best researched form of treatment (58). They continue to talk about the options of either long acting or short acting stimulate formulations that contain methlyphenidate (58).

Methylphenidate is what promotes the release of stored dopamine into the brain and selectively promotes the release of newly synthesized dopamine into the brain. By understanding this it is easy for one to see that dopamine certainly plays a role in ADHD. If sufferers of stranger in a strange essay, ADHD didn#8217;t have some sort of observational essay, imbalance of dopamine levels why would the stranger land critical medication be so efficient. This certainly rules out singapore essays certain aspects of the opposing sides argument on ADHD. For one this shows that ADHD is not simply a disorder of laziness, bad parenting, or lack of control. The severity and uncontrollableness of the individuals behavior can be further explained by something other than reason. The symptoms are for certain a result of an individuals dopamine levels present in their brain. Through this information one can see that the use of stimulant medications to treat ADHD are appropriate.

Unfortunately there is stranger in a a lot more to the argument for this conclusion to be made. An Essay Sparknotes! A series of questions are brought up by stranger in a strange essay, the opposing view even after seeing information similar to essay what has been presented. Opposers commonly like to question the increase in the prescription of stimulant medications since their origin. Research done by the Commission for Scientific Medicine and Mental health shows a 700% increase in the use of stimulant medications since the stranger 1990#8217;s (Lefever, Arcona, and 1 term, Antonuccio). There is a lot to be said about this increase, as it explains a lot of ADHD#8217;s history.

A book titled Minimal Brain Dysfunction in stranger essay, Children helps us trace the use of stimulant medications to observational learning treat ADHD like disorders back to 1960 (Wender et al. 10). The period of 30 years from 1960 to in a land critical 1990 was more than enough time for people to start actually hearing about ADHD. We can assume that since 1960 the general public in america has gained a much better understanding of the disorder. For people to be skeptics of the on man disorder and its treatment methods upon their initial discovery is land essay something easy to understand. Once research of the disorder and its medications were made available to the public showing proper information about the disorder it would likely become more acceptable. Although the timing of an increase in the disorders popularity can be explained, the tremendous increase and constantly growing numbers may still seem a mystery to many. These growing numbers can be explained by a few different things.

To start the growing popularity of the disorder has made it seem more acceptable to have. Essay! Parents of stranger land critical essay, children and adults themselves aren#8217;t hesitating to be diagnosed and treated for ADHD. This factor by itself can explain an increase in diagnosis since 1990, although something as simple as this doesn#8217;t fully explain the 700% increase statistic we have seen (Lefever, Arcona, and Antonuccio). Thesis! A major part of the in a essay problem linking to ADHD#8217;s overwhelming increase in acceptance is misdiagnosis and ss bonding, even an entirely false diagnosis. Due to the competitive nature of humans, parents are looking to have their child diagnosed to receive advantages in school. Students who have disabilities are allowed extra time on in a strange critical tests and given other advantages to make up for their disorder. Ss Bonding Singapore Essays! This has parents headed to the doctor to give false accusations about the severity of their child#8217;s ADHD symptoms. A statistic given in a Medical News Today article states that 46. 7% of the children diagnosed with ADHD only displayed mild symptoms, compared to the 13. 8% that actually suffered from severe symptoms. This statistic provides evidence that a majority of the ADHD diagnosis#8217; are made on land children who don#8217;t display significant problems with their symptoms.

As a result of packard case questions, this we can conclude that due to the significance level of symptoms being 46. % of the ADHD diagnosed population, that a majority of stranger strange, this population doesn#8217;t actually have ADHD according to the diagnosis process. Singapore! The problem of in a land critical, ADHD over diagnosis can be solved through its definition. Author David Antonuccio claims in an article that part of the ADHD definition is statistical rarity limiting only ss bonding singapore essays a certain amount of the population to have the disorder. He goes on to say that the ADHD prevalence estimate was set at 3% to 5% (Antonuccio). Having this statistic in the definition certainly verifies that increasing false diagnosis of ADHD is certainly becoming more common in The United States. Stranger In A Strange Critical! Another article from thesis sentences, The Washington Post written by Steven Weinberg shares a statistic that claims 9% of children in America have ADHD.

This goes 4% above the stranger in a strange essay prevalence estimate of 3% to 5% when describing ADHD#8217;s statistical rarity. Study! This helps us realize that the leniency, broadness, and stranger in a critical essay, lack of control over the diagnosis process is what is causing the tremendous diagnosis increase seen in the disorder. Having this information displayed makes it clear how misconceptions about the legitimacy of ADHD are created. People having seen this huge increase in diagnosis and treatment is what makes them question the disorder. Now having seen how ADHD diagnosis has become increasingly popular we can conclude that it has nothing to do with the validity of the disorder. This problem belongs to packard case questions the people of The United States rather than the ADHD community. It is important when looking at the truthfulness of stranger in a, ADHD to sparknotes look at the definition of the term rather than the cultural problems it has aroused. The problem of false and misdiagnosis are not the only things that raise questions about ADHD. People seem to think there is only a presence of ADHD in stranger critical, The United States.

While it is true that ADHD rates are much higher in The United States, it is certainly not the only country in the world who is essays involved with the disorder. A newspaper article put out by The Times in the United Kingdom shows that they are dealing with problems similar to those in The United States. Stranger Critical! The article goes over statistics that display tremendous increases in stimulant medication prescriptions in several different parts of the UK. In a similar article it is observational learning essay stated that in the country Scotland prescriptions increased from 4,000 in 1996 to strange land critical essay 72,000 in singapore, 2009 (Smith 8). Followed by this he says #8220;The Scottish Government yesterday said the strange essay rise was down to better detection of thesis sentences essays, ADHD, a result of wider knowledge of the condition among health workers#8221;(Smith 8).

After taking a look at what is going on stranger land essay in the UK, it#8217;s safe to say they are undergoing the observational learning same process The United States did years ago. The lack of knowledge about ADHD in previous years is what kept ADHD diagnosis so low in certain countries until more recent years. This helps us clear up the stranger in a strange misconception that ADHD is an essay on man sparknotes something that only exists in The United States. Countries all over the world are continuously seeing large increases in stranger strange essay, diagnosis rates of ADHD. The reason the rates aren#8217;t as high as The United States is simply because the disorder is something new to these countries. Now it should be safe to say that ADHD is in fact a real disorder.

With today#8217;s technologies resulting in new discoveries on the brains functions and the disorder#8217;s acceptance present in on man sparknotes, the worlds developed countries make it difficult for any individual to deny this fact. Although the controversy of in a, ADHD#8217;s legitimacy has been made clear, the argument does not end here. In close relation to learning essay the over diagnosis controversy, a similar controversy is aroused by ADHD#8217;s stimulant medications. Stimulant medications have aroused a whole new controversy of their own in the medical world today. Stranger In A Strange Land Critical Essay! It is common to see an individual reject the use of stimulant medications because of the various negative side effects that come with their use. The question of long term effects being caused by stimulant medications is being seen more often among users themselves, and essay, anyone else involved in the argument over ADHD. A study shown in stranger land, the Journal of an essay, Psychosocial Nursing and Mental Health Services holds the answers to critical these questions. In order to gain an understanding of stimulant medications it is necessary that a brief summary of this study is given. A table titled Effects of Long-Term Stimulant Therapy on Safety Outcomes in essay, Children With ADHD states the following information regarding side effects of stimulants; Treatment was well tolerated, 7. In A Critical Essay! 6% of patients discontinued treatment.

Minimal effects on weight and heigh were seen. Small if any changes in blood pressure or heart rate. Headaches were seen in 3% of patients, insomnia in 19. % of patients, decreased appetite in 18. 7%, abdominal pain in 11. 1%, and tics in 9. 4% of the patients (Wilens, Donner, Michaels, Ambrosini, Biederman, and Lerner). Sentences! As you can see questionable side effects are seen with the use of stimulant medications. There is stranger essay a possibility to have trouble sleeping, have problems with abdominal pain, a decreased appetite, and suffer from 1 term, tics.

This study was done over a two year period so it insures that most side effects caused by stimulants were seen in this study. In the two years of this study nothing was discovered that wasn#8217;t know before. With the long term use if stimulants you will most likely suffer from a few negative side effects. ADHD patients involved in stimulant treatment would be able to stranger in a strange critical tell you the side effects may not seem pleasant, but can be overcome by proper use of the stimulant. To begin stimulant medications must be taken early in the morning to avoid possible insomnia. For extended release stimulants the effects last anywhere from 12-18 hours. Taking your medication early in the morning gives time for the medications effects to wear off. It is also important that an sleepwalking individual under treatment makes the effort to eat. Stimulant medications decrease appetite not allowing an individual to realize their hunger.

Although one may not feel hungry, it is important to eat healthy foods for every meal of the day. Not eating due to stimulant treatment can become a problem and result in serious weight loss. It is important that a few more things are taken into account when being treated with stimulant medications. In A Strange Land Critical Essay! Before treatment even starts it is an essay on man important that the proper prescription be given. The article #8220;Overview of ADHD#8221; gives this information on stimulant treatment, #8220;Before prescribing any medication, a full history should be taken. In the case of stimulants, it is especially important to check for a personal or family history of heart conditions and arrhythmias. Of Course, a complete physical examination is also required with referral to a cardiologist if indicated from information in the history#8221; (Sajid, Poor, Diaz 58). Once heart Conditions are ruled out it is safe to say that with a proper ADHD diagnosis stimulant treatment is appropriate.

Parents may want to monitor their children carefully once treatment begins. It is important to watch the way one reacts to strange land essay the medications to make sure none of the side effects cause serious harm. Weight and height should be monitored carefully. In the instance of significant weight or height change treatment should be discontinued. Stimulant medications hold another attribute that give users one more reason to take caution. Stimulant medications are proven to be addictive when the user disregards their prescribed amount. It needs to be understood that in no case should an individual exceed their recommended dose. This is considered abuse of stimulant medications and can result in serious problems. An article regarding the misuse and abuse of stimulant medications gives a list of paper, symptoms that help detect misuse or abuse. Strange Critical! Users themselves and parents of adolescent users should look for behavioral changes, problems in school or work, change in activities and friends, heightened attention, long periods of sleeplessness, not eating, secrecy and isolation, fatigue, depression, racing heart, confusion and delusion, aggressiveness, irritability, mood swings, weight loss, and an essay on man, dilated pupils (McCarthy). Stranger Strange Land Critical Essay! These symptoms will all become apparent when dealing with one that abuses their prescription.

The possibility of addiction among stimulant users does in fact exist. This addictive attribute can be disregarded given that the prescription is used as directed by his or her physician. Through the series of information given on 1 term the effects of stimulants it can be said that they#8217;re appropriate as long as the individual being treated takes the necessary precautions. They are effective in treating those with ADHD, and are the answer to the problem for many. For some individuals stimulant medications may not be the right treatment. In this case there are many other options of treatments and therapies that are appropriate for in a strange critical treating those with ADHD. In fact the effectiveness of behavioral therapies among those with ADHD has aroused another controversy regarding stimulant medications.

This relatively new controversy is brought up in ss bonding, the USA Today article #8220;New findings raise questions about use of in a land critical, ADHD drugs#8221;. A quote from the article regarding studies on behavioral therapies says, #8220;It now reports the advantage is gone by the three-year mark. By the packard case questions six and eight-year mark, across 30 measures of behavior and academics, the children still being given medication by their parents fared no better than their non-medicated counterparts#8230; #8221; (2009). This quote is referring to behavioral therapy#8217;s ability to catch up to stranger in a strange land critical the effectiveness of stimulant medications after a three year period. This causes many to question the use of stimulant medications. It wouldn#8217;t make sense to on man sparknotes pump your child full of stranger in a, amphetamines when you can gain the same results by behavioral therapy. Refuting the previous argument three years is a long time. As Stimulants are instantly effective many individuals are looking for instant results. Although reaching a conclusion on this argument isn#8217;t possible, combined treatment methods completely erase the idea of the argument. If both forms of treatment are seen to be equally effective, why not use them both. With the instant effectiveness of stimulants and packard questions, the long term effectiveness of behavioral therapies, a whole new therapy can be created that is twice as effective.

ADHD patients on stimulants would be more susceptible to participating in behavioral therapies. Thus the therapies process would go much quicker producing positive results in half the time. Combined therapy is the ultimate way for any ADHD victim to stranger in a land essay overcome their problem. Through all of the information that has been given in this argument two final conclusions have been reached. The first conclusion was that ADHD is in fact a real disorder. The second conclusion would be that among individuals that qualify for their use, stimulant medications are an appropriate method of treatment. After seeing long term studies on singapore essays the safety of their use and studies on their overall effectiveness it is safe to make this conclusion. Stranger In A Land Critical Essay! As ADHD is one of the most researched disorders in medicine it is hewlett packard only normal for a large portion of information to be left out this argument. The large amount of information that has been left out of this argument makes it natural for objections to be made. For some the evidence presented isn#8217;t enough to acknowledge the truth of the conclusions that have been reached.

This is completely understandable among those who are heavily apposed to stranger in a strange land critical the argument. It is possible that there is information available that opposes the view that was presented. Chances are that information would be much less credible than what was presented, but it is important to recognize possible objections before the argument is sentences essays complete. It is only normal for in a strange essay any individual to an essay hold personal beliefs. Individuals opposed to the argument may have their own beliefs that disregard the facts that have been presented. For example an individual that is heavily opposed stimulant medication use would object to the conclusion reached on behavioral therapies.

To certain individuals behavioral therapy is better option than the combination of stimulants with therapy. Stranger Essay! Their personal belief being stimulants are an inappropriate method of treatment leaves the observational learning essay effective option of behavioral therapy to be the better choice of in a strange land critical essay, treatment. In this situation credit can be given to an essay sparknotes this objection, but the facts available don#8217;t give it as much support as the original conclusion. There are certainly objections to the argument that can be based on fact. The position stated on the presence of ADHD in strange critical, other countries will be objected by many opposers of the argument. Even after seeing the factual evidence that ADHD popularity is on the rise in other countries, many would argue that the presence in other countries is only a fraction of what is hewlett questions seen in The United States. This statement may seem to be the basis of a strong argument but is stranger strange land critical essay counteracted by other factors. When the numbers are measured in individuals the thesis sentences countries population needs to be taken into strange critical, account. The US has a much larger population than most countries causing individuals as a unit of measure to hewlett case study questions be much higher. When a percentage is created by dividing the amount of individuals by stranger in a strange, the countries population much more accurate results becomes available. When looking at ADHD rates in units of percentage similar rates are seen among the worlds developed countries.

The most expected objection to the given position would be regarding stimulant medications. Although the results of the two year study regarding the safety of 1 term paper, stimulant medication use displayed no significant danger in use, opposers remain pessimistic. To many the stranger strange critical evidence provided by a two year study isn#8217;t enough. It is strongly believed by paper, many that the long term use of stimulants will eventually negatively impact health. This objection is hard to argue due to the fact that we are not able to look into the future. Negative health effects from long term use of stranger in a critical essay, stimulant medications is certainly a possibility. Looking back on observational essay the fact that ADHD and its treatments are among the best researched ideas in medicine gives hope that any long term health effects would have by now been recognized.

Now that all of the possible flaws on the presented position have been reviewed it can now be said that the conclusions reached are justified. ADHD is in fact a real disorder, and the use of stranger strange essay, stimulant medications for treatment are appropriate. ADHD is a disorder that should be accepted and understood by society. Essays! It is a mental disorder that results in significant behavioral and social problems in essay, an individual#8217;s life. The disorder is omplex and causes changes in the brains functions causing a series of symptoms to occur. Society needs to realize that disregarding ADHD#8217;s legitimacy is offensive to those who suffer from it. It is crucial for biology paper members of stranger in a strange land critical, society to regard that use of medications for treatment is the sparknotes only way for some individuals to overcome these symptoms. Passing on knowledge of ADHD is important to the future of the disorder on those who suffer from it.

Regardless of any personal beliefs it is important to respect the beliefs of other. The controversy over the disorder needs to come to an end, and the fact that ADHD is real needs to be recognized. Haven’t found what you want? 12-22 Newhall St, Birmingham B3 3AS, UK [emailprotected] Hi there, would you like to get such a paper?

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Stranger in a Strange Land Critical …

Free Essays on Nick Hornby About A Boy. shown through the novel, About A Boy by Nick Hornby . The novel is essentially about a man and in a strange land critical, a boy helping each other find their own identities. Will, is a 36 year old man who is unwilling to hewlett case questions settle down in life, while Marcus is a 12 year old boy who spends the strange land essay day stressing about hewlett study questions, his suicidal and depressed. Analysis of about a boy – Nick Hornby Title: about a boy Author: Nick Hornby Nick Horny was born non April 17, 1957 in strange, England. He is an ss bonding essays, English author staying in Highbury, Islington in stranger in a strange land, London. At an early age he became a dedicated reader, and red all from comic books to prose. In 1998, Horny finished. About a Boy by Nick Hornby: Marcus and His Choices.

what extent do you sympathise with Marcus and observational essay, the choices he has to make in stranger strange critical essay, About a Boy ? Discuss the techniques the packard questions author has used and use examples from the text to support your answer. In the novel “ About a Boy ” by Nick Hornby , the character of Marcus has to make numerous choices which affect his life. ?Growing Up in About a Boy by Nick Hornby About a boy is a novel which follows the lives of two people: Marcus and Will. Marcus is a strange kid who struggles with growing up, he is in need for in a land critical essay acceptance outside of his own family, he is searching for observational learning essay his own identity, he is a victim of constant bullying. 2 The author 2.1 Curriculum vitae Nick Hornby was born on 17th April 1957. Today he lives and stranger in a strange, works in Highbury, north London. So far he has published six novels, three works of non-fiction and he has written the screenplay for singapore two films. In A Strange! According to different sources on ss bonding singapore, the internet his books have. the request is about me…” (No Fear Shakespeare). In Shakespearean English Lancelot said the stranger strange land essay suit is impertinent to him, but he meant to thesis say “pertinent” instead of “Impertinent”.

Also, another character from stranger strange, Shakespeare comedy plays is Nick Button from A Midsummer Night’s Dream. Nick Button is the fool. father of Nick Adams. Essays! The logs have been lost from the big booms. towed by the steamer Magic, and although on in a critical essay, occasion the lumbermen might come back for them, it is more than likely they will be left to rot on the beach. Assuming this will be the case, Nick's father has no qualms about claiming the. Jonas Brothers: Discovery and Solo Album.

Nick Jonas: Discovery and solo album (1999–2005) Main article: Nick Jonas Main article: Nicholas Jonas (album) The band started as a solo project of Nick Jonas. When Nick was six years old, he was discovered while singing at a barber shop and was referred to a professional show business manager.[1][2][3]. Pitch is about being a fan. The book is about Nick Hornby’s life and football which is a big part in his life. Thesis! He compares football with the things that happen in stranger in a strange critical essay, his life. The main character is Nick Hornby , at sleepwalking essay first he acts very immature but in the end he has really grown up. All he thinks about is football. About a Boy the Theme of Families. his “bad attitude to women”. Fiona is remains unaware of the extent of Marcus’ bullying and believes he’ll “get used to it”.

Fiona talks to Marcus about her boyfriends and depression, this causes Marcus to in a strange essay become anxious and he tries to shield his mum from upsetting things on the TV, “he was worried. Hunter Eubanks Carrie Kemmett WRT104 October 3, 2013 “ I want people to know that I am about it and I’m not just doing nothing, I want them to essay see me and not just look at my appearance but see that I have motivation and I’m doing something with my life” As Tyrone exclaimed to me, I could see that. temporary happiness he achieved through his fabricated war stories had ended. In 1924, Ernest Hemingway wrote six stories about Nick Adams and one about Harold Krebs. These Nick stories make up the heart of the Adams chronology, ranging from early childhood in Indian Camp and The Doctor and the Doctor's. Death in The Nick Adams Stories and stranger strange land critical essay, Little Women. importantly initiates what they are going to do until they die. In The Nick Adams Stories by Ernest Hemingway and Little Women by Louisa May Alcott, the experiences the March girls and Nick Adams have with death are very different. Nick , being male, is hewlett expected to react to death in a way that is completely. Girls VS Boys The Tina Turner Story Written By Kyle Johnson Chapter 1 [1] Love is a nebulous thing never to be really defined by a single phrase or an idea.

Love can be the love you have for a certain food or the love of in a strange land, a certain time of year. It can always, of course be a lot more than that. Summary Previous Next The Great Gatsby is a story told by Nick Carraway, who was once Gatsby's neighbor, and he tells the story sometime after 1922, when the incidents that fill the an essay on man sparknotes book take place. As the stranger in a critical story opens, Nick has just moved from the singapore essays Midwest to West Egg, Long Island, seeking his. A Boy From Tea House I was too much surprised to see him. Stranger Strange Critical! Really it was too much unbelievable day for me. I never expected it.

How is it possible! I ask myself but did not get any solution. My father was a government officer that he often transferred from one place to another. For that. English Essay The novel About a boy by Nick Hornby Is constructed in such a way that it challenges our understanding of the world. Through the point of view and construction of the characters Will and Marcus my own understanding of the world, particularly ideas of masculinity are challenged. The. Boys and Girls at War with Love and Hate. themselves.

Crawford wrote “No one likes to see the not-so-spectacular parts of war, and we had already lived too many of them to give a fuck about anything except ourselves”. Essay! Crawford also states “This is a war I didn’t believe in, but no one asked for stranger in a essay my opinion”. There are multiple. Love is all about what you feel about another person. Ss Bonding! Not only physically but emotionally.

Love is what makes everyone be calm with each other, be open with each other and know stuff about each other. Everyone have their own different point of views on love. Everyone loves differently. Some love with. than creating. Stranger In A Strange Land Critical Essay! This doesn't sound like someone who's worth the time of day. However, you'd be incorrect.

As long as I can remember, from my days as a boy scout who climbed to Eagle Scout, it has always been those that need to 1 term paper work hardest that bring the best out of themselves. Currently, I'm on a diet. Everything You Need to Know About the Great Gatsby. Theme: The Great Gatsby is a novel about what happened to the American dream in strange land essay, the 1920s, a period when the old values that gave substance to the dream had been corrupted by the vulgar pursuit of an essay on man, wealth. The ch aracters are Midwesterners who have come East in pursuit of this new dream of money, fame. Nick Hornby's About a Boy: The Book and Movie.

Nick Hornby was born in in a strange land, 1957. Thesis! He is the author of four international bestsellers; About a Boy , High Fidelity, Fever Pitch and How to be Good. In 1999 he was awarded the E.M. Stranger In A Land Critical! Forster Award by the American Academy of Arts and Letters. He lives and works in Highbury, north London. In 2002 About a Boy was. dollars at sentences he gambling tables. He also purchased a newspaper in Havana, and became a figure of importance in Cuba. Stranger In A Critical Essay! The man who had been a broker's board boy was now able to spend a lot of money into race track improvements.

All the three examples make it pretty obvious to see that all of them realized. How does Nick Hornby in his novel About a Boy contrast his two main characters to explore the observational learning theme of growing up? Humans mature differently from land critical, one another. Experiences and challenges faced throughout life cause some people to mature faster and others slower. In the novel About a boy by hewlett case study Nick Hornby. novel Slam was a tricky book to understand and required more than one reading to gather the basic jest of what Nick Hornby was trying to portray in this novel for his audience. This is not Nick Hornby’s first novel, he has written many in the past and is still in stranger land, the process of writing more. This novel. release from the pop sensation, Jonas Brothers, flew off the shelves. The CD entitled “A Little Bit Longer” was an eagerly anticipated album from the boy band trio. Thesis Essays! While there have been many reviews on the album already, the one I found most interesting was one by that spoke highly of its diversity.

The Adventures of Huckleberry Finn - Summary 3. change in which they figure out strange what life is really about . The Adventures of sentences essays, Huckleberry Finn by stranger in a strange Mark Twain follows Huck Finn as he matures and lives out ss bonding singapore his experiences. When we first meet Huck, he is living with the Widow Douglas. He is a troubled boy who has been physically and mentally abused by. Importance of Landscape in the Great Gatsby. just as much of an enigma as Gatsby himself. As Nick describes the parties that his neighbor throws, the in a strange critical essay house becomes a luminous entity in itself. Nick narrates, “In his blue gardens men and girls came and went like moths among the stars.” (43). Sentences Essays! Nicks indifferent attitude with a tinge of curiosity. is about people, their two-faced lives, and why they are how they are and stranger strange land, this quote especially is important regarding the judging of other people. Nick , the main character, says this very early on and throughout the story uses this idea or philosophy on how to view people; with this in mind Nick tries.

Gatsby is case study a man of new money. In A Land Essay! Nobody knows his back story except for his neighbor Nick Carraway, who tells us everything we need to know about Gatsby. Gatsby was originally born as James Gatz, when he was a seventeen year old boy when he changed his name to Jay Gatsby. He wanted to reinvent himself, because. Fitzgerald and Nick in The Great Gatsby. ?Is there more of Fitzgerald in the character of Nick than in the character of Gatsby? It is of popular opinion that The Great Gatsby is a novel with an sleepwalking essay, autobiographical feel to it. If this is the case and this was Fitzgerald’s purpose, his own character would have to be illustrated in that of one of.

? About a boy By About a boy is written by Nick Hornby and published by “Penguin Books” in 1998. Setting: The novel is set in 1993 and 1994. The action takes mainly place in London, but also a bit in Cambridge and strange land essay, Royston Characters: Will is a 36 years old. Will lives alone in his flat in London. Author: Nick Hornby was born in Redhill, Surrey, England, in 1957.

He graduated from Cambridge University and taught English to foreign students while reviewing for sleepwalking magazines including Time Out and the Literary Review. His first book, a series of critical essays on American novelists, was published. About a boy '' Nick hornby Summary Will is 36 but behaves like a teenager. He’s single, rich and cool. He has no responsibilities '' no parents, no children, no family. Marcus is 12 and behaves like an adult. He has just moved to London with his mum, Fiona.

He isn’t much like other kids of. novel is entitled as “ About a Boy ”. It is written by a prominent English writer Nick Hornby . Nick Hornby lives in the Islington area of north London where many of his novels are set. His son, Danny, born in 1993, was diagnosed as autistic when he was only two years old. Hornby and his wife helped to. earth: The Backstreet Boys . The core of the stranger in a land Backstreet Boys was comprised of sleepwalking essay, cousins Kevin Richardson and Brian Littrell, who began performing as children in church choirs and singing at stranger strange land critical festivals in the style of sentences, Boyz II Men.

The other members, A.J. McLean, Howie Dorough and Nick Carter, had known each. does ‘ About a Boy ’ have to a newer or older story? The book ‘ About a boy ’ by Nick Hornby was an stranger strange essay, international Bestseller by 2000. Case Study! ‘ About a Boy ’ the movie production directed by Chris Weitz and Paul Weitz, is now a major motion picture. This production was based on the original story by Nick Hornby. About a Boy Deals with a Lot of Issues Discuss. About a Boy deals with a lot of issues. Discuss. Nick Hornby's novel About a Boy and its adaptation to the screen both exhibit the stranger critical essay growth of Will and Marcus through the use of characterization, voice and narrative structure. The focal point of this light hearted story is on shared human relationships.

? Nick Vujicic “Imagine being born without arms. No arms to wrap around a friend; no hands to hold the ones you love; no fingers to experience touch; no way to lift or carry things. How much more difficult would life be of observational, you were living without arms and hands? What about legs? Imagine if instead of. About a boy Text 1 is an extract from ” About a boy ” by land critical Nick Hornby . The novel was published in study questions, 1998. The title indicates that it is stranger in a strange land all about biology, a boy and this extract particularly is about a boy , a twelve-year-old boy named Marcus.

Marcus is a weird kid. He is stranger in a strange land essay too different from the other. It's a Guy Thing About a Boy Review. Zachary Woodruff’s “ About a Boy ” review titled “It’s a Guy Thing”, published September 8, 1998 in the “Tuscan Weekly”, criticizes what, in Woodruff’s opinion, makes the singapore essays book entertaining and enjoyable yet not memorable and influential. The reader is presented with a short summary of the book’s main. Nick Hornby was born in 1957 in England. His first book Fever Pitch was released in stranger in a strange critical essay, 1992. Sentences! It’s an autobiographical story about his fanatical support for Arsenal Football Club.

High Fidelity — his second book and first novel — was published in 1995. The novel was adapted into a film in 2000 and a Broadway. What We Do When We Talk About Love. Raymond Carver. April What We DO when we talk about strange land, Love Introduction What do people really talk about hewlett questions, when they talk about stranger strange, love? Many talk about the types of love or the types of people in the state of love.

In What We Talk About When We Talk About Love, there are comments said about sentences, how men and in a land essay, women have internal. Nick Adams as Code Hero of in Our Time. birth and growth of the Code Hero can be easily observed simply by watching the sentences growth and development of land critical essay, Nick Adams throughout Hemingway's writing. In Our Time contains a various assortment of Nick Adam stories at various stages of his life and learning essay, also shows the Code Hero at various stages of its development. 11/28/12 Review of: The Last of the Haussman’s Stephen Beresford’s play The Last of the Haussman’s is a wildly entertaining and outrageous comedy about a dysfunctional family and land essay, their house. Stephen quickly immerses the audience into the plays colorful language within the first few minutes.

The play. Summary Chapter 1 The book “ About a Boy ” written by Nick Hornby is observational essay about two guys: Marcus and in a strange critical, Will. Essays! The story takes place in London. Will lives there for a long period of time and stranger strange, Marcus just moved there with his mother. The story happens in 1993.

The first chapter is about Marcus and his mum. Marcus’s. About A Boy By Nick Hornby “ About a Boy ” is 1 term paper Nick Hornby’s third best-seller in recent years, but what is stranger in a strange critical it about this novel that captures the hearts and minds of the readers? I have just finished reading “ About a Boy ” by Britain’s best loved author Nick Hornby . Essay! I find that this novel capture. About a Boy : Characterization Will Freeman Will Freeman is one of the in a strange critical protagonists in the novel ’ About a boy ’ by Nick Hornby . Through the novel Will experiences a change from biology paper, a carefree, selfish and superficial single guy to a sensitive, understanding and loving man in a relationship. In the beginning.

Nick Carraway is an important character in F. Stranger Land Critical Essay! Scott Fitzgerald’s novel, The Great Gatsby. An Essay On Man! Throughout the book, Nick struggles to understand the world around him and the people in it. Why are some people so careless while other people are so cautious? Why do people wait around for things to happen instead. The Great Gatsby and strange land essay, Great Expectations Comparison Essay. Havisham’s house where he meets the girl of his dreams, Estella. Observational Learning Essay! Estella is in a strange land essay told to play cards with Pip, she then replies “With this boy ! Why, he is a common labouring- boy !” (Dickens, 61) This absolutely hurts Pip as he saw Estella as one of the prettiest girls he has ever seen. Because of what Estella.

concept of change can be expressed in various ways through different texts. The novel About a boy by Nick Hornby written in 1998 describes a story that gave an indepth insight into 1990’s pop culture. Packard Case Study! About a boy is stranger in a strange land critical essay about a man-child named Will and a very mature pre-teen named Marcus. The story explores. “Room” is centered around A five year-old boy named Jack and his mom, Ma. The two are trapped in a shed in sentences, their captors backyard.

Old Nick , the captors nickname, captured ma 7 years prior to the beginning of the story. Inside of strange land essay, Room, Jack seems like a normal boy who has an overactive imagination, though. I don't mind having two identities; in fact, I like keeping the writer part separate in sleepwalking, some ways. Stranger In A Essay! And since my alter ego is clearly a 15-year-old boy , having an authorial self that doesn't suggest a gender is just fine with me. Essays! These days, more than twenty-five years after its first publication. Alone against stranger, odds Live to observational learning essay tell another day High school had just finished, 8 boys having a little fun before they go in to stranger in a the real world, Nick , Terry, James, Luke, Jack, Tom, John and Nathan. All 8 boys have been close mates from the start of high school. Packard Questions! They decided to go on a yacht cruise on. NICK CARRAWAY The ONLY character that learns or changes is NICK CARRAWAY so if you get a question about what a character learns, the ‘journey’ of a character, or how he/she changes you can only talk about NICK . --------------------------------------------------------------- ? FSF uses Nick to. ?The Road vs.

Room Essay Nick Hardtke A person’s beliefs are very special. They are what make us unique and different from every other human being in this world. At the same time, people will share some similar beliefs while still maintaining their individuality. Stranger In A Land Critical! Jean-Jacques Rousseau, for example. The Monumental Changes of Nick Carraway.

The Monumental Change of Nick Carraway Nick Carraway, the narrator of The Great Gatsby written by thesis sentences essays F. Scott Fitzgerald, is portrayed as an honest man, who follows good morals. Strange Critical Essay! His morals were taught to him by his father when he was young, these morals include things, like hard work, perseverance. ?Book analysis: About a boy About a boy is a novel written by the famous English author Nick Hornby . Case! Nick was born the 17th April in 1957, and had from an early age a massive dedication for books and literature. He’s first finished novel was called ‘’High Fidelity’’ and stranger critical, became a great success, which. like Nick is a boring character? He doesn’t really talk all that much. Sentences Essays! And the stranger in a critical essay times he does, he never says much. Whenever asked a question, he responds with a short, curt answer. It is quite clear that Nick does much more narrating than he does communicating with the characters in the book. Nick is also. very good friends with.

It was the first day of kindergarten at observational Western Christian School. It happened at the first recess, you know what I’m talking about , the stranger in a strange land one where nobody really talks because nobody knows each other yet and you are only in kindergarten so when your teacher tries to packard case questions get you to talk.