Concord Bookshop Paper Essay

The evidence of change has never been more apparent then as witnessed in the health care industry at present time. Both internal and external influences are serving to create a rapidly evolving health care marketplace that requires health care organizations to not only recognize change but be willing to incorporate a learning culture that is proactive to continuous change (Spector, 2010). The successful implementation of change is highly dependent upon how change is introduced, applied, and supported that enables old processes to be dismissed, new ideas are introduced, and a new vision that includes desired changes is accepted by all employees that it will influence (Spector, 2010). The owners of the Concord Bookshop viewed change as a stand-alone process for improving their business or the introduction of a business solution (Spector, 2010). The real application of change has to do with involving people to change a process, technology, or even organizational wide change modalities. Instead, the owners and board directed change and assumed that if it was mandated then change would be automatic (Spector, 2010). Communication A critical phase that was overlooked by Concord Bookshop is communication planning. Analytical assessments and the recognition of what changes are needed is a valid starting point, but if these changes are not communicated effectively then changes will be met with great resistance and confusion by employees, vendors, and most importantly customers (Spector, 2010). Awareness must be communicated that identifies the reason for change and the downside if change is not implemented (Spector, 2010). This awareness depends on ensuring that the communication applied is specifically designed for the audience it is intended. Communication of change will be delivered differently to front-line employees than it would be to upper management and  still different to vendors and customers. The owners of the Concord Bookshop communicated only to inform that change has taken place without giving anyone a chance to understand why change is needed in the first place. Sponsorship A buy-in by those most capable of implementing change is vital to ensuring a high level of change management and successful change (Spector, 2010). This is not the same as supporting change but instead is the active role of senior business leaders in involved in active participation that results in evidence of change. Management acting as agents of change can lead from the front and help identify problems, communicate, and create positive change environments. This is also an avenue to ensure the vision and direction of change is maintained throughout the change process (Spector, 2010). Resistance No matter how well the communication and sponsorship of change implementation processes is applied; there is always a level of resistance. This resistance must be managed in a proactive and timely manner (Spector, 2010). Change agents, teams, and leaders must recognize change resistance and apply proper processes and tools to support change implementation in all phases of change in an organization. The Concord Bookshop did not consider employee resistance to change and went as far as to disregard communication stating the reasons for resistance. A business that view employees as a liability and a cost, fail to see employees as human capital and assets. This view is counter to how vendors and customers view them (Spector, 2010). The Concord Bookshop represents an excellent example of how not to attempt change. If employees would have been included in the early stages of analysis to define the change required, they would have created a proactive change management environment (Spector, 2010). Instead, the surprise of change that was perpetuated upon the employees was met with across the board resistance, bewilderment, anger, and derision that resulted in the loss of many highly qualified employees and management. These factors created a  failure of change management where the loss of employees and resulting customers would cost the company far more than if they had taken the time to implement change management process correctly to begin with (Spector, 2010). References Spector, B. (2010). Implementing organizational change: Theory into practice (2nd ed). Upper Saddle River, NJ: Pearson Prentice Hall.

Anna Freud

Anna Freud (3 December 1895 – 9 October 1982) was the sixth and last child of Sigmund and Martha Freud. Born in Vienna, she followed the path of her father and contributed to the newly born field of psychoanalysis. Alongside Melanie Klein, she may be considered the founder of psychoanalytic child psychology: as her father put it, child analysis ‘had received a powerful impetus through â€Å"the work of Frau Melanie Klein and of my daughter, Anna Freud†Ã¢â‚¬Ëœ.Compared to her father, her work emphasized the importance of the ego and its ability to be trained socially. The Vienna years Anna Freud appears to have had a comparatively unhappy childhood, in which she ‘never made a close or pleasureable relationship with her mother, and was really nurtured by their Catholic nurse Josephine'. She had difficulties getting along with her siblings, specifically with her sister Sophie Freud (as well as troubles with her cousin Sonja Trierweiler, a â€Å"bad influenceâ €  on her).Her sister, Sophie, who was the more attractive child, represented a threat in the struggle for the affection of their father: ‘the two young Freuds developed their version of a common sisterly division of territories: â€Å"beauty† and â€Å"brains†Ã¢â‚¬Ëœ, and their father once spoke of her ‘age-old jealousy of Sophie'. As well as this rivalry between the two sisters, Anna had other difficulties growing up – ‘a somewhat troubled youngster who complained to her father in candid letters how all sorts of unreasonable thoughts and feelings plagued her'. It seems that ‘in general, she was relentlessly competitive with her siblings†¦ nd was repeatedly sent to health farms for thorough rest, salutary walks, and some extra pounds to fill out her all too slender shape': she may have suffered from a depression which caused eating disorders. The relationship between Anna and her father was different from the rest of her family; they were very close. She was a lively child with a reputation for mischief. Freud wrote to his friend Wilhelm Fliess in 1899: ‘Anna has become downright beautiful through naughtiness'. Freud is said to refer to her in his diaries more than others in the family.Later on Anna Freud would say that she didn’t learn much in school; instead she learned from her father and his guests at home. This was how she picked up Hebrew, German, English, French and Italian. At the age of 15, she started reading her father’s work: a dream she had ‘at the age of nineteen months†¦ [appeared in] The Interpretation of Dreams, and commentators have noted how ‘in the dream of little Anna†¦ little Anna only hallucinates forbidden objects'. Anna finished her education at the Cottage Lyceum in Vienna in 1912. Suffering from a depression, she was very insecure about what to do in the future.Subsequently, she went to Italy to stay with her grandmother, and there is evid ence that ‘In 1914 she travelled alone to England to improve her English', but was forced to leave shortly after arriving because war was declared. In 1914 she passed the test to be a trainee at her old school, the Cottage Lyceum. From 1915 to 1917, she was a trainee, and then a teacher from 1917 to 1920. She finally quit her teaching career because of tuberculosis. In 1918, her father started psychoanalysis on her and she became seriously involved with this new profession.Her analysis was completed in 1922 and thereupon she presented the paper â€Å"The Relation of Beating Fantasies to a Daydream† to the Vienna Psychoanalytical Society, subsequently becoming a member. In 1923, Freud began her own psychoanalytical practice with children and two years later she was teaching at the Vienna Psychoanalytic Training Institute on the technique of child analysis. From 1925 until 1934, she was the Secretary of the International Psychoanalytical Association while she continued ch ild analysis and seminars and conferences on the subject.In 1935, Freud became director of the Vienna Psychoanalytical Training Institute and in the following year she published her influential study of the â€Å"ways and means by which the ego wards off displeasure and anxiety†, The Ego and the Mechanisms of Defence. It became a founding work of ego psychology and established Freud’s reputation as a pioneering theoretician. In 1938 the Freuds had to flee from Austria as a consequence of the Nazis' intensifying harassment of Jews in Vienna following the Anschluss by Germany. Her father's health had deteriorated severely due to jaw cancer, so she had to organize the family's emigration to London.Here she continued her work and took care of her father, who finally died in the autumn of 1939. When Anna arrived in London, a conflict came to a head between her and Melanie Klein regarding developmental theories of children, culminating in the Controversial discussions. The w ar gave Freud opportunity to observe the effect of deprivation of parental care on children. She set up a centre for young war victims, called â€Å"The Hampstead War Nursery†. Here the children got foster care although mothers were encouraged to visit as often as possible.The underlying idea was to give children the opportunity to form attachments by providing continuity of relationships. This was continued, after the war, at the Bulldogs Bank Home, which was an orphanage, run by colleagues of Freud, that took care of children who survived concentration camps. Based on these observations Anna published a series of studies with her longtime friend, Dorothy Burlingham-Tiffany on the impact of stress on children and the ability to find substitute affections among peers when parents cannot give them. In 1947, Freud and Kate Friedlaender established the Hampstead Child Therapy Courses.Five years later, a children's clinic was added. Here they worked with Freud's theory of thedeve lopmental lines. Furthermore Freud started lecturing on child psychology: Siegfried Bernfeld and August Aichorn, who both had practical experience of dealing with children, were among her mentors in this. From the 1950s until the end of her life Freud travelled regularly to the United States to lecture, to teach and to visit friends. During the 1970s she was concerned with the problems of emotionally deprived and socially disadvantaged children, and she studied deviations and delays in development.At Yale Law School, she taught seminars on crime and the family: this led to a transatlantic collaboration with Joseph Goldstein and Albert Solnit on children and the law, published as Beyond the Best Interests of the Child (1973). Freud died in London on 9 October 1982. She was cremated at Golders Green Crematorium and her ashes placed in a marble shelf next to her parents' ancient Greek funeral urn. Her lifelong friend Dorothy Burlingham and several other members of the Freud family also rest there.One year after Freud's death a publication of her collected works appeared. She was mentioned as â€Å"a passionate and inspirational teacher† and in 1984 the Hampstead Clinic was renamed the Anna Freud Centre. Furthermore her home in London for forty years was in 1986, as she had wished, transformed into the Freud Museum, dedicated to her father and the psychoanalytical society. Major contributions to psychoanalysis Anna Freud's first article, ‘on beating fantasies, drew in part on her own inner life, but th[at]†¦ made her contribution no less scientific'.In it she explained how ‘Daydreaming, which consciously may be designed to suppress masturbation, is mainly unconsciously an elaboration of the original masturbatory fantasies'. Freud had earlier covered very similar ground in ‘†A Child is Being Beaten†Ã¢â‚¬Ëœ – ‘they both used material from her analysis as clinical illustration in their sometimes complementary pap ers' – in which he highlighted a female case where ‘an elaborate superstructure of day-dreams, which was of great significance for the life of the person concerned, had grown up over the masochistic beating-phantasy†¦ one] which almost rose to the level of a work of art'. ‘Her views on child development, which she expounded in 1927 in her first book, An Introduction to the Technique of Child Analysis, clashed with those of Melanie Klein†¦ [who] was departing from the developmental schedule that Freud, and his analyst daughter, found most plausible'. In particular, Anna Freud's belief that ‘In children's analysis, the transference plays a different role†¦ and the analyst not only â€Å"represents mother† but is still an original second mother in the life of the child' became something of an orthodoxy over much of the psychoanalytic world.For her next major work in 1936, her ‘classic monograph on ego psychology and defense mechanism s, Anna Freud drew on her own clinical experience, but relied on her father's writings as the principal and authoritative source of her theoretical insights'. Here her ‘cataloguing of regression, repression, reaction formation, isolation, undoing, projection, introjection, turning against the self, reversal and sublimation' helped establish the importance of the ego functions and the concept of defense mechanisms, continuing the greater emphasis on the ego of her father — ‘We should like to learn more about the ego' — during his final decades.Special attention was paid in it to later childhood and adolescent developments — ‘I have always been more attracted to the latency period than the pre-Oedipal phases' – emphasising how the ‘increased intellectual, scientific, and philosophical interests of this period represent attempts at mastering the drives'. The problem posed by physiological maturation has been stated forcefully by Anna Freud. â€Å"Aggressive impulses are intensified to the point of complete unruliness, hunger becomes voracity†¦ The reaction-formations, which seemed to be firmly established in the structure of the ego, threaten to fall to pieces†.Selma Fraiberg's tribute of 1959 that ‘The writings of Anna Freud on ego psychology and her studies in early child development have illuminated the world of childhood for workers in the most varied professions and have been for me my introduction and most valuable guide spoke at that time for most of psychoanalysis outside the Kleinian heartland. Arguably, however, it was in Anna Freud's London years ‘that she wrote her most distinguished psychoanalytic papers — including â€Å"About Losing and Being Lost†, which everyone should read regardless of their interest in psychoanalysis'.Her description therein of ‘simultaneous urges to remain loyal to the dead and to turn towards new ties with the living' may perhaps reflect her own mourning process after her father's recent death. Focusing thereafter on research, observation and treatment of children, Anna Freud established a group of prominent child developmental analysts (which included Erik Erikson, Edith Jacobson and Margaret Mahler) who noticed that children's symptoms were ultimately analogue to personality disorders among adults and thus often related to developmental stages.Her book Normality and Pathology in Childhood (1965) summarised ‘the use of developmental lines charting theoretical normal growth â€Å"from dependency to emotional self-reliance†Ã¢â‚¬Ëœ. Through these then revolutionary ideas Anna provided us with a comprehensive developmental theory and the concept of developmental lines, which combined her father's important drive model with more recent object relations theories emphasizing the importance of parents in child development processes.Nevertheless her basic loyalty to her father's work remained unimpaired , and it might indeed be said that ‘she devoted her life to protecting her father's legacy†¦ In her theoretical work there would be little criticism of him, and she would make what is still the finest contribution to the psychoanalytic understanding of passivity', or what she termed ‘altruistic surrender†¦ excessive concern and anxiety for the lives of his love objects'. Jacques Lacan called ‘Anna Freud the plumb line of psychoanalysis. Well, the plumb line doesn't make a building†¦ but] it allows us to gauge the vertical of certain problems'; and by preserving so much of Freud's legacy and standards she may indeed have served as something of a living yardstick. With psychoanalysis continuing to move away from classical Freudianism to other concerns, it may still be salutary to heed Anna Freud's warning about the potential loss of her father's 'emphasis on conflict within the individual person, the aims, ideas and ideals battling with the drives to k eep the individual within a civilized community. It has become modern to water this down to every individual's longing for perfect unity with his mother†¦There is an enormous amount that gets lost this way'. About essential personal qualities in psychoanalysts â€Å"Dear John †¦ , You asked me what I consider essential personal qualities in a future psychoanalyst. The answer is comparatively simple. If you want to be a real psychoanalyst you have to have a great love of the truth, scientific truth as well as personal truth, and you have to place this appreciation of truth higher than any discomfort at meeting unpleasant facts, whether they belong to the world outside or to your own inner person.Further, I think that a psychoanalyst should have†¦ interests†¦ beyond the limits of the medical field†¦ in facts that belong to sociology, religion, literature, [and] history,†¦ [otherwise] his outlook on†¦ his patient will remain too narrow. This point co ntains†¦ the necessary preparations beyond the requirements made on candidates of psychoanalysis in the institutes. You ought to be a great reader and become acquainted with the literature of many countries and cultures.In the great literary figures you will find people who know at least as much of human nature as the psychiatrists and psychologists try to do. Does that answer your question? † In perhaps not dissimilar vein, she wrote in 1954 that ‘With due respect for the necessary strictest handling and interpretation of the transference, I feel still that we should leave room somewhere for the realization that analyst and patient are also two real people, of equal adult status, in a real personal relationship to each other. Anna Freud Anna Freud (3 December 1895 – 9 October 1982) was the sixth and last child of Sigmund and Martha Freud. Born in Vienna, she followed the path of her father and contributed to the newly born field of psychoanalysis. Alongside Melanie Klein, she may be considered the founder of psychoanalytic child psychology: as her father put it, child analysis ‘had received a powerful impetus through â€Å"the work of Frau Melanie Klein and of my daughter, Anna Freud†Ã¢â‚¬Ëœ.Compared to her father, her work emphasized the importance of the ego and its ability to be trained socially. The Vienna years Anna Freud appears to have had a comparatively unhappy childhood, in which she ‘never made a close or pleasureable relationship with her mother, and was really nurtured by their Catholic nurse Josephine'. She had difficulties getting along with her siblings, specifically with her sister Sophie Freud (as well as troubles with her cousin Sonja Trierweiler, a â€Å"bad influenceâ €  on her).Her sister, Sophie, who was the more attractive child, represented a threat in the struggle for the affection of their father: ‘the two young Freuds developed their version of a common sisterly division of territories: â€Å"beauty† and â€Å"brains†Ã¢â‚¬Ëœ, and their father once spoke of her ‘age-old jealousy of Sophie'. As well as this rivalry between the two sisters, Anna had other difficulties growing up – ‘a somewhat troubled youngster who complained to her father in candid letters how all sorts of unreasonable thoughts and feelings plagued her'. It seems that ‘in general, she was relentlessly competitive with her siblings†¦ nd was repeatedly sent to health farms for thorough rest, salutary walks, and some extra pounds to fill out her all too slender shape': she may have suffered from a depression which caused eating disorders. The relationship between Anna and her father was different from the rest of her family; they were very close. She was a lively child with a reputation for mischief. Freud wrote to his friend Wilhelm Fliess in 1899: ‘Anna has become downright beautiful through naughtiness'. Freud is said to refer to her in his diaries more than others in the family.Later on Anna Freud would say that she didn’t learn much in school; instead she learned from her father and his guests at home. This was how she picked up Hebrew, German, English, French and Italian. At the age of 15, she started reading her father’s work: a dream she had ‘at the age of nineteen months†¦ [appeared in] The Interpretation of Dreams, and commentators have noted how ‘in the dream of little Anna†¦ little Anna only hallucinates forbidden objects'. Anna finished her education at the Cottage Lyceum in Vienna in 1912. Suffering from a depression, she was very insecure about what to do in the future.Subsequently, she went to Italy to stay with her grandmother, and there is evid ence that ‘In 1914 she travelled alone to England to improve her English', but was forced to leave shortly after arriving because war was declared. In 1914 she passed the test to be a trainee at her old school, the Cottage Lyceum. From 1915 to 1917, she was a trainee, and then a teacher from 1917 to 1920. She finally quit her teaching career because of tuberculosis. In 1918, her father started psychoanalysis on her and she became seriously involved with this new profession.Her analysis was completed in 1922 and thereupon she presented the paper â€Å"The Relation of Beating Fantasies to a Daydream† to the Vienna Psychoanalytical Society, subsequently becoming a member. In 1923, Freud began her own psychoanalytical practice with children and two years later she was teaching at the Vienna Psychoanalytic Training Institute on the technique of child analysis. From 1925 until 1934, she was the Secretary of the International Psychoanalytical Association while she continued ch ild analysis and seminars and conferences on the subject.In 1935, Freud became director of the Vienna Psychoanalytical Training Institute and in the following year she published her influential study of the â€Å"ways and means by which the ego wards off displeasure and anxiety†, The Ego and the Mechanisms of Defence. It became a founding work of ego psychology and established Freud’s reputation as a pioneering theoretician. In 1938 the Freuds had to flee from Austria as a consequence of the Nazis' intensifying harassment of Jews in Vienna following the Anschluss by Germany. Her father's health had deteriorated severely due to jaw cancer, so she had to organize the family's emigration to London.Here she continued her work and took care of her father, who finally died in the autumn of 1939. When Anna arrived in London, a conflict came to a head between her and Melanie Klein regarding developmental theories of children, culminating in the Controversial discussions. The w ar gave Freud opportunity to observe the effect of deprivation of parental care on children. She set up a centre for young war victims, called â€Å"The Hampstead War Nursery†. Here the children got foster care although mothers were encouraged to visit as often as possible.The underlying idea was to give children the opportunity to form attachments by providing continuity of relationships. This was continued, after the war, at the Bulldogs Bank Home, which was an orphanage, run by colleagues of Freud, that took care of children who survived concentration camps. Based on these observations Anna published a series of studies with her longtime friend, Dorothy Burlingham-Tiffany on the impact of stress on children and the ability to find substitute affections among peers when parents cannot give them. In 1947, Freud and Kate Friedlaender established the Hampstead Child Therapy Courses.Five years later, a children's clinic was added. Here they worked with Freud's theory of thedeve lopmental lines. Furthermore Freud started lecturing on child psychology: Siegfried Bernfeld and August Aichorn, who both had practical experience of dealing with children, were among her mentors in this. From the 1950s until the end of her life Freud travelled regularly to the United States to lecture, to teach and to visit friends. During the 1970s she was concerned with the problems of emotionally deprived and socially disadvantaged children, and she studied deviations and delays in development.At Yale Law School, she taught seminars on crime and the family: this led to a transatlantic collaboration with Joseph Goldstein and Albert Solnit on children and the law, published as Beyond the Best Interests of the Child (1973). Freud died in London on 9 October 1982. She was cremated at Golders Green Crematorium and her ashes placed in a marble shelf next to her parents' ancient Greek funeral urn. Her lifelong friend Dorothy Burlingham and several other members of the Freud family also rest there.One year after Freud's death a publication of her collected works appeared. She was mentioned as â€Å"a passionate and inspirational teacher† and in 1984 the Hampstead Clinic was renamed the Anna Freud Centre. Furthermore her home in London for forty years was in 1986, as she had wished, transformed into the Freud Museum, dedicated to her father and the psychoanalytical society. Major contributions to psychoanalysis Anna Freud's first article, ‘on beating fantasies, drew in part on her own inner life, but th[at]†¦ made her contribution no less scientific'.In it she explained how ‘Daydreaming, which consciously may be designed to suppress masturbation, is mainly unconsciously an elaboration of the original masturbatory fantasies'. Freud had earlier covered very similar ground in ‘†A Child is Being Beaten†Ã¢â‚¬Ëœ – ‘they both used material from her analysis as clinical illustration in their sometimes complementary pap ers' – in which he highlighted a female case where ‘an elaborate superstructure of day-dreams, which was of great significance for the life of the person concerned, had grown up over the masochistic beating-phantasy†¦ one] which almost rose to the level of a work of art'. ‘Her views on child development, which she expounded in 1927 in her first book, An Introduction to the Technique of Child Analysis, clashed with those of Melanie Klein†¦ [who] was departing from the developmental schedule that Freud, and his analyst daughter, found most plausible'. In particular, Anna Freud's belief that ‘In children's analysis, the transference plays a different role†¦ and the analyst not only â€Å"represents mother† but is still an original second mother in the life of the child' became something of an orthodoxy over much of the psychoanalytic world.For her next major work in 1936, her ‘classic monograph on ego psychology and defense mechanism s, Anna Freud drew on her own clinical experience, but relied on her father's writings as the principal and authoritative source of her theoretical insights'. Here her ‘cataloguing of regression, repression, reaction formation, isolation, undoing, projection, introjection, turning against the self, reversal and sublimation' helped establish the importance of the ego functions and the concept of defense mechanisms, continuing the greater emphasis on the ego of her father — ‘We should like to learn more about the ego' — during his final decades.Special attention was paid in it to later childhood and adolescent developments — ‘I have always been more attracted to the latency period than the pre-Oedipal phases' – emphasising how the ‘increased intellectual, scientific, and philosophical interests of this period represent attempts at mastering the drives'. The problem posed by physiological maturation has been stated forcefully by Anna Freud. â€Å"Aggressive impulses are intensified to the point of complete unruliness, hunger becomes voracity†¦ The reaction-formations, which seemed to be firmly established in the structure of the ego, threaten to fall to pieces†.Selma Fraiberg's tribute of 1959 that ‘The writings of Anna Freud on ego psychology and her studies in early child development have illuminated the world of childhood for workers in the most varied professions and have been for me my introduction and most valuable guide spoke at that time for most of psychoanalysis outside the Kleinian heartland. Arguably, however, it was in Anna Freud's London years ‘that she wrote her most distinguished psychoanalytic papers — including â€Å"About Losing and Being Lost†, which everyone should read regardless of their interest in psychoanalysis'.Her description therein of ‘simultaneous urges to remain loyal to the dead and to turn towards new ties with the living' may perhaps reflect her own mourning process after her father's recent death. Focusing thereafter on research, observation and treatment of children, Anna Freud established a group of prominent child developmental analysts (which included Erik Erikson, Edith Jacobson and Margaret Mahler) who noticed that children's symptoms were ultimately analogue to personality disorders among adults and thus often related to developmental stages.Her book Normality and Pathology in Childhood (1965) summarised ‘the use of developmental lines charting theoretical normal growth â€Å"from dependency to emotional self-reliance†Ã¢â‚¬Ëœ. Through these then revolutionary ideas Anna provided us with a comprehensive developmental theory and the concept of developmental lines, which combined her father's important drive model with more recent object relations theories emphasizing the importance of parents in child development processes.Nevertheless her basic loyalty to her father's work remained unimpaired , and it might indeed be said that ‘she devoted her life to protecting her father's legacy†¦ In her theoretical work there would be little criticism of him, and she would make what is still the finest contribution to the psychoanalytic understanding of passivity', or what she termed ‘altruistic surrender†¦ excessive concern and anxiety for the lives of his love objects'. Jacques Lacan called ‘Anna Freud the plumb line of psychoanalysis. Well, the plumb line doesn't make a building†¦ but] it allows us to gauge the vertical of certain problems'; and by preserving so much of Freud's legacy and standards she may indeed have served as something of a living yardstick. With psychoanalysis continuing to move away from classical Freudianism to other concerns, it may still be salutary to heed Anna Freud's warning about the potential loss of her father's 'emphasis on conflict within the individual person, the aims, ideas and ideals battling with the drives to k eep the individual within a civilized community. It has become modern to water this down to every individual's longing for perfect unity with his mother†¦There is an enormous amount that gets lost this way'. About essential personal qualities in psychoanalysts â€Å"Dear John †¦ , You asked me what I consider essential personal qualities in a future psychoanalyst. The answer is comparatively simple. If you want to be a real psychoanalyst you have to have a great love of the truth, scientific truth as well as personal truth, and you have to place this appreciation of truth higher than any discomfort at meeting unpleasant facts, whether they belong to the world outside or to your own inner person.Further, I think that a psychoanalyst should have†¦ interests†¦ beyond the limits of the medical field†¦ in facts that belong to sociology, religion, literature, [and] history,†¦ [otherwise] his outlook on†¦ his patient will remain too narrow. This point co ntains†¦ the necessary preparations beyond the requirements made on candidates of psychoanalysis in the institutes. You ought to be a great reader and become acquainted with the literature of many countries and cultures.In the great literary figures you will find people who know at least as much of human nature as the psychiatrists and psychologists try to do. Does that answer your question? † In perhaps not dissimilar vein, she wrote in 1954 that ‘With due respect for the necessary strictest handling and interpretation of the transference, I feel still that we should leave room somewhere for the realization that analyst and patient are also two real people, of equal adult status, in a real personal relationship to each other.

We Have Taken the City by H. Leon Prather Sr Essay

We Have Taken the City by H. Leon Prather Sr - Essay Example The essay begins with the description of the status of black Americans particularly in Wilmington, North Carolina wherein before the racial massacre happened, the black Americans had been more superior, powerful, business minded people, had greater opportunity in terms of livelihood compared to the white Americans. The description of the status of the black Americans gives the reader clarity in this essay for them to follow the story. Names of these black Americans who have a good status were also mentioned in the first place in the essay which has a minor role but memorable role in the story of the Wilmington racial massacre, such as Thomas C. Miller, a black businessman and Alexander Manly, black editor. To continue, in the year 1894 and 1896, North Carolina’s Populist Party fused with the Republic Party to have power of the state government which was known as the Fusionists. Although they won, in the year 1898 election, the Democratic Party was able to have a government con trol at the state level which was the starting point of violence and frightening if blacks by the Red Shirts, these are the once that acts in behalf of the Democratic Party, that want to eliminate black voting. ... In order to destroy the image of the black Americans to the South Carolina, news, pictures and stories were published and spread throughout saying that black American men were attacking white women and Alexander Manly, denied the charges and defending it through his article. This made the white supremacist angry and so after the election they created different committees and wanted Manly to be evicted and cease the newspaper to be published but because of no response from the side of Manly, Alfred Moore Waddell led an armed group to the Daily Record office and they destroyed the equipment and burned down the building of the black American newspaper. After the black Americans heard about what happened, they assembled themselves throughout Wilmington. On that day, the riot and gunfire took place. It was said that with the use of telegraphs flashed news of the racial violence, democratic leaders in other parts of the Northern Carolina towns and cities sent their military forces and gave help to the white people which led many numbers of black people to die. The way the writer of this essay illustrates and describes how the riot was done was very clear although in the end no one knows and no one can estimate the number of deaths among the blacks. Even the movements of the riders were properly and clearly described. The directions of the places, movements of the people and the exact location of the people were also clearly illustrated which really makes this essay interesting although there exact words that were quoted and it’s a little difficult to understand and connect it with the situation. The quoted word example is â€Å"When we

LLB Law Of Evidence coursework Essay Example | Topics and Well Written Essays - 1500 words

LLB Law Of Evidence coursework - Essay Example On the other hand, the defendant can easily claim that they did not have knowledge of what was inside the package, but that the package contained other things, something hard for the prosecutor to rebut. The aim of this paper is to advise Jim who is appealing against his conviction for supply heroin based on evidential issues arising from the judge’s summing up. Discussion Ever since the effecting of Human Rights Act 1998, criminal evidence has become the most significant development due to various disputes under Article 6 which entails the right to a just trial against the application of a legal weight on the defendant to establish one or more particulars in the issue2. The fact that Jim is seeking a declaration that section 28(3) (b) (i) to be declared contrary to Human Rights Act 1998 as it infringes on his right to a just trial under Article 6 of European Convention on Human Rights 1950, he is placing the court with a question on whether it has the jurisdiction to consider appeal and, if it did, whether section 28(3) (b) (i) the Act was unsuited with his right to a just trial3. ... Therefore, in order to establish the defence under section 28(3) of the Act, Jim has to prove on the equilibrium of probabilities that he did not know that the box contained heroin4. The real apprehension is not if the defendant should disprove evidence but that the defendant may be convicted though a reasonable doubt subsists. In particular, the Misuse of Drugs Act 1971 does not have a clear characterization of possession, and in section 37(3) it elaborates that an item which an individual has in his or her possession to include anything subject to his or her control, and which is in the guardianship of another person. Therefore, unless the item is in that individual control though still under care of another person, it cannot be categorized to be in the accused in this case Jim possession5. This then leads to what the directions the jury was given by the trial judge, and it is evident that though it was essential for the prosecution to establish that Jim knew that the box was in hi s control, it was not essential for the prosecution to establish that Jim knew that the item inside the box was a controlled drug. For this reason, then there would be the likelihood of an infringement in terms of presumption of innocence. This became evident in R v Edwards,6 whereby the defence was identified to have so closely associated with the mens rea principle and moral guilt that it derogated from presupposition to reassignment of legal burden to the defendant. Although subsections (2) with (3) of Misuse of Drugs Act 1971 define specifically of the defendant proving something, then this does not necessarily mean that in order to ascertain a defence then the defendant must essentially offer evidence. Thus, the essential evidence might arise such as from any varied

Proposed Expansion to Develop Educational Materials for Psychologists Essay

Proposed Expansion to Develop Educational Materials for Psychologists - Essay Example In the following presentation, the highlights of the research findings are presented for your consideration. Abnormal behavior is defined as "a psychological dysfunction associated with distress or impairment in functioning that is not a typical or culturally expected response" (Christodulu 2002, screen 1). Further according to the Department of Health and Human Services there are 88,491 clinical psychologists in the United States. With this broad base of potential customers development of this line of educational aids has the potential for wide spread appeal and will increase sales revenue. (2006) Stemming from the fact that there are multiple models of abnormal behavior: Medical and Psychological; ("Psychological disorders" undated, p. 2) our opportunity to develop multiple product groups is promising. The medical model attributes abnormal behavior to medical conditions and, therefore, a medical approach is used to treat the symptoms. However, the psychological models have various perspectives in regard to treatment: mental functioning, experiences and learning are causes of the behaviors manifested. These include the behavior model which focuses on environmental issues while cognitive models stress the reasons behind behaviors. Lastly, the sociocultural model explores the cultural and social issues that impact behavior.

Comparison between Confucius and Lao Tzu Research Paper

Comparison between Confucius and Lao Tzu - Research Paper Example The teachings associated with Confucius can be considered as concepts of human activities and they contain five fundamental messages. The initial message demonstrates two key components which are Zen and li. The concept of Zen points toward humanity and benevolence while li addresses rules and decorum. According to Confucius, li was the greatest manifestation of Zen despite the fact that Zen is attained through li. This means that the capability to abide by rules and decorum was the most favorable way to display respect and regard to the authority figure and the environment inhabited by individuals. The second message associated with the teachings states that an individual who is honest and decent should obey the authority and avails a set of morals for people in authority. These two mechanisms demonstrated the opinions held by Confucius concerning the framework of the state as well as the manner in which the community is organized socially. The third message carries Confuciusâ€℠¢ warning to human beings against possessing anything that will make their characters become extreme. Confucius perceives the center as being the most favorable position for an individual. The fourth message addresses issues of power and Confucius considers that it should be based on the ideology of justice. In essence, he blended the ideas of power and justice into one concrete formation. The final message argues that the human beings have to be completely involved and realistic to the religion they confess.

Education in the patient care setting Essay Example | Topics and Well Written Essays - 3750 words

Education in the patient care setting - Essay Example Before the means to develop and enhance the learning in my area of professional practice for a patient can be established, it is important to discuss first the different principles of learning which relate to the quality of feedback, individualization, relevance, and their applicability to practice. There are eight principles of learning which have to be considered in health education. These principles include: multi-sense learning, active learning, primacy and recency, tell them what you are going to tell them/tell them what you have told them, feedback, reward, practice and repetition, meaningful material, and holistic learning (Egle, 2007, pp. 4-5). In multi-sense learning, two or more senses are utilized, allowing the students to hear, to see, and touch, and to do (Kroehnert, 2000, p. 10). By using various techniques, it is possible to provide visual, auditory, and kinaesthetic outlets for more effective learning. Another principle – active learning also refers to learning by doing (Martyn, 2007, p. 71). This principle sets forth fact that as participants become more actively engaged in their learning, they are also likely to be engaged in the learning and application, as well as in the problem solving, and in case studies (Egle, 2007, p. 4). The third principle, primacy and recency – discusses that learners often remember the first and the last experiences (Castel, 2008, p. 429). A thorough and comprehensive introduction and conclusion are therefore important aspects of learning. The principle of telling them what you are going to tell them, and telling them what you have told discusses the fact that chunking or dividing lessons into mini-sessions can improve the learning process (Egle, 2007, p. 4). The fourth principle, that of feedback sets forth the importance of feedback from learners and trainers (Office of Assessment, Teaching, and Learning, 2010, p. 46). The message is ac tually the feedback; participants need feedback to assess their progress and the leaders need feedback to evaluate the sessions. The fifth principle is reward. This is about experiencing success and reward. Most people feel better when they are rewarded for their efforts and feeling good about themselves often leads to more improved efforts in their activities (Egle, 2007, p. 5). The sixth principle is reward, revision, and reinforcement (Sutton, 1999, p. 2). This principle sets forth that memory needs repetition of materials; the more it is repeated, the more it is ingrained in one’s memory. The seventh principle is on meaningful material. This principle basically sets forth that materials are related to previous knowledge and that participants are likely to learn best with materials which are relevant (Egle, 2007, p. 5). The last principle is on holistic learning. This principle s

Art History Greek Art Essay Example | Topics and Well Written Essays - 1000 words

Art History Greek Art - Essay Example (51.6 cm). It has the following description: "This kouros is one of the earliest marble statues of a human figure carved in Attica. The rigid stance, with the left leg forward and arms at the side, was derived from Egyptian art. The pose provided a clear, simple formula that was used by Greek sculptors throughout the sixth century B.C. In this early figure, geometric, almost abstract forms predominate, and anatomical details are rendered in beautiful analogous patterns. The statue marked the grave of a young Athenian aristocrat." (metmuseum.org). The creator is unknown and it is a statue of a standing nude youth that did not represent any one individual youth but the idea of youth. It was used in Archaic Greece as both a dedication to the gods in sanctuaries and as a grave monument, the standard kouros stood with his left foot forward, arms at his sides, looking straight ahead. Carved in from four sides, the statue retained the general shape of the marble block. Archaic Greek sculpto rs reduced human anatomy and musculature in these statues to decorative patterning on the surface of the marble. The kouros embodies many of the ideals of the aristocratic culture of Archaic Greece. One such ideal of this period was arete, a combination of moral and physical beauty and nobility. Arete was closely connected with kalokagathia, literally a composite term for beautiful and good or noble. Writing in the mid 500s B.C., the Greek poet Theognis summed this idea up as "What is beautiful is loved, and what is not is unloved." In a society that emphasized youth and male beauty, the artistic manifestation of this world view was the kouros. Indeed, when the poet Simonides wrote about arete in the late 500s, he used a metaphor seemingly drawn from the kouros: "In hand and foot and mind alike foursquare/ fashioned without flaw" (getty.edu). Looking closely at the Kouros, one can see how the artist was struggling to represent the complex anatomical details of the body. It has some Egyptian such as the knee and wrist. "But he has cut lines into the lower legs to show the calf muscles, even though the human form has no such incisions, and from the back, the shoulders appear as a simple, flat plane, with just a linear indication for the shoulder planes. The artist wasn't able to convey the complex swellings of these forms. On the head, all the features are placed on the front plane, leaving flat sides with an ear placed much too far back. This is a mistake many beginning art students make. But he has made a beautiful design of the complex structure of an ear, and turned the curly long hair into lovely strings of beads" (ancient-greece.org). The kouros is controversial because of some features which were not in line with the age it was created. At a conference in 1992, art historians and scientists on the authenticity of the kouros. The question remains: "Is it an archaic Greek statue with a faked provenance, or a forgery with a faked provenance" (itarp.uiuc.edu). On the other hand, the Standing Female Figure dates back to ca. 2600-2400 B.C.; Early Cycladic II Cycladic; Keros-Syros culture. It is made of marble with the size H. 24 3/4 in. (62.8 cm) and is said to be a gift of Christos G. Bastis in 1968 (68.148). This early Cycladic sculpture is said to be of the Spedos variety, the most common and most widely distributed form in Cycladic marble art.

Supply Chain Management and Quality Term Paper Example | Topics and Well Written Essays - 3500 words

Supply Chain Management and Quality - Term Paper Example The market is customer-driven and therefore neither product nor service alone is the significant matters, but, the perceived value to the customer of the entire relationship with an organization is extremely important. Many companies attempt to measure the quality of their product or service from the internal quality assurance to external customer satisfaction and from that to the ‘customer value’ issue (Simchi-Levi, Kaminsky and Simchi-Levi, 2004, p. 187). Â   Â   Â   Â   Â  Generally, ‘Quality’ refers to providing of outstanding goods and services including its attractiveness, perfectness with no manufacturing defects and long term dependability and reliability (Bateman and Snell, 2003, p. 12). When it comes to the Oil and Gas operator, customers demand increased value and high quality when they buy oil or gas. Customers may perceive that these should be easily available or should be using various purposes like household, vehicles and for operating some machines. Customers basically ay not satisfy with its oil and gas if the company fails to deliver such qualities and facilities as well. Â   Â   Â   Â   Â  Quality and the concept of Total Quality Management play significant roles in strategic planning and strategic management. Strategy, as detailed above, is an attempt to achieve competitive advantage by being different. It is the application of available resources of the firm to pursue the specific aims of the policy. Strategic thinking and conversion of the vision in to into plans in order to achieve its realization are the very basic two elements involved in ‘strategy’ (Sower, 2010, p. 26). Modern management requires incorporating quality and continuous improvement as strategic objectives of the organization in a way that these strategic objectives will be turned an integral part of the business. To be more specific, the present day management scenario shows that achieving ‘quality’ in all the functional areas that business is related with is critical to the success, because, the market that it operates in is customer-driven and thus ‘quality’ gains a significant role in the objectives of the firm.

Study on online gambling market Essay Example for Free

Study on online gambling market Essay For thousands of years, mankind has enjoyed spending money on games of chance. Today this has developed into a multi-billion dollar worldwide phenomenon- the gambling industry. While the total number of gambling enterprises has fallen in recent years the overall number of people employed in the industry has increases, suggesting that enterprises are now larger than they were a decade ago. The way people bet has been revolutionised of recent years with the online gambling industry taking over the traditional high street bookmakers. Betting exchanges on the internet where punters can offer bets to other punters. Meaning the average punter can now act as the bookie and say that a certain event will not happen. To understand the impact of the gambling industry, one has to consider the percentage of people that partake in gambling. Knowing it has been around for two millennia, it is interesting to observe today 80 to 85% of people will gamble in any given year. The gambling industry has evolved greatly in recent years due to the development of online gambling, this is clearly the reason for the rapid growth in the market. Along with new markets such as the online poker industry, that has taken the world in a massive fad with millions playing poker online. The gambling industry tends to be an industry in which people will use their disposable income, but the desire to win more and the increased joy from having a larger bet causes people to spend more money on gambling than they wish. This is a market driver for the industry but also the general increase in people gambling has become the main market driver in recent years. (Party Gaming) For the five year period from 2005 to 2009, it is estimated that revenues generated by the global online gaming market will increase to approximately $22. 7 billion, representing a compound annual growth rate of approximately 22 per cent. From this estimation of expected spending in the online gambling market, it shows a market with great potential. Introduction . The following report analyses the dynamic market within which gambling exists, and the way the online gambling industry beginning to takeover the gambling industry. From the report on the market it will be possible to have a clearer understanding of whether the market will continue to grow or whether the market can not continue to grow at such a rapid rate. The following report analyses the dynamic market within which online gambling exists. The report will focus on areas such as 1. PEST Analysis 2. Boston Matrix 3. Porters Five Forces 4. Competitors Analysis 5. SWOT Analysis 6. Shareholders Such consideration of the market will enable a clearer understanding of whether the market will continue to grow at such a rapid rate. Market Definition Market sectors There are four main gambling sectors that attract the vast majority if online gambling ? Online Poker ?Online Casinos ?Sports Betting ?Betting Exchanges Online poker and betting exchanges are dominating the market and have only been introduced in recent years to the online gambling market. Sports betting and casinos still have large market share of the market but growth has slowed down. The size of the online gambling market for 2004 was $8. 2 billion for the world. In 2004 in the U. K ? 7. 4 billion was spent in gambling. Even though stats are not that easy to compare it shows that online gambling has not yet dominated the gambling market and there is potential for further growth. PEST Analysis PEST Analysis is analysis of macro-environments that affects all firms. PEST stands for Political, Economic, Social, Technological factors of the external macro-environment. Such external factors are beyond most firms control and sometimes present themselves as threats. On the other hand changes in the external environment can lead to new opportunities; this is certainly true for the gambling industry. Political Political and legal factors are those controlled by ? governments, local authorities, or other trade or activity orientated regulatory bodies (Brassington and Pettitt, 2000). Gambling legislation is put in place in order to prevent consumers been taken advantage and also help control consumers with gambling problems. The internet is open to great abuse in all areas of the internet and gambling is no exception. Within five minutes it is possible to be gambling on the internet at as high stakes as one desires, this obviously has its dangers. Companies have recently been pushed to be more responsible for caring for their customers. Some of the companies now have a system which its customers can use. The system offers the customer control of how much they can deposit in a designated time period, this helps the customers control their spending. Though this may affect profits for a company, it gives the impression that they care for their customers, which promotes their company. The laws for online gambling are reasonably relaxed and with it been a worldwide market that anyone from any country can access it is hard to control such a market. There have been recent worries about illegal gambling carried out on Betfair with trainers and owners regarding the running of a horse to lose. Many bets would be taken on the specific horse resulting in a major movement in the market and the price . The in the know punters will know the certain horse that is going to lose the race and they then lay the horse to lose on betfair, guaranteeing that they will win. This has caused many investigation and question over betting exchanges. Economic This considers both the ?macro- and micro-economic environment conditions which affect the structure of the market (Brassington and Pettitt, 2000). With the UK expecting an increase in disposable income this is likely that more money is to be spent in gambling. The gambling market may, however, be susceptible to recessionary influences. In times of economic downturn consumers become more reserved in their spending. With the market been worldwide the economic stability of different countries should balance the market out at such times, but large consumers of the market such as the US may have an effect on the market. Interest rates and level of inflation must be considered as threats to the online gambling industry. Social In order to combat the issues surrounding gambling addiction, casino staff undergo training in order to identify problem gamblers. The Gambling Bill is to focus on social responsibility rather than on casinos. The resort casinos which the gambling bill allows are an issue as evidence from New Zealand suggests that the bigger the casino the bigger the risk of problem gambling. This kind of control on the internet is done in a different way and there is no obligation for companies to offer this service. It is only the leading companies who tend to offer protection against gambling addiction. The way it is done on the internet is to let customers set there deposit limit with a desired time period. Obviously this is not as well controlled as at the casino as employees can take control of the problem customers but on the internet that kind of control does not exist, which proves to be a real worry for the online gambling industry. Many online gambling companies cater for only English speaking consumers due to the large domination of the market from the U.S and the U. K. This restricts market growth in other countries but companies are changing towards catering for other countries, with casinos ahead of the game due to its global appeal. As gambling is seen as a use of leisure activity the market considers its success on the amount of leisure time consumers have but from research it is clear to see consumers feel no obligation to carrying out their gambling whilst at work, often a poker game in the lunch break or even whilst working, which creates extra revenue for the online gambling industry. It also emphasis the ease at which it is to gamble online, which is the main reason behind the success of the market. Technological Gambling has been revolutionised in recent years by technological change and this is the reason for the rapid growth in the industry, making it easier than ever to gamble. The internet has seen new systems such as Betfair, and online poker which is know an $8. 6 billion market. The idea of online gambling is the ease of placing a bet. Before people would have to go to the betting shop or the casino to gamble but with such easy access for customers to access there betting accounts it has a bee a revolutionising advancement in the gambling market. New software is constantly been developed to offer an enhanced experienced for the consumers. The betting exchanges offer the chance for consumers to act as the bookies by being able to lay their bets. This obviously offers a new exciting way for consumers to experience gambling and has helped to develop the market. With improved graphics companies are making it more like the real thing. Some of the casinos online are designed to make you actually feel like you are in the casino the same is done with online poker games and even sports betting is going down the same line with offering text and audio commentary for sports events. This encourages consumers to use the internet rather than go to the casino or the betting shops. Porters Five force analysis Mr Porter was a scholar and management consultant. His model is based on the insight that a corporate strategy should meet the opportunities and threats in the organisations external environment. Porter has identified five competitive forces that shape every industry and every market. These forces determine the intensity of competition and hence the profitability and attractiveness of an industry. The objective of corporate strategy should be to modify these competitive forces in a way that can improve the position of an organisation. Barriers to Entry New entrants into to the market are quite regular due to the low costs of setting up an online gambling site. However, in practice, there are significant barriers to building a large, successful online gambling firm, as the business model is dependent to a large extent on, amongst other things, a strong brand underpinned by liquidity and effective payment processing. The exceptions of success by new entries tends to be when a company has an innovative idea such as Betfair. They are offering something different to the customer. The key features of a successful online gambling firm are difficult to achieve due to the following: ? Player liquidity: a large number of players are required for online poker and betting exchanges, to provide customers with opposing players for poker or a price for betting exchanges. In addition, player liquidity means that the larger sites can offer a greater variety for its customers. ?Software control: ownership of software to provide the operator with greater control, improved margins and bespoke functionality, with the ability to develop high quality user interface and scalable systems which are critical for attracting and retaining customers. Payment processing expertise: to attract and maintain customers, sites must be trusted and must provide a wide range of methods to pay-in and withdraw funds. Such payment processing must also be quick and efficient whilst maintaining low levels of fraud. ?Customer support: responding to customer enquiries on a timely and efficient basis enhances the level of customer service and customer retention. To build and sustain a large online gaming business requires significant investment in customer service operations. Marketing and global reach: as competition increases, the leading operators have greater marketing resources with which to attract and retain customers and are increasingly becoming global brands in order to penetrate new geographic markets. Buyer power The buyer power of customers determines how much customers can impose pressure on margins and volumes. The gambling market is driven by consumer trends and companies need to identify these trends and implement their strategies to remain competitive. Promotional strategies are used to initially sign up a customer and once signed up they are likely to stay there if they like the lay up of the site. It is predicted that one in three people that sign up for a free bonus will use that company for their gambling. Threats of Substitutes This is no real concern for the online gambling market, the only substitutes is betting shops and casinos, but these where all put in place before the online gambling market was created, so there is no possibility of threats from this. Supplier Power The supplier in this market is the software developers, where many companies use the same software to run their websites and with a worldwide market suppliers are never short when it involves employees skills to create the products, unlike coffee that may be affected by poor weather conditions. The concern of software developers rising prices for their products may be an issue due to them feeling they are loosing out on profit with which some online gambling companies are creating a large amount of profit. Competitor Analysis Competitor analysis is a ? systematic attempt to identify and understand the key elements of a competitors strategy (Brassington and Pettitt, 2000). An understanding of competitors enables competitive advantages to be formed. Gambling is a highly competitive market which may discourage market entry and stifle innovation, it may similarly stimulate a range of strategies for promoting growth and with constant technological improvements markets may open in the future. The amount of online gambling companies available to consumers are very variant, this has made a very competitive markets with companies offering free bonuses and providing the latest in software technology. The online gambling market can be split up into 4 sub-markets, online poker, betting exchanges, sports betting, and casinos. Betting exchanges market is dominated by betfair. Betfair is the dominant player in the betting exchange market, with an estimated 86% market share by value. Betfair exchange boasts a high level of liquidity across a wide range of betting markets, and a professional customer service operation alongside a fully integrated telephone and internet betting service. These features, have served to act as a significant barrier to entry into the betting exchange marketplace. Several other betting exchanges were set up including Sporting options and Betdaq. Sporting options was no success and was closed with many people losing money in there betting accounts because the company were unable to pay them back, betfair stepped in to offer support for these people which helped betfair grow even more dominant in the market. While there are over 200 online poker sites in operation, the online poker market is dominated by a small number of large operators. For the current year to 5 June 2005, the top eight operators had an estimated combined market share of 95 per cent in terms of ring game rake, 92 per cent in terms of number of ring game players and 88 per cent in terms of number of tournament players, which illustrates the effective barriers to developing an online poker business. Of these operators, PartyPoker. com has been the clear market leader in terms of both revenue and number of players since mid-2003. The sports betting market is much like the poker market, as many companies exist but the market is dominated by several market leaders such as William Hill and Paddy Power. William Hill has had success due to it is reputation of stores in towns and cities all over the U. K. As for paddy Power the success has been from large amounts or promotion and innovative ideas to promote the company. The casino market also works on the same basis that there are few market leaders that dominate the market. The main market leaders are casino on net, Golden Palace and Ladbrokes casino; there are still many major competitors in the market but with less market share but have the potential to take more of the market share. Most traffic is driven to online casinos via marketing on television channels and bonus deals in order to get customers to sign up for the casinos. Boston Matrix The Boston matrix is a chart created by the Boston Consulting Group in 1970. This is a useful marketing tool when analysis of market growth-relative share is required; the growth and share of different online gambling methods can be compared. The markets on the internet consist of poker, sports betting, betting exchanges and casinos. Dogs These are products with a low share of a low growth market. They do not generate cash for the company, they tend to absorb it. There are no online gambling markets that are in this category, this shows a strong healthy market. Cash Cows These are products with a high share of a slow growth market. Cash Cows generate more than is invested in them. Sports betting and casinos markets have slowed down as the stars of the online gambling market have entered the market. Problem Children These are products with a low share of a high growth market. They consume resources and generate little in return. They absorb most money as you attempt to increase market share. These gambling games are fairly new to the market and have yet had a chance to grow. Stars These are products that are in high growth markets with a relatively high share of that market. Stars tend to generate high amounts of income. Betting and exchanges and online pokers have taken the market to the new levels of turnover and have set of a craze worldwide. Shareholders For nearly every industry, sustainability is a key objective. Creating a sustainable online gambling industry benefits all of the industrys stakeholders. In recent months we have seen the flotation of many online poker companies, which developed a great relationship between the stock market and online gambling. But in September this year PartyGaming warned its growth prospects may be not be as great as was suggested when it floated in July 2005. More than ? 2 billion was wiped of the value of its shares; they dropped 30% in value. This obviously had an effect on other online gambling company shares which saw a slide in share price as well. One indicator of the slowdown is that although there are still more people signing up to play poker online, their average spend is falling. This is a concern for the online poker market as it shows the growth is not sustainable and action must be taken to not just let the online poker market just a short fad. Chief Executive Richard Segal said as these trends continued, the group would adapt its marketing strategy and infrastructure to provide greater focus on customer retention and player value. SWOT Analysis ________________________________________ SWOT analysis is useful in auditing information in a systematic manner. It demonstrates how strengths and weaknesses can be understood in context with opportunities and threats. SWOT analysis helps to explain where the online gambling market is today, but also where it is likely to be in the future. ?Strengths 1. New innovations and improvements are a regular feature due to a highly competitive market and high demand from consumers. 2. The growth in new consumers is constant, especially with the current fad of online poker. 3. Consumers have more faith in using the internet which is helping the market to grow: new payment systems such as Paypal are trustful and they prevent, together with insurances and banks, consumers from online fraud. 4. The overheads are very low for new companies to enter the market of online gambling: create a webpage and buy a payment gateway is basically enough to have a gambling website. 5. Online gambling represent entertainment at home that can be accessed at anytime, from anywhere and by anyone. 6. Due to the diversity of gambling available bringing consumers into the market that would not potentially consider gambling (e.g. gambling on games such as Chess) is very easy. ? Weaknesses 1. Online gambling is likely to become quite a saturated market, and will only continue to grow at such a rate if innovations can be added to the existing offer: develop gambling in new areas such as politics, decrease the time between the deadline to place a bet and the event on which the bet is placed 2. Companies with poor marketing strategies will have to struggle to exist due to the amount of competition: new websites are issued quite every day without even proposing new possibilities for consumers. 3. In becoming stronger, more reputable organisations have the capability to over power smaller organisations or websites: this may occur in France in the next few years if La Francaise des Jeux decides to develop a wide-scale platform for online betting it will probably have a very negative impact on smaller competitors. 4. Gambling laws in several countries such as France or Italy constrain success of market with the social issues of gambling addiction. 5. Betting shops and Casinos when they are allowed by national gaming acts still have a high presence in the gambling market and stop people using the online gambling options as much. 6. It appears to be quite difficult for new company to enter the market place due to high competition and dominance of large firms controlling the market, unless with having an innovative idea: some small websites, for example, focus on the European market, they propose adapted hours for online tournaments or develop their pages or hotlines in many languages ?Opportunities 1. Can emphasis on the rapid popularity of online gambling and that anyone can do it. 2. It is highly potential to gain a lead on the market with new technology. 3. Innovative ideas such as celebrities even gamble online, e. g. www. celebritypoker. com offers the chance to play poker against celebrities. 4. Inexpensive start up costs for a new online gambling company. 5. Constant improvement in technology opens up opportunities in the market. 6. Broadband creating much more opportunity. 7. The market is worldwide so anyone who has access to the internet can be targeted. Threats ?Rapid growth of the market may cause gambling laws to be tightened affecting profit for companies. ?Negative publicity highlighting the dangers of gambling. ?Demand depends upon real income therefore downturns in the economy can have an adverse effect of demand. ?Some companies are in a weak position financially. ?Dominance of the market. ?Market dependant on technology, which is not always reliable. Conclusion ________________________________________ The future of online gambling is bright with estimates of $32 billion spent in the year of 2009 compared to $14 billion this year. The market has seen rapid growth in recent years and it is not possible for a market to sustain such rapid growth forever, but it is still likely to grow at such a rapid rate for several years to come but it will slow down gradually. Gambling laws vary in different countries but could prevent the growth of the market, due to worries such as gambling addiction. There will always be a strong market for online gambling but is likely to see more domination by larger companies keeping the barriers of entry difficult to succeed in the market. Online gambling is highly innovative industry with new ideas to draw more people into gambling with the latest idea of offering to be able to gamble on games of chess or snooker or backgammon It is possible to gamble on nearly everything, this just defines the potential of the market. References Textbooks Brassington, F. and Pettitt, S. (2000). Principles of Marketing. Websites www. quickmba. com/strategy/porter. shtml Five forces analysis diagram. www. gamblinglicenses. com Provided information on the gambling laws work. www. partygaming. com Provided stats on market size and useful information on the online poker market. www. bettingmarket. com Reviews of the online gambling market with stats of traffic on online sites. www. reports. mintel. com Provided a report on the gambling industry, with helpful information on market size. www. amadeus. bvdep. com Provided information on the market share of companies. www. thismoney. co. uk Provided information on the share situation for the market.

The Polycystic Ovarian Syndrome Disorder Health And Social Care Essay

The Polycystic Ovarian Syndrome Disorder Health And Social Care Essay Women of all ages have been faced with problems associated with gynecological issues. Particularly young women of childbearing years have dealt with disorders of the reproductive system. These disorders have lead to long term health problems. These disorders involve amenorrhea, infertility, hirsutism, and gargantuan polycystic ovaries. It was not until the 1930s did these problems seem to have a viable solution. Two scientists, Irving Stein and Michael Leventhal unearthed the fact thats when women with these disorders had ovarian biopsies done, they began to menstruate regularly.  [1]   PCOS is defined as an endocrine disturbance that causes primarily anovulation and polycystic ovaries due to the continued stimulation of the ovary by pituitary luteinizing hormone. Its symptoms include infertility, obesity, acne, hirsutism, hair loss, insulin resistance and polycystic ovaries. Other symptoms include decreased sex drive, high cholesterol levels, exhaustion or lack of mental alertness, depression and anxiety, sleep apnea, and thyroid problems.  [3]  However, some of these symptoms such as excess body hair will depend on that particular persons genetic makeup. For example, Asiatic people are not very hairy, so Chinese women with PCOS rarely suffer from this symptom whereas people from the Mediterranean have much more hair, so this is likely to be an indication. PCOS is a hormonal disorder that affects approximately seven percent of all women. In fact it is the most common among women. Its astonishing how often young women are witnessed at medical doctors office with health issues that can be followed back to insulin resistance. Insulin Resistance lies at the core of Polycystic Ovarian Syndrome by averting the efficient conversion of food into energy because cell walls have become de-sensitized to insulin. As a result, insulin levels in the bloodstream become severely unbalanced, leading to an spread in free-floating glucose which is sent to the liver and transformed to excess body fat. These can consequent in weight gain and obesity. Furthermore, insulin resistance can lead to more serious problems such as cardiovascular disease and Type 2 Diabetes.  [4]   Because these symptoms vary so extensively, doctors may still misdiagnose PCOS. In fact eight out of ten women with polycystic ovarian syndrome could have insulin resistance, resulting in higher than normal insulin levels which may act on the ovaries by increasing male hormones.  [5]  Polycystic Ovarian Syndrome is one circumstance seen with increasing rates of reoccurrence. Five to ten percent of women of childbearing age are affected by PCOS. Stein-Leventhal Syndrome can transpire at any age prior to menopause. Women can go months without being diagnosed, because warning signs coincide with so many other womens health issues. PCOS is unknown to some women yet it causes a multiplicity of symptoms that has an impact on female reproductive health in many approaches that can be truly overwhelming. Although PCOS affects the reproductive system, it is imperative to understand that PCOS is an endocrine disorder. Proteins are secreted or released in to the bloodstream promptly. These are known as hormones. Circadian rhythms or the bodys normal, everyday regularity are synchronized by those hormones. Hormonal substances include metabolism of mineral deposits, reactions to stress, sexual performance, reproduction, and management of fluids. Endocrine glands such as pituitary, hypothalamus, thyroid, parathyroid, pancreas and ovaries produce hormones in women. When there are glitches and breakdowns in the hormonal development, the womans body is significantly disturbed. Women with Stein-Leventhal Syndrome have ovaries that created profusion of follicles each month without giving off an egg. PCOS can play a role in irregular periods, excessive weight gain despite the effort of diet and exercise. Acne and excessive facial hair are also caused by the syndrome. It is also the most common cause of infertility in the United States. PCOS is often a short-term, yet in can lead to life-long illnesses. For example, young girls are seen going through puberty when their ovaries are trying to set a regular menstrual cycle. It is also noticed in women during the years of transition to perimenopause. Polycystic Ovarian Syndrome is temporary but can lead to insulin resistance. This leads to nonstop high levels of insulin in the bloodstream. It is possible that this extra insulin glitches onto the receptors lining the ovary and quickens cyst production. This is an issue that should be monitored because women with insulin resistance have a greater risk of developing other serious health problems, like diabetes, heart disease, and metabolic syndrome.  [6]   Many case studies have shown that women from adolescents to adults are not diagnosed until they want to become pregnant or when they have other health issues. Women should be treated as soon as possible particularly when risks are shown such as infrequent menstrual cycles, weight gain, and facial hair. The advantage will be that the risk of long-term health problems such as obesity and diabetes do not occur. Age is not a factor because case studies have shown that girl as young as nine years old have been diagnosed with the Stein-Leventhal Syndrome or Polycystic Ovaries. Regular menstrual periods are vital in order to avoid osteoporosis and sustain the defensive effects of estrogen in a different place body. Therefore more young women should be exposed to polycystic ovarian syndrome so that they can be tested in order to avoid further complications from diseases. Left untreated, PCOS can lead to detriment that occurs with such diseases. Polycystic Ovarian Syndrome is not a disease but a disorder that no one is definite about what causes it in the first place. A disorder is a pathological condition that presents a group of symptoms peculiar to it and that sets the condition apart as an abnormal entity differing from other normal or pathological body states. In short, a disorder is curable through medicine and treatment, whereas a disease is not. Polycystic Ovarian Syndrome is a true illustration of the domino theory, which states that if one act or event is allowed to take place then a series of similar events will follow. PCOS is a curable disorder, leading to other curable disorders then soon falls into the incurable category. It is a chain reaction. Starting with PCOS it continues, causing skin and thyroid disorders and sleep apnea, then it leads to diabetes and cardiovascular disease. It is also important to understand that PCOS causes stress and mental disorders. Polycystic Ovarian Syndrome is more than an endocrine disorder. Also known as the Stein-Leventhal Syndrome, it is a systemic disorder. This means that instead of affecting one somatic part of the body, it affects other systems as well, including the Integumentary System, Central Nervous System, and Lymphatic System. Stein-Leventhal Syndrome goes beyond being a physical condition. It causes emotional and cognitive distress, affecting every aspect of life. As an endocrine disorder, diabetes is the most common occurrence in Polycystic Ovarian Syndrome. In particular, mellitus diabetes is a disorder of carbohydrate metabolism, characterized by hyperglycemia, which is the increase of blood sugar. It is also set apart by glycosuria, which is presence of sugar in the urine. It results from inadequate production or utilization of insulin. The basic cause of diabetes is unknown but direct cause is failure of beta cells of the pancreas to secrete an adequate amount of insulin. Beta cells are cells of islets of the pancreas that secrete insulin. In most instances, diabetes mellitus is the result of genetic disorder, but it may also result from a deficiency of beta cells caused by inflammation, malignant invasion of the pancreas or surgery. In the absence insulin, glycogenesis and glycolysis are inversely affected. It is currently thought that insulin acts primarily at the cell membrane, facilitating transport of glucose into cells. PCOS influences the integumentary system causing alterations in the skin, consisting of the corium and dermis, and epidermis. It is also known for its manipulation on the skin and its appendage, including the hair and nails. Polycystic Ovarian Syndrome is known for causing acne, pimples, and oily skin. Other common conditions include skin tags, which are thick lumps of skin. These lumps darken and thicken around the neck, groin, underarms and skin folds, which can be easily removed by a dermatologist. Approximately half of the women with Polycystic Ovarian Syndrome have a skin crisis, however, only a few of these women will suffer from scalp hair thinning or lost. There are two studies, A Thousand Cases of PCOS (Eden and Warren, 1999) and The Resistant Acne Study (Eden, 1991), that demonstrates vital details. PCOS is commonly found among women with acne, especially severe acne. According to doctors, there seem to be a correlation between excess body hair and blood androgen levels, but little or no evidence to prove the severity of this correlation. Hormonal therapies are effective in treatment of these conditions irrespective of whether or not there is an identifiable hormonal issue.  [7]   Hair is made of Keratin, which is a protein. Hair strands will grow longer and longer as this protein is release into the root of the hair. Hair extends from the sebaceous follicle and each follicle has a growth cycle. Disturbance in androgen-estrogen balance affects the n sebaceous glands, causing acne. Increased secretion of androgens causes an increase in size and activity of the pilosebaceous glands. This causes vitamin deficiencies which trigger problems of the skin. PCOS relationship with the integumentary system explains the relevance of Hirutism. Infertility is the number one cause of women being diagnosed with Polycystic Ovarian Syndrome. Infertility is characterized by the inability or diminished ability to produce offspring. Most factors responsible for infertility includes immature or abnormal reproductive systems, anomalies of other organ in that vicinity, infections, endocrine dysfunction and emotional problems. Studies have shown that the Stein-Leventhal syndrome or PCOS is associated with sleep apnea. Research is now proving that hormone imbalances caused by Insulin Resistance and PCOS predisposes women to additional heath problems. One such problem is Obstructive Sleep Apnea (OSA), the uncontrolled closure of the upper airway which causes one to stop breathing while sleeping. Sleep disorder can therefore, negatively influence and/or slow down the most basic physiological functioning, triggering a ripple-effect throughout the body. Studies show that women with Polycystic Ovarian Syndrome have an exceptionally high risk of sleep apnea. Women are normally not awakened by the repeated nightly episodes, but others awake with the experience of being choked or asphyxiated. Symptoms of Sleep Apnea include chronic loud snoring, gasping/choking episodes during sleep, excessive daytime sleepiness and personality changes.  [8]   Women with PCOS have an exceptionally high risk of sleep apnea. Increased weight and obesity may play a significant role. High Body Mass Index plays a role to an insulin imbalance that results in a flow of problems related to Insulin Resistance, the inability of the body to effectively manage glucose. Because of a series of biochemical errors, insulin is unable to successfully bind to cells, reducing its ability to transfer glucose into those cells to be converted into energy. This causes a buildup of both insulin and glucose in the blood that contributes to the gathering of plaque in blood vessels. Studies also indicate that Insulin Resistance may be a solid risk factor than excessive testosterone in the incidence of PCOS. In a controlled study, women with PCOS were thirty times more likely to suffer from sleep disordered breathing and reported higher frequencies of daytime sleepiness than the control group. Researchers also found that while testosterone levels between the two groups were parallel; their fasting plasma insulin levels were significantly higher, indicating that sleep apnea might suggest an insulin-related endocrine abnormality.  [9]  These findings further confirm the link between PCOS, Insulin Resistance and higher incidences of diabetic conditions.  [10]   Some women who suffer from PCOS also correlates with factors such as high cholesterol. These victims are at a great risk of high LDL levels. This is commonly known as the bad cholesterol. Disregarding this condition can lead to strokes and heart attacks. In addition, women with PCOS frequently obtain low levels of HDL. This is known as the good cholesterol. Low levels of the good cholesterol increase the risk of cardiovascular disease. Hence, the lower the levels of LDL are and the greater the HDL levels are, there is a slim chance of damage to the cardiovascular disease. Women with the Stein-Leventhal Syndrome are almost twice as likely to experience atherosclerosis. It is characterized by a variable combination of changes of the intima of arteries, consisting of the focal accumulation of lipids, complex carbohydrates, blood and blood products, fibrous tissue and calcium deposits, and associated with changes in the media of arteries. Atherosclerotic plaques are of two major types. One is characterized by the prominent proliferation of cells with small accumulation of lipids. The other is distinguished by its makeup of intracellular and extracellular lipid accumulation and a small amount of cellular proliferation. The causes of atherosclerosis are unknown. However, other risk factors include hypertension, cigarette smoking, and stress. Family history also plays an important role. Polycystic Ovarian Syndrome helps contribute to the number one killer of women in the United States, which is coronary heart disease. Continual high levels of insulin are produced in the pancreas. This it is liberated into the circulatory system. These high levels of insulin lead to obesity and hypertension, which are both antecedents of heart disease. As insulin connects to artery walls, it impairs the tissue, causing the primary damage that generates plaque. Hence, having PCOS causes a drastic transformation in the blood lipids and overall health of the cardiovascular system that plays a role in the development of coronary heart disease. Suggestions for reducing heart disease are primarily the same as decreasing insulin resistance. Polycystic Ovarian Syndrome leads to lifelong diseases such as cancer, heart disease, and diabetes. The onset of these diseases only declines the womans health even more and normally leads to her cause of death. There is a strong correlation between the Stein and Leventhal Syndrome and endometrial cancer. There is also a proportional relationship between PCOS and cholesterol levels that can eventually lead to some type of cardiovascular dysfunction. The endometrial cancer is very important when discussing Polycystic Ovaries. The endometrium is the inside layer of the uterus and is made up of tissue that is loaded in blood vessels. Every month the lining of a menstruating woman is developed in arrangement for a potential pregnancy. If a pregnancy does not occur then the lining will shed. Endometrial cancer is developed inside the uterus. As stages develop it broaden beyond the borders of the pelvis. Endometrial cancer usually is curable. However factors such as the stage and outcome of hormones on the cancer can establish each individuals prognosis. Women with the Stein-Leventhal Syndrome do have a greater risk for developing endometrial cancer, while small. The woman is at a greater risk the more irregular or absent her cycle is. During the normal menstrual, the lining of the uterus or endometrium is open to elements like hormones, including estrogen. This causes the lining to proliferate and thicken. When ovulation does not take place, which is usual in PCOS, the endometriun does not shed and is exposed to greater amounts of estrogen, which causes the endometrium to grow much more than normal. This is what enhances the likelihood of cancer cells beginning to cultivate.  [11]   Women with Stein Leventhal Syndrome or Polycystic Ovarian Syndrome experience psychological effects that are minimal while most women may experience moderate to severe effects. Women with this disorder can lead to diseases such as obesity and diabetes which affect the entire body. Depression can also develop in patients with PCOS. Most women who experience PCOS need emotional and social support. This support is needed to deal constructively with the impact that this have on their lives. Studies have shown that a strong network of family and friends is a tremendous asset to have. This network enhances patients with PCOS to strive to win the battle for a healthy lifestyle. The endocrine gland relative to the hormone issue can cause depression to evolve. PCOS causes a decrease of vital function causing mental depression characterized by altered moods. Significant weight gain usually occurs with PCOS and sometimes worthlessness, self-reproach or excessive guilt. For example, women may feel guilt or distressed when they are unable to produce offspring or they are infertile. Stress can occur when demands of Polycystic Ovarian Syndrome are placed for a woman to adjust or adopt. Stress is a major risk factor for illnesses and diseases. The body reacts to stress in a series of stages known as the general adaptation syndrome (GAS), which involves three stages: alarm, resistance, and exhaustion. Studies show that stress lowers the bodys resistance to disease by weakening the immune system. Events seem to be more stressful when they involve pressure, a lack of control, unpredictability, and intense or repeated emotional shocks. Stress is intensified when a situation is perceived as a threat and when a person does not feel competent to cope with it. The bodys reactions to stress can directly damage internal organs and stress impairs the bodys immune system, increasing susceptibility to disease. The impact of life changes on long range susceptibility to illness. Intense or prolonged stress may cause damage in the form of psychosomatic problems, including heart attacks, strokes, etc. Stress is often the start Insulin Resistance, which contributes to Polycystic Ovarian Syndrome. More insulin is secreted when women eat foods that are high in sugar, fat, and carbohydrates. As sugar or glucose levels ascend in reply to stress, they fuel the production of insulin. This has a large amount of depressing affects. It uphold the synthesis of cholesterol, which a cause dysfunction of the kidneys and high blood pressure. Furthermore, hormones used to respond to excess insulin, such as noradrenalin, are stress-related chemicals that are responsible for raising blood pressure and storing fats. In addition to stress factors, Polycystic Ovarian Syndrome is deeply linked to pathophysiology , Alzheimers disease, indications of depression and other mental disorders. The evidence underlying the theory of Alzheimers disease includes neuro-endocrine conditions described in both disorders and test show that increased levels of glucose in the blood stream and decreased cerebral blood flow in specific areas of the brains of patients put them at risk for Alzheimers disease. Scientists also found that Alzheimer patients had better memory after increased doses of glucose in the blood stream. Women with Polycystic Ovarian Syndrome experience depression and mood swings. A study found that women with PCOS are more likely to develop depression or depressive symptoms. This may have some relationship with the psychological and metabolic effects of obesity. Depression is a severe mood disorder which may or may not affect the way that people function in their daily life.  [12]  These functions include difficulty with sleeping, changes on eating habits, lost of interest in sex and activities and physical pains. Further research is needed but since there has been some studies that linked depression to Diabetes, thus to Polycystic Ovarian Syndrome. Diabetic women who have twice the risk of being depressed have shown improvement when they received therapy. Natalie Rasgons study showed that women with PCOS are depressed not just only because of the symptoms but also because of underlying biology. Proper management of polycystic ovary syndrome primarily concentrates on each womans main concerns. Each womans symptoms differ, so it ranges from indications such as infertility, hirsutism, acne or obesity. Long term, which is the most important aspect of treatment, is managing cardiovascular risks such as obesity, high blood cholesterol, diabetes and high blood pressure. Other symptoms need to be rid as well such as depression, stress, and mental or emotional disorders. Treatment options vary based on the doctor and patient. Often times, the diagnosis is solved by simple methods but sometimes the solution or treatment is complex. Many times oral contraceptives are prescribed because they are effective for regulating menstrual cycles. It is also known for the reduction of male hormones and minimizing the risks of uterine cancer. Weight lost diets and other ovulation medications are recommended for treatment. The most common treatment for Polycystic Ovarian Syndrome is oral contraceptives, also known as birth control pills. Oral contraceptives help maintain periods, a reduced amount of unwanted hair, clearer skin, and other therapeutic benefits. Oral contraceptive pills can help to normalize the menstrual period in order that the cycle comes about every twenty eight days. Normally, the pill causes lighter cycles as well. Oral contraceptive pills can lower androgen hormone levels and lessen the amount of excess hair growth, or hirsutism. It can take six months before there is a decrease in unwanted hair on the face, chest, back and stomach. Oral contraceptive pills can improve acne. The hormones in most types of the Pill can help stop acne from forming. Because there is less menstrual bleeding with the use of oral contraceptive pills, women taking the Pill are less likely to become anemic. Oral contraceptive pills also decrease your chance of getting endometrial (lining of the uterus) cancer, ovarian cancer, and ovarian cysts, which are all factors of Polycystic Ovarian Syndrome. A recent study uncovered another treatment for Polycystic Ovarian Syndrome. There was a case where a 35 year old woman was suffering from Amenorrhea, acne on the face and chest, and habitual abdominal pain. She was diagnosed with Polycystic Ovaries. Her doctor prescribed D-pinitol with a dosage of 600mg twice a day. The prescribed D-pinitol supplement resulted in normal menstruation and resolved the acne and abdominal pains. D-pinitol or 3-O-methyl-D-chiro-inositol is also found in foods such as legumes and citrus fruits as an effective supplement for the treatment of PCOS.(Gaby,2009) D-Pinitol can develop glucose metabolism and help intensify cellular energy. Furthermore, its increase prolongs energy output by improving glucose metabolism. In other words, this medication mimics the hormone insulin. Thus, this medicine can regulate insulin levels, prohibiting the trigger of Diabetes and other metabolic factors.  [13]   Losing weight is also a well-known solution that reduces certain hormones that curb or eliminate the projection of male hormones. Progestins (synthetic progesterones) which increase ovulation are often used to decrease certain hormones. Insulin-sensitizing anti-diabetic drugs can be used to decrease the presence of Stein Leventhal Syndrome or PCOS. Anti-androgens are used to stop the androgen increase which is a form of a male hormone. Treatment or non-treatment may have psychological effects. In order to take control of weight, it is suggested to choose nutritious, high-fiber carbohydrates instead of sugary or refined carbohydrates. Also, it is necessary to balance carbohydrates with protein and healthy fats. One should eat small meals and snacks throughout the day instead of large meals. Most importantly, exercising regularly will help manage insulin levels and weight levels. Other solutions to PCOS include non-steroidal agents, such as Clomiphene and Gunastotropin, which are used to stimulate ovulation in women who have potentially functioning pituitary and ovarian systems. Women treated with this medicine who become pregnant have an increased incidence of multiple births. Gunastotropin is a hormone produced by the fetal placenta that maintains the function of the corpus luteum. The purpose of the hormone is to induce ovulation in infertility that is caused by in adequate stimulation of the ovary by endogenous gunastotropic hormones. These are hormones produced by anterior lobe of the hypophysis, which includes the follicle-stimulating hormone and the luteinizing hormone.  [14]   Herbs and Vitamins are also considered in order to promote a more natural approach to treat Polycystic Ovarian Syndrome. Chromium, B vitamins, Zinc and Magnesium are just some of the vitamins that are affected by Polycystic Ovarian Syndrome and are needed to maintain a healthy body and lifestyle. For example, Magnesium levels have been found to be low in people with diabetes and there is a strong link between magnesium deficiency and insulin resistance. It is, therefore, an important mineral to include when Polycystic Ovarian Syndrome is involved. Chromium is an extremely important mineral when discussing PCOS. It helps to encourage the formation of glucose tolerance factor which is a substance released by the liver and required to make insulin more efficient. A deficiency of chromium can lead to insulin resistance, which is a key problem in the case of PCOS; too much insulin can be circulating but it is unable to control blood sugar levels. Chromium is the most widely researched mineral used in the treatment of overweight. It helps to control cravings and reduces hunger. Chromium also helps to control fat and cholesterol in the blood. Vitamins B2, B3, B5 and B6 are particularly useful for controlling weight. Vitamin B2 helps to turn fat, sugar and protein into energy. B3 is a component of the glucose tolerance factor, which is released every time blood sugar rises, and vitamin B3 helps to keep the levels in balance. Vitamin B5 has been shown to help with weight loss because it helps to control fat metabolism. B6 is also important for maintaining hormone balance and, together with B2 and B3, is necessary for normal thyroid hormone production. Any deficiencies in these vitamins can affect thyroid function and consequently affect the metabolism. The B vitamins are also essential for the liver to convert your old hormones into harmless substances, which can then be excreted from the body. Zinc is an important mineral for appetite control and a deficiency can cause a loss of taste and smell, creating a need for stronger-tasting foods, including those that are saltier, sugary and/or spicier often more fattening, Zinc is also necessary for the correct action of many hormones, including insulin, so it is extremely important in balancing blood sugar. It also functions together with vitamins A and E in the manufacture of thyroid hormone.  [15]   Polycystic Ovarian Syndrome, also known as PCOS and the Stein-Leventhal Syndrome is one of the most perilous of endocrine and hormonal disorders that a woman can undergo. It inflicts disorder in a number of vicinities of the human body. It varies from infertility and skin conditions to Insulin Resistance and Diabetes. These instances lead to a number of cardiovascular diseases. Polycystic Ovarian Syndrome is depicted by excessive high levels of insulin initiated by Insulin Resistance. This is a circumstance that stops the effective change of food into energy, simply because it causes the cell wall to be negligent toward insulin. Insulin allows sugar, or glucose to permeate the cell wall and be transformed into energy. Instead of the insulin going through the cell wall, it stays there allowing a large amount of insulin to penetrate into the bloodstream. This will inflate hormone stages to an extent to where it causes the woman to be really unhealthy. When this occurs, glucose, or blood sugar, stays in the blood stream, which make its high levels be transported to the liver. When the sugar makes it to the liver, it is then turned into fat and stored all over the body. In essence, this course of action leads to obesity and weight gain. Insulin that floats freely in the body can clog the lining of the arteries, which causes atherosclerosis. It is depicted as a harmful upsurge that proliferate the danger to the cardiovascular system, allowing strokes and heart attacks to occur. The extreme, unnecessary amounts of insulin levels that are related to Polycystic Ovarian Syndrome also arouse the ovaries to release irregular levels of testosterone. These are particularly male hormones that can stop the ovaries from secreting an egg each month. This causes the woman to be infertile, or unable to conceive children. Women who suffer from the Stein-Leventhal Syndrome also have a higher risk of getting diabetes. The development of diabetes increases womens chance of having cardiovascular disease. Researchers have proved that women with Polycystic Ovarian Syndrome have a much greater risk of developing heart trouble than women who do not have it. When testosterone levels are at its peak, women with the Stein-Leventhal Syndrome have excessive hair growth or increasingly male features. Testosterone levels affect patterns of baldness and other conditions such as acne. Obesity is a huge fundamental cause of Polycystic Ovaries. Stress develops in the cardiovascular system when weight increases. The weight gain causes the lungs and the heart to work harder in order that there is a sufficient amount of blood throughout the body that is oxygenated. Also, an increase in LDL, which is bad cholesterol and low levels of good cholesterol, HDL, amplifies the risk of heart attack and stroke. Because of the variety of possible symptoms, diagnosis can be a complex and lengthy proce