Obsessive Compulsive Disorder Essay Example for Free

Obsessive Compulsive Disorder Essay Obsessive Compulsive Disorder (OCD) is a form of anxiety disorder which is characterized by both compulsions and obsessions. The obsessions are experienced in form of recurrent, unwanted and disturbing images, thoughts, or impulses which usually pop into the minds of individuals causing them a lot of distress and anxiety (Hyman Pedrick, 2009). This results in compulsions which are repetitive intentional behaviors that are done in a bid to reduce the anxiety brought about by the obsessions. The onset of the disorder is earlier among men than among women (Jakes, 1996). In addition, the condition is more common in whites than in blacks and social class does not influence development of the condition (Jakes, 1996). In children, Strep throat is known to trigger onset of the condition or worsen the condition (Jakes, 1996). This is a case of autoimmunity where the antibodies produced to fight streptococci attacks basal ganglia. There are several ways in which the disease is manifested and an individual could have either a single manifestation or multiple manifestations. One grouping of OCD is referred to as checkers and individuals who fall under this category have compulsions to keep on checking things which could be locks, doors, and appliances in order to prevent potential disasters. They do this because they are afraid of disasters befalling themselves and others due to something they do or they do not do (Hyman Pedrick, 2009). Another manifestation is in form of washers and cleaners. Individuals who fall under this category have the tendency to repeatedly keep on showering, washing their hands, and cleaning the surroundings. This is because they are afraid and worried about contamination by germs and dirt (Hyman Pedrick, 2009). Orderers form another manifestation of OCD where individuals under this category feel compelled to do things in a given, exact way. For example an individual would be obsessed with arranging clothes in a given way. The other group is known as pure obsessionals and individuals in this group keep on having repetitive thoughts which could be in form of counting, praying, or repetition of certain words (Hyman Pedrick, 2009). These compulsions result from troubling intrusive thoughts and images where they think and see themselves harming or endangering others and this leaves them horrified (Hyman Pedrick, 2009). Another grouping of individuals with OCD comprises of individuals with scrupulosity. People under this category are obsessed with moral and religious issues and will compulsively pray or engage in religious services. The last manifestation is in form of hoarders where individuals in this category will collect things which others consider as trash or junk. In most cases, these individuals cannot explain why exactly they collect the items and they usually tend to develop an attachment to these items such that they cannot throw them away (Hyman Pedrick, 2009). The cause of the condition is thought to be genetic but environmental factors do modify its manifestation. Researchers believe that multiple genes are involved in its transmission from generation to generation and these genes are responsible for modifying brain function (Hyman Pedrick, 2009). When these genes are inherited, they cause variations in brain structure, circuitry, and neurochemistry and this inclines one to develop OCD. According to research statistics, the rate of OCD among family members where one individual has the condition is higher than among members of families where no relative has the condition (Hyman Pedrick, 2009). In addition, for majority of the people where the condition appears in childhood, there is usually a blood relative with the condition leading to confirmation that genetic factors are involved. Apart from genetics, environmental factors also play a role in the development of the condition. If individuals who are genetically predisposed to development of the condition are subjected to factors in the environment that stress them, then they are more likely to develop the condition. These stressing factors include childhood neglect, family stress, death, physical trauma, psychological trauma, illness, and divorce (Hyman Pedrick, 2009). In addition, people who are genetically predisposed to development of the condition can develop the disease as they go through major transitions in life which could be adolescence, marriage, retirement or parenthood. Studies have shown that serotonin is involved in the development of OCD (Hyman Pedrick, 2009). Serotonin is a neurotransmitter which enables communication between brain cells. In people with OCD, brain imaging reveals abnormalities in some areas of the brain and these are usually the basal ganglia, the cingulate gyrus, the thalamus, and orbital cortex (Hyman Pedrick, 2009). These are the brain areas that are involved in the following: processing of information received from the world, sorting of this information based on importance, they enable one to concentrate on tasks being undertaken, and they also alert one to danger. For people who have this condition, these brain areas work overtime, and they focus on ideas and thoughts that are intrusive which under normal circumstances would be filtered out (Hyman Pedrick, 2009). There are several signs and symptoms that characterize OCD. Though the objects of obsession vary slightly from individual to individual, the manifestations of the disorder are usually the same. One of these is obsession and compulsions which usually take more than an hour each day and which interferes with the individuals’ normal lives (Domino, 2007). The obsessions are usually recurrent and the patients usually try to ignore the thoughts or they neutralize these thoughts with compulsions. The individuals with these compulsions and obsessions usually have no other mental disorders (Domino, 2007). The compulsions are also repetitive and deliberate and they are aimed at neutralizing the obsessive thoughts. There are usually no specific tests for this condition and diagnosis is usually based on presence of the above signs and symptoms after which differential diagnosis is made (Lippincott Williams Wilkins, 2008). After OCD is confirmed, several tests are done to determine severity and nature of the compulsions and obsessions. They include the Maudley obsessional compulsive inventory, the Yale brown Obsessive compulsive scale, and Leyton obsessional inventory (Domino, 2007). There is need for differential diagnosis in people suspected to have this condition. Distinguishing this condition from other disorders such as mood disorders, other anxiety disorders, impulsive spectrum disorders, Padua inventory, obsessive compulsive personality disorders (OCPD), impulsive spectrum disorders, and delusional disorders can be challenging. Accurate diagnosis requires a careful evaluation of an individual’s history. There is need to differentiate depression caused by OCD from that caused by others factors. It is also important to differentiate between OCD and trichotillomania where in trichotillomania just like in OCD individuals get relief out of pulling their hair but have no obsessive thoughts (Hollander Stein, 1997). Another condition requiring differential diagnosis is schizophrenia which is also characterized by obsession and rituals though the rituals in schizophrenic individuals are usually purposeless (Hollander Stein, 1997). In addition, other symptoms of schizophrenia are absent. Since some OCD patients also experience panic attacks, this can make OCD to be confused with panic disorder. However, OCD panic attacks are secondary to obsessional fears (Hollander Stein, 1997). Differential diagnosis between OCD and OCPD is also required since OCPD patients exhibit symptoms that are similar to those of OCD such as preoccupation with orderliness and perfectionism (Hollander Stein, 1997). However, in OCPD there is no obsession and compulsions. Borderline personality disorder may also be confused with OCD as patients also experience strong feelings and thoughts about certain issues. There are several approaches that are employed in the care of OCD patients. The treatments used include behavioral therapies, medications and cognitive behavioral therapy. Medications used are selective serotonin reuptake inhibitors and they include sertraline, paroxetine, cilatopram, and fluvoxamine (Domino, 2007). Medications are usually combined with cognitive behavioral therapy. The behavioral therapies usually include exposure therapy and ritual prevention therapy. For ritual prevention, the patients are helped to resist urges to engage in compulsive behavior for long while in exposure therapy individuals are subjected to the factors that compel them to behave compulsively and then helped to resist the urges (Hollander Stein, 1997). Cognitive behavioral therapy involves helping the patients to change their negative thoughts and behaviors. At other times, cognitive behavioral therapy is administered to a group. Response to treatment varies with age where medications are less effective in children and adolescents while adults respond well to treatment with a combination of cognitive behavioral therapy and medications (Hollander Stein, 1997). References Domino, F. J. (2007). The 5-minute clinical consult. Philadelphia, PA: Lippincott Williams Wilkins. Hollander, E. Stein, D. J. (1997). Obsessive compulsive disorders: diagnosis, etiology treatment. London: Informa health care Hyman, B. C. Pedrick, C. (2009). Obsessive compulsive disorder. Minneapolis, MN: Lerner Publishing Group, Inc. Jakes, I. (1996). Theoretical approaches to obsessive compulsive disorder. New York, NY: Cambridge University Press Lippincott Williams Wilkins. (2008). Nurse’s 3-minute clinical reference. Philadelphia, PA: Lippincott Williams Wilkins.

Satire in George Orwells Nineteen Eighty-Four (1984) :: Nineteen Eighty-Four 1984 Essays

Satire in 1984 1984 is a political parable. George Orwell wrote the novel to show society what it could become if things kept getting worse. The first paragraph of the book tells the reader of the "swirl of gritty dust....The hallway smelt of boiled cabbage and old rag mats." Just from these few lines Orwell makes it clear that there was absolutely nothing victorious abuot Victory Mansions. Every image the reader recieves from Winston Smith is pessimistic. Hate week, for example, is a big event in Oceania. The citizens prepare for it like Christmas. Instead of jolly songs with family and friends over punch, Hate week is celebrated with fists in the air while chanting about death, Goldstien, and whatever the party wanted the citizens to disgust. Winston hates the party and Big Brother. He hates the "pure" ones, also. Everthing about Winston's life drives him closer and closer to a suicidal point each day. What makes things worse, hte Party makes Winston think that he is crazy for wanting to be free to think and for wanting to remember. These simple things are taken for granted today. George Orwell devilishly illustrates the brutality that man can be capabel of when he is given such power. The people of Oceania are forced to love Big Brother. There is possibly no one that loves Bill Clinton, besides his family. there are several that love to makes fun of him, but on the political mainstream love is not involved as it is in Oceania. The setting in itself is an extremely important part of the novel. Winston lived in a "dark, gray drab jungle." Posters of Big Brothr were everywhere. The telescreen could see and hear asmost everything that Winston did. However, Winston could hide from it long enough to write in his diary even though he knew he would get caught eventually. Winston was alienated before Julia. He didn't have much contact with other people; he was constantly hungry both physically and emotionally. However, it is ironic that Winston enjoys the work he does but he hates

Colgate Pricing Strategy

In a highly competitive oral care market, Colgate holds its’ own, and maintains a category leadership position. The company's strategies to category growth are accomplished by long-term, joint planning with retailers; understanding consumers and how they shop; and employing integrated marketing to demonstrate the benefits of new products. The company has long been on the voyage to establish the best brush possible, and in doing so, has developed a number of impeccable products along the way. The introduction of the Wisp portable mini-brush, which was voted 2010 Product of the Year and marketed through online video and social media, increased Colgate's market share of the U. S. manual toothbrushes to a record 32. 2% last year. In the toothpaste segment, Colgate took the leadership position with 36. 2%. Earlier this year, Colgate introduced Wisp Plus Whitening with over 15 million impressions in the second quarter. Articles in Fitness and InStyle magazines and mentions on â€Å"The View† television program and numerous blogs further promoted awareness of the product, as did sampling at colleges and conducting a Facebook fan drive. In keeping up with consumer trends, Colgate began to focus on features, comfort and professional recommendations. Consumers first purchased toothbrushes without much knowledge or information concerning the product’s benefits. As new product development increased, and consumers became better informed about the benefits of toothbrushes, they began to focus their interest not only on cavity prevention, but also on the health of their gums, their oral hygiene, and their cosmetic appearance. Because consumer interest and toothbrush purchases began to increase, advertising and promotion also began to increase, which lead to the development and addition of the super-premium product class (McCarthy, 2002). Consumers began to purchase toothbrushes based on the specific benefits each toothbrush and company had to offer. One study identified 46% of adults as being therapeutic brushers – that is, brushers acting primarily to avoid cavaties and other problems with oral care (Pauszek, 2009). In reaction, Colgate developed the new Prescision toothbrush. CP tracked consumers brushing movements and how they affected plaque removal, thereby developing a brush with a varation of bristle lengths to thoroughly clean hard to reach areas (Younger, 2002). Production began in 1989 when the company put together a research team whose purpose was aimed at testing the design of the toothbrush, how the company would market the product, and how the company would gain a competitive advantage over others. Colgate-Palmolive’s mission was to â€Å"develop a superior, technical, plaque-removing device† (Laidler, 2003). The research team tested and experimented with the toothbrush for eighteen months by the usage of â€Å"dental professional focus groups and product usage tests. † This led to the introduction stage of the product life cycle, with the â€Å"launching† of the Precision toothbrush to the oral health care market in 1993 (Laidler, 2003). Colgate-Palmolive considered many different names, which included, â€Å"Colgate System III, Colgate Advantage, Colgate 1. 2. 3, Colgate Contour, Colgate Sensation, and Colgate Probe† (Laidler, 2003). Colgate-Palmolive decided upon the name Precision, because they did not want a name that could lead customers to associate the new toothbrush with their already existing toothbrush, Colgate Plus. The price budget for promotion was set at 14. 4 million dollars. The company’s promotion plan was to â€Å"induce trial† (Laidler, 2003). Colgate Palmolive planned to promote the Precision toothbrush by offering a free five-ounce tube of toothpaste or a fifty percent off coupon that could be put towards any other size of toothpaste to every consumer who purchased a Precision toothbrush, and by offering $. 0 off coupons (Younger, 2002). The position of the Precision toothbrush could be niche or mainstream (Colgate Palmolive, 2009). The focus of niche positioning would be placed on consumers who are concerned about the prevention of gum diseases. There would be many positive benefits to the company if Colgate-Palmolive were to position the Precision toothbrush as a niche product. These benefits would include one, by targeting the segment of consumers who are worried about gum disease; Colgate-Palmolive would be able to charge premium prices (Colgate Palmolive, 2009). Two, Colgate-Palmolive would be able to differentiate the Precision toothbrush from other toothbrushes, because of Precision’s technological superiority over the other toothbrushes already on the market. In contrast, mainstream positioning would place emphasis on the Precision toothbrush as being the most appealing and effective toothbrush available on the market. The advantages of using mainstream positioning for the Precision toothbrush would be that most retail stores are under a mainstream position rather than a niche position. In addition, in the super-premium category, the Precision toothbrush would be the most superior product (Younger, 2002). By positioning the toothbrush as a mainstream product, it would in return increase name recognition for Colgate. Negative advantages of using mainstream positioning for the Precision toothbrush are that although the toothbrush would be superior to the other super-premium toothbrushes, the prices for the Precision and other brushes would be equal. Equal prices would then lead to increased competition, which in return could cause prices to go up. A second disadvantage could also lead to the cannibalization of Colgate-Palmolive’s other super-premium toothbrush, the Colgate Plus. By producing a superior toothbrush, that offers more qualities than the other toothbrushes available on the market, at or around the same price as the competition, consumers will hopefully want to purchase the Precision toothbrush over the others. There will be more qualities offered at no extra charge. The price of the toothbrush if positioned as a mainstream product will have to be equal to the prices of the other toothbrushes already available on the market. If the Precision toothbrush is profitable and there is a high percentage of consumer demand, then Colgate-Palmolive might want to consider increasing the price of the toothbrush by a small margin. The price of a product says something about the quality. Even though the quality of the Precision toothbrush will be significantly higher than other leading toothbrushes, the price of the toothbrush will be determined by the prices of the other toothbrushes already in the market (McCarthy, 2002). This pricing strategy is a result of positioning the toothbrush as a mainstream product rather than a niche product.

Double Take From Monet to Lichtenstein