Bipolar Disorder

Bipolar Disorder Essay The phenomenon of bipolar affective disorder has been a mystery since the 16th century. History has shown that this affliction can appear in almost anyone. Even the great painter Vincent Van Gogh is believed to have had Bipolar Disorder Essay. It is clear that in our society many people live with bipolar disorder; however, despite the abundance of people suffering from the it, we are still waiting for definite explanations for the causes and cure. The one fact of which we are painfully aware is that bipolar disorder severely undermines its victims ability to obtain and maintain social and occupational success. Because bipolar disorder has such debilitating symptoms, it is imperative that we remain vigilant in the quest for explanations of its causes and treatment.Affective disorders are characterized by a smorgasbord of symptoms that can be broken into manic and depressive episodes. The depressive episodes are characterized by intense feelings of sadness and despair that can become feelings of hopelessness and helplessness. Some of the symptoms of a depressive episode include anhedonia, disturbances in sleep and appetite, psycomoter retardation, loss of energy, feelings of worthlessness, guilt, difficulty thinking, indecision, and recurrent thoughts of death and suicide (Hollandsworth, Jr. 1990 ). The manic episodes are characterized by elevated or irritable mood, increased energy, decreased need for sleep, poor judgment and insight, and often reckless or irresponsible behavior (Hollandsworth, Jr. 1990 ). Bipolar affective disorder affects approximately one percent of the population (approximately three million people) in the United States. It is presented by both males and females. Bipolar disorder involves episodes of mania and depression. These episodes may alternate with profound depressions characterized by a pervasive sadness, almost inability to move, hopelessness, and disturbances in appetite, sleep, in concentrations and driving.Bipolar disorder is diagnosed if an episode of mania occurs whether depression has been diagnosed or not (Goodwin, Guze, 1989, p 11). Most commonly, individuals with manic episodes experience a period of depression. Symptoms include elated, expansive, or irritable mood, hyperactivity, pressure of speech, flight of ideas, inflated self esteem, decreased need for sleep, distractibility, and excessive involvement in reckless activities (Hollandsworth, Jr. 1990 ). Rarest symptoms were periods of loss of all interest and retardation or agitation (Weisman, 1991).As the National Depressive and Manic Depressive Association (MDMDA) has demonstrated, bipolar disorder can create substantial developmental delays, marital and family disruptions, occupational setbacks, and financial disasters. This devastating disease causes disruptions of families, loss of jobs and millions of dollars in cost to society. Many times bipolar patients report that the depressions are longer and increase in frequency as the individual ages. Many times bipolar states and psychotic states are misdiagnosed as schizophrenia. Speech patterns help distinguish between the two disorders (Lish, 1994).The onset of Bipolar disorder usually occurs between the ages of 20 and 30 years of age, with a second peak in the mid-forties for women. A typical bipolar patient may experience eight to ten episodes in their lifetime. However, those who have rapid cycling may experience more episodes of mania and depression that succeed each other without a period of remission (DSM III-R). The three stages of mania begin with hypomania, in which patients report that they are energetic, extroverted and assertive (Hirschfeld, 1995). The hypomania state has led observers to feel that bipolar patients are ;addicted; to their mania. Hypomania progresses into mania and the transition is marked by loss of judgment (Hirschfeld, 1995). Often, euphoric grandiose characteristics are displayed, and paranoid or irritable characteristics begin to manifest. The third stage of mania is evident when the patient experiences delusions with often paranoid themes. Speech is generally rapid and hyperactive behavior manifests sometimes associated with violence (Hirschfeld, 1995). READ: Englands Greatest Poet And Playwright Was Born At Essay When both manic and depressive symptoms occur at the same time it is called a mixed episode. Those afflicted are a special risk because there is a combination of hopelessness, agitation, and anxiety that makes them feel like they ;could jump out of their skin;(Hirschfeld, 1995). Up to 50% of all patients with mania have a mixture of depressed moods. Patients report feeling dysphoric, depressed, and unhappy; yet, they exhibit the energy associated with mania. Rapid cycling mania is another presentation of bipolar disorder. Mania may be present with four or .

Toward a Praxis Theory of Suffering by Janice Morse Article

Toward a Praxis Theory of Suffering by Janice Morse - Article Example According to the author, there are two major behavioral states such as enduring (in which emotions are suppressed; it is manifested as an emotionless state) and emotional suffering (an overt state of distress in which emotions are released). Every individual who are suffering move back and forth between these two states based on their own needs, their acceptance of events, the context, and the needs and responses of others. The article has been important to me because it helped me realize the implications for the provision of comfort during the various states of suffering. "Nurses are the caretakers of suffering. Understanding suffering and the responses and needs of those who are suffering rests squarely on the shoulders of nurses, and easing and alleviating suffering is the heart of nursing. Nurses are at the bedside throughout the course of illness, and they are often the only support for those suffering, both patients and their families." (Morse, 2001). Therefore, understanding t he behavioral-experiential nature of suffering has a vital role in the practice of nursing and it helps one in offering the most comforting service to the patient who is suffering as well as the family which is affected. In conclusion, â€Å"Toward a Praxis Theory of Suffering† by Janice Morse has been one of the most fundamental articles which contribute to the effective nursing practice and one realizes the implications for the provision of comfort during suffering states.

Inter-Organizational Relationships Assignment Example | Topics and Well Written Essays - 3000 words

Inter-Organizational Relationships - Assignment Example This proposed dissertation explores the feasible ways by which organizations with the interlocking relationships of the global economy can best respond to the challenges posed by increased business competition and complexity. It will focus on human resource management, which has assumed a new dimension because of the presence of a third party organization that can exercise control over employees of another firm. The paper will propose that in the multi-employer environment of business globalization, the best-fit or best practice objectives of HRM can be achieved by incorporating the inherent advantages of franchising in a company's HR strategies, especially in the matter of pay and reward. The present-day challenge of human resource development is to design HR practices that fit with the new business requirements or, in the words of Mohmann & Lawler (1999), to formulate practices that fit into a "dynamic, unpredictable corporation with a myriad of approaches to getting the work done." In this concern, the franchising sector provides a microcosm of the difficulties being encountered by the human resource department in working out innovative assessment systems that will demonstrate their influence over the company's bottom lines, which are profitability and shareholder value (Becker, et al., 2001). The reason is that franchise holders, especially those engaged in the sale and servicing of cars, have as many third-party partners as the existing number of automotive manufacturers who all demand a voice in deciding the franchisee's HRM practices (Swart, et al., 2002). Franchising in effect typifies the inter-organizational dependency involving human resource management and the attendant dilemma on how the HR department of a franchisee firm can implement a strategic pay-and-reward system that promotes its long-term interest without alienating its network partners. Curran & Stanworth (1983) define franchising as "a business form essentially consisting of an organization with a market-tested product or service maintaining a contractual relationship with another organization to sell the brand." In general, franchisees are self-financed and independently owned and managed small firms operating under the franchiser's brand name to produce or market goods or services according to a format specified by the franchiser. Because of the subsequent growth of this sector, the franchising outlet was later redefined as "a legally separate business entity with its own capital base, set of employees, organizational structure and specific customer relations (Stanworth & Curran, 2003)," which indicate that franchisees have become analytically independent of their franchisers. On franchising as growth sector, Floyd & Fenwick (2003) note that this business sector now accounts for over one-third of retail sales in the US and 29 percent of those in UK, thus claiming a huge proportion of the workforce of either country. The