The Importance of Truth-Telling Essay Example for Free

The Importance of Truth-Telling Essay Telling the truth is something that comes up for the majority of us in childhood. It is considered impolite to lie and when a lie was told, or you were untruthful, it was often considered a reflection of your parents’ moral attitudes. Unfortunately, we all seem to have been taught differently the exact nature of a truth or lie and the right or wrong way to use that information. In To Lie or Not to Lie? – The Doctor’s Dilemma (2007), the topic of truth versus lies by doctors specifically, is discussed. While I believe it is important for doctors to be truthful in their dealings with patients, the 5 W’s need to be explored: what and to whom is truth, how and when are doctors choices for truth-telling determined and why it is important for them to tell the truth to their patients. Truth: â€Å"conformity to fact or reality† according to the Canadian Oxford Dictionary, does not appear in society to be that concrete. From childhood we were taught about the importance of truth with the consequences of our actions meted out if we were not truthful. Often our understanding of this subject was not the same as †Johnny’s† next door and we were left with this confusing amalgamation, forced to gage for ourselves on a situational basis how much was lie or truth in any given statement. Society’s opinion on this topic therefore is varied based on our own individual ethics developed over the years. Doctors, held to far higher standards than the rest of us, are forced to play ‘God’ with their patients, although the Uncertainty principle â€Å"suggests that there is no certainty in health care, therefore no ‘absolute truth’ to reveal. ‘Truth-telling can never be achieved. † (Tuckett, 2004, p. 500). In his determinations a doctor â€Å"must be careful to distinguish the notion of ‘truth’ as ‘the way things really are’ (so-called objective truth) from that of ‘truth’ as ‘the way a person believes things to be’. † (Tuckett, 2004, p. 508). TRUTH-TELLING 3 The Importance of Truth-Telling The American College of Physicians Ethics Manual influences decision making by doctors via principles. Although these principles â€Å"do not provide ordered rules, these principles can help doctors and other health care workers to make decisions when reflecting on moral issues that arise at work. † (Gillon, 1994, p. 184). Respect for Autonomy, one of these guiding principles used in most of the decisions with long term disabilities or terminal illnesses, acknowledges a â€Å"persons right to hold views, to make choices† and to take actions†¦Ã¢â‚¬  (Shahidi, 2010, p. 590). Medical Ethics are in place to create a balance between all versions of ‘truth’ and provide structure for the relationship between doctor and patient, as well to provide guidance for the doctor and protect the rights of the patient. Because truth is not black and white like we sometimes wish to think the doctor can use this framework to foster an honest and trusting relationship with his patients. The consequences can be long lasting if the truth is not told to patients in a timely fashion or in its entirety. Illness can get away from you quickly with no chance to turn back the clock or simply the chance to make amends to facilitate a peaceful exit. Doctors deceiving patients, whether by omission or by using semi-truths, erodes trust in that relationship (Tuckett, 2004). By not being honest with a patient diagnosis they may cause the patient undue hardship as according to Mitchell, †Patients with false information or no information about their condition may unintentionally mislead other physicians involved in their treatment† (Shahidi, 2010, p. 592). Lying also strips â€Å"the patient’s ability to be autonomous and fails to show respect for persons. † While â€Å"truth-telling maintains the competent patient’s status as an adult†. (Tuckett, 2004, p. 505). TRUTH-TELLING 4 The Importance of Truth-Telling. Maintaining the patients welfare should be the primary goal of a doctor while he is determining exactly just how to address the truth-telling. One of the principles under medical ethics is ’above all do no harm’. The long lasting consequences of choosing which ‘truth’ to tell could call into question this principle. We have determined that truth is not as cut and dried as we would like it to be, but there still needs to be a focus on honesty, truthfulness, and full disclosure with doctors and their patients. Our health is a joint effort, and we need to be able to rely on and trust our medical professionals to let us know what really is happening. I believe that the least amount of harm in the long run would be in telling the complete truth, however I understand that we are all different and our situations are different and it then stands to reason that the solutions will all be different as well. By keeping in mind the who, what, where, when, why and even how, I think the acquisition of this information would give the best answer to each truth-telling situation.

Developing Patient Choice In Nhs Health And Social Care Essay

Developing Patient Choice In Nhs Health And Social Care Essay This essay investigates how patient choice in the NHS has been developed by New Labour and coalition government. I will do this by first defining the term choice and then providing some background information on the emergence of choice agenda under the 1979-1990 government of Margaret Thatcher. . I will then go on to discuss how patient choice has been developed under the New Labour and coalition governments that followed by discussing the reforms that both have implemented in relation to the patient choice agenda. Finally, I will examine the uptake of patient choice agenda. This is likely to include patient travel distances in order to access better and faster healthcare, as well as the performance ratings of hospitals, which are published online and so available to the public to use. However, people that live in certain areas in the UK tend to have a somewhat limited choice of medical care providers. Overall, choice empowers the general public, offering them the ability to make aut onomous decisions about their health-care providers and likely to improve the health outcomes of the British people. The patient choice agenda outlined above relates to offering patients a choice among various types of service providers in the NHS analogous to that of the private healthcare market . Central to it is the notion that without competition, there is no real choice, and therefore a choice among competing options is offered which is intended to improve quality and efficiency. This market discipline will motivate less competitive healthcare providers to upgrade their services to attract customers while giving customers a wider range of options (Le Grant, 2007). Thatcher Government (1970-1990) developed patient choice in order to create a dynamic market-orientated system in the NHS. She intended to introduce this form of internal market as a means of increasing efficiency and to develop the NHS into a more business-type model (Driver and Martell, 1998).Thatchers administration intended to achieve these changes though the adoption of a privatisation scheme focused on providers and purchasers . The idea of patient choice derived from the fact that GPs exercised choice on behalf of patients. Extending the choice agenda aims to eliminate or minimise the healthcare inequalities faced by less affluent patients, to whom it offers equal opportunities of services (Dixon and Le Grand, 2006). In 2005, MORI reported that 50 percent of the general public preferred to select healthcare providers outside of their local areas, which was something that the NHS had not provided for in its original manifestation (Popper, Wilson and Burgess, 2005). Thus, a large proportion of the general public clearly favours the idea of being able to select alterative healthcare providers. However, merely increasing patient choice may not successfully eliminate inequities (Oliver and Evans, 2005, p. 68). Certainly, offering choice to the general public is less likely to improve inequity if non-existent varieties exist within the uptake of choice. Wealthy patients have resources to opt for private healthcare providers if they believe that their local providers offer poor quality of services and low rating (Davies, Tavakoli, Malek, 2001). Therefore, the idea of equal access for meeting the equal needs of all people has failed. New Labour accepted the neoliberal model that had been developed by Thatchers administration during the 1980s and further developed by the Major government of the early-mid 1990s. In 1997, with New Labours ascent to power, patient choice was increased with some important reforms that promoted the patient choice agenda, including the establishment of Foundation Trusts (FTs) and the rating system (Driver and Martell, 1998). These reforms aimed to produce cheaper, better quality services by incentivising healthcare providers to compete for funding that equated to the number of patients they treated (Peck, 2003). Another reform introduced was Payment by Results, which pays secondary care providers using a standard fee tariff linked with the amount of patients treated. This reform enabled patient choice upon referral from GPs. Thus, this conception of the choice agenda served to improve waiting list times and the quality of services offered. Lastly, the government put in place a targets s ystem that measured the uptake of choice. The government also shifted the focus from competition while continuing to promote the business model by promoting partnerships between healthcare providers (Peck, 2003). In order to promote real choice, the market is obliged to offer alternative providers of goods and services (Smith, 2005). Private healthcare providers have operated within the internal market since 1948, providing their services at a standard tariff (Peck, 2003). The internal market that was operated under New Labour was less focused on competition, but rather towards promoting the efficiency and quality of services. Davies, Tavakoli, Malek (2001) argue that patients opt for private healthcare providers over public healthcare providers when they are able to because private providers offer good service quality. In general, patient choice tends to enhance competition among providers, who strive to attract customers in the way that any other private firms do. Private healthcare providers generally cover limited, mainly non-emergency services and as private businesses, are primarily focused on making profits. Therefore, private providers cost more than services offered by the NHS and hence this market attracts wealthier competitive patients (Le Grant, 2007). Middle class patients are likely to select private providers because material resources are not an issue.  [1]   In the 2010 White Paper, Equity and Excellence: Liberating the NHS, the coalition government set out to promote patient choice by introducing a commissioning board to the NHS. The Commissioning Board monitors the performance of primary care providers to ensure that high standards of service care are offered and that patients are involved in decision making as much as possible. The Commissioning Board is also responsible for improving equity within healthcare. Finally, the government seeks to promote patient choice though increasing competition among medical providers. Under the Foundation Trusts obtained the role as regulators that supervise tariff costs and encourages efficiency. Despite these developments, the fact remains that choice is not real possibly for patients living in certain areas of the UK (Spiers, 2008). People that live in rural area are likely to be excluded from selecting their healthcare providers. One of the reasons for this is that less affluent patients are less motivated to travel greater distances due to car ownership being lower among disadvantaged groups (Appleby and Dixon, 2004). Some people in low-paid employment are also unable to take time off from work to seek medical attention, preventing them from further exercising choice. Additionally, people travelling long distances tend to have poor attendance records for primary care appointments. A study conducted by RAND in 2008 also shows that age, gender and social class differences can serve as obstacles to people in exercising choice, while people over the age of 60, housewives and the working class tend to limit their travelling distances for providers (both primary and secondary c are (Powell, 2008). Hence, gender, social class and age are found to be important factors that determine the uptake of choice for healthcare providers. Affluent patients often have resources to purchase houses in areas near to good-quality healthcare providers. However, Popper, Wilson and Burgess (2005) argue young, affluent patients and those living in inner city areas of London are likely to opt for alternative healthcare providers, whereas disadvantaged patients with low levels of education are found to opt for alternative medical providers the least. Certainly the uptake of choice among less well-off patients would be more likely to improve if subsidised transport were offered to people and covering additional transport funding incurred by people who are not located close to alternative providers. Thus, an effort to improve these issues may encourage poor patients to travel longer distances to have their treatments.  [2]   Another factor is the lack of available information, which can prevent patients from exercising choice over medical providers (Fotaki, Roland, Boyd et al., 2008). It is believed that some people require additional support in their choice of healthcare providers. Often, less well-off patients, those with low levels of education and the elderly require supplementary assistance in order to be able to make effective choices (Powell, 2008). These types of groups are less likely to have access to the internet and friends working as medical professionals in the NHS to help them navigate the system. However, making use of internet sources have been criticised for being resource-intensive and a real problem for those who are not computer literature. Published data is a key element for choice and outlines the performance of various healthcare providers. Making use of this type of data can serve to make patients more autonomous and responsible for their own health (Davies, Tavakoli and Malek, 2001). In general, healthcare providers services are rated using ranking systems. With their reputations at stake, medical providers are motivated to improve the quality of their services in order to remain in business. Often, disadvantaged groups use performance data more than middle class people to make healthcare choice (Collins, Britten, and Ruusuvuori, 2007). A lack of available data though is a major factor preventing them from exercising their choices. The patient choice agenda aims to lead to inequality in the medical system. Appleby and Dixon (2004) claim patient choice agenda in healthcare is far more complex rather than just focusing solely on resources. Poor people tend to lack the self-confidence and knowledge to converse with healthcare providers in a medical vocabulary  [3]  . Oliver and Evans (2005) state patients poor abilities of expression create imperfect freedom of choice in decision-making amongst individuals. Hence, these issues lead to an unequal ability to navigate the system (Mandelstam, 2007, p. 109) Providing people with choice rather than voice to express tend to be more effective for less well-off patients (Barr and Fenton, 2008). The patient choice agenda offers disadvantaged groups the opportunity to be heard and promotes the necessary self-confidence to exercise choices, in parallel. Thus, choice empowers patients who are the least knowledgeable about how to use the system to their advantage. Middle class people, on the other hand, have the educational capacities, resources and skills to manipulate the system in a way that suites their interests (Spiers, 2008). Certainly, affluent patients are more proactive than less-well of patients in relation to the uptake of choice. Hence, privileged patients are more articulate, confident and persistent, which means that the system in its current form suites privileged patients over poor people. The impact of patient choice on health service delivery provides mixed views. Patient choice may improve the quality of services offered in the internal market in response to waiting list times, which it may also markedly reduce (Le Grant, 2007). GP fund-holders can improve waiting list times upon referral to hospitals and may also reduce prescription costs. An example that illustrates this capacity is found in a study conducted by the London Patient Choice Project during 2006 (Dixon and Le Grand, 2006). This study states that patients are inclined chooses for alternative providers in order to reduce waiting list times. Certainly, competition, along with large numbers of healthcare providers, may further reduce waiting list times. However, patients dissatisfied with services offered by medical providers can opt to search for alternative medical providers that meet their needs. Under the internal market, money dictates the choices that patients make, meaning that hospitals lose money if patients choose alternative medical providers (Dixon and Le Grand, 2006). Thus, healthcare providers must be responsive to consumer demands in order to remain in business, unless they are likely to face closure. Patients often empower medical experts to decide on their treatments because of the generally held view that the doctor knows best (Burge, Devlin, Appley, et al., 2004, p. 190) Often, patients shift choice into the hands of doctors, particularly in life-threatening situations. In such serious situations, medical staff are likely to decide on treatments on behalf of patients. Therefore, the choice agenda in this case is not taken into account. However, Popper, Wilson and Burgess (2005) suggest that seven out of ten patients prefer to relocate treatment choices to primary care providers. This example tells us that people like the idea of having an input in relation to deciding on medical providers. In reality, GPs are seen as the gatekeepers for making medical choices (Powell, 2008, p. 77). They act as agents for the patients, and are often empowered to select treatments on their behalf, thus undermining the ability of patients to exercise choice. This happens because of people tend to have limited skills and access to information that could otherwise inform them of the various treatment options available. As mentioned above, middle class people are often also better informed of premium treatments options, usually having better access to the internet and sources such as books and journals that inform them of the various treatments available. People with lower levels of education do not generally have access to journals and books which would allow them to make meaningful choices. The London Patient Choice Pilot study (in 2008) on the other hand, contradicts this view. This study claims that the up-take of choice among people with various levels of education has little significan ce, with only a two percent difference between people with various levels of education with regard to looking for hospitals that provide treatment (Spiers, 2008). In conclusion, middle class people benefit from the choice agenda to a far greater degree than the working class. Middle class groups have higher levels of income, which allow them to purchase houses near good-quality medical providers. In addition, the middle classes have access to information and money that enables them to travel further in order to have access to the best services. It must also be questioned as to whether patients want choice rather than just high overall quality, as most patients like the idea of a good local medical provider (both primary and secondary providers), rather than travelling longer distances to have their treatment.

Significance of Fog in Long Days Journey into Night Eugene by ONeill

Long Days Journey: The Significance of Fog (8) A Long Day’s Journey Into Night, by Eugene O’Neill, is a deeply autobiographical play. His life was rampant with confusion and addictions in his family. Each character in this play has a profound resemblance, and draws parallels and connections with a member of his own family. The long journey that the title of the play refers to is a journey into his past. Fog is a recurring metaphor in the play; it is a physical presence even before it becomes a crucial symbol of the family’s impenetrable confusion. It is referred to in the text as well as stage directions in this play. It sets the mood for the play in all its somber hues. He uses the fog outside the house as an atmospheric element that has an ominous presence throughout this play. His parents and the surroundings that he grew up in were tainted by broken dreams, lies, disease, past issues, alcoholism and drug addiction. There was this web of darkness and fogginess that encased his life and past that is portrayed in this play as well as others by O’Neill. The symbolic implications of fog in the play are descriptive of the struggle in the minds of this deeply conflicted family. The significance of fog in O’Neill’s writing can be examined in two forms. The first is what type of emblematic quality does the fog provide in this play, and the second is what are other plays in which O’Neill has used fog in a similar way. This play takes place through an entire day where the climate mirrors the mood of the family. â€Å" The play begins at 8:30 in the morning with a trace of fog in the air, and concludes sometime after midnight, with the house foghorn.† (Brustein 1020). The intensity of the fog continuously increases throughout the day, directly correlating to the murkiness in the household. The family’s mood significantly intensifies with the intensity of the fog. There are copious connections between the life of the fog and that of the Tyrone family. All throughout the play there is a conflict between past vs. present, truth vs. lies, and addiction vs. sobriety. This family lives amidst a haze of denial and as the fog gets thicker, they continue to get further lost. The fog has a polarity that directly relates to Mary, â€Å"†¦ the mood changing from sunny cheer over Mary’s apparent recovery to gloomy despair over her new descent into hell † (Brustein 1020). The fog is fi... ...n clarities. The fog is created out of pain in order to dilute clarity. The individuals in this play needed to escape themselves but didn’t succeed. O’Neill expresses the same fear of truth and uses the imagery of fog in The Iceman Cometh. The Iceman Cometh is written in the same time period as Long Day’s Journey Into Night, and is a parallel in the struggle of the past vs. present. The use of the fog imagery is not as direct in this play, but there are subtle mentions of fog in the play, such as â€Å" the gray subdued light of early morning in a narrow street† (O’Neill 660). This grayness is almost identical to the morning that the Tyrone family experiences after being awakened by the foghorns. Both stories spell the gloom and dreariness of these characters and their lives. The imagery of fog wasn’t as prominent in the rest of his plays. O’Neill had a great amount of turmoil in his life and the Long Day’s Journey Into Night story reflected perfectly the fogginess and daze he lived through. His dark life experiences have given him a rich, emotionally charged place, from which to write. The fog serves as a tool to paint the dreary picture and symbolize this darkness through his plays.

The Stereotypical Old-West Hero :: American Culture Essays

The Stereotypical Old-West Hero Gunsmoke is a 1950's western series played on CBS radio station during the Vietnam war. It is about a U.S. Marshall named Matt Dillon who is in charge of keeping the law and respect in a town called Dodge City. Each episode has Matt Dillon dealing with problems such as murders, brawls, and gunfights that occur in the Wild West. Matt Dillon is personified as being inquisitive, independent, and not very emotional as a U.S. Marshall. He gives a view of the stereotypical old-west hero. In the series Gunsmoke, Matt Dillon had a very inquisitive nature. Everything that was talked about or anyone that he talked with always was confronted with questions to find out exactly what was going on. He questioned a lot concerning people he did not like. It seemed like when ever a problem or situation came to his attention, or if someone seemed suspicious he would start inquiring more. For example, in the first episode, Matt Dillon is confronted with a person he does not like called Web. He asks his sidekick, Chester, to gather more information about him concerning his past history. As the episode progresses listeners find out that another man wanted to kill Web. On the next story Dillon has to look for an ex-killer in another town. Before he goes on the mission he asks a lot of question such as, "What does this man look like", "When is the last time he was seen", etc. Questioning seems very typical of lawmen back than, and even today. Weather the questions were to start a figh t, or solve a dilemma questioning was a lawmen's best friend. Another point that was noticeable in Gunsmoke was the independence of Dillon. As the listeners hear the stories they cannot help but notice how Mat Dillon only has one partner named Chester. It also seems like Chester is more like Dillon's conscience, bringing up points or making suggestion depending on the circumstances. Near the end of the first story Matt Dillon suggest that Web leave town for a few days. As Chester and Dillon enter the saloon called Long Horn, Dillon turns and tells Chester to wait at the door as he goes after Web. Near the end of the second story Dillon leaves Chester to go tell a woman about her dead husband. In the third story Dillon leaves Chester, and goes after a man called, Pat, to arrest him.

Comparison of Michelangelo8217s and Bernini8217s Davids Essay example -

Comparison of Michelangelo8217s and Bernini8217s Davids â€Å"The greatest artist has no conception which a single block of marble does not potentially contain within its mass, but only a hand obedient to the mind can penetrate to this image.† Michelangelo describes in the above quote what it is like to carve a likeness of a person out of a large block of marble. As we know from seeing his work, he did an excellent job with this task. Bernini did just as fine a job on his, but in a much different way as you will see in the following pages. Michelangelo Michelangelo was born on March 6, 1475, in Caprese, Italy, a tiny village, owned by the nearby city-state of Florence. His father was the mayor. He attended school in Florence, but he was preoccupied by art. When he was 13, his father agreed to apprentice him to some well-known painters in Florence. Michelangelo was unsatisfied with these artists, because they would not teach him their artistic secrets. He went to work under another sculptor hired by Lorenzo de Medici. When Michelangelo was 21, he went to Rome, where he was commissioned to carve a group of marble statues showing the Virgin Mary supporting the dead Christ on her knees. His sculpture was called Madonna Della Pieta, and it made Michelangelo famous. A few years later, in 1501, he accepted a commission for a statue of David. He took on the challenge of carving this beautiful work out of a â€Å"huge oblong chunk of pure white unflawed Carrara marble – some 18 feet high and weighing several tons - that had been badly block out and then abandoned by an earlier sculptor† (Coughlan 85). This piece had always fascinated Michelangelo, but neither he, nor anyone else, could think of what to carve from it, until now (Coughlan 85). Thus began a new era in art, the High Renaissance. He began carving this statue for the city of Florence. It would become a symbol of this city, â€Å"a city willing to take on all comers in defense of its liberty† (Coughlan 91). The statue acquired this meaning by the way Michelangelo depicted this biblical character. Instead of presenting us with the winner of the battle, with the giant’s head at his feet and a sword in his hand like Donatello did many years before, he portrays David right before the battle begins. David is in the moment where his people are hesitating and Goliath is mocking him. He is placed... ...that will live on forever, just as their names and sculptures will. Works Cited Ceysson, Bernard. Sculpture: The Great Tradition of Sculpture from the Fifteenth Century to the Eighteenth Century. New York: Rizzloi International Publications, Inc, 1987. Coughlan, Robert. The World of Michelangelo:1475-1564. New York: Time-Life Books, 1966. Gilbert, Creighton. Michelangelo. New York: McGraw-Hill Books Co, 1967. Hartt, Frederick. Michelangelo: The Complete Sculpture. New York: Harry N. Abrams, Inc. Heusinger, Lutz. The Library of Great Masters: Michelangelo. New York: Riverside Book Co, 1989. http://www.geocities.com/Vienna/Choir/4792/david.html http://www.murrayco.com/eleganza/238David.html http://www.arthistory.sbc.edu/euroart/117euroart/berninidavid.html Janson, H. W. History of Art. 4th ed. New York: Harry N. Abrams, Inc, 1991. Keutner, Herbert. Sculpture Renaissance to Rococo: A History of Western Sculpture. Greenwich, CT: New York Graphic Society, 1969. Stokstad, Marilyn. Art History. New York: Harry N. Abrams, Inc, 1995. Wallace, Robert. The World of Bernini: 1598-1680. New York: Time-Life Books, 1970. Comparison of Michelangelo8217s and Bernini8217s Davids Essay example - Comparison of Michelangelo8217s and Bernini8217s Davids â€Å"The greatest artist has no conception which a single block of marble does not potentially contain within its mass, but only a hand obedient to the mind can penetrate to this image.† Michelangelo describes in the above quote what it is like to carve a likeness of a person out of a large block of marble. As we know from seeing his work, he did an excellent job with this task. Bernini did just as fine a job on his, but in a much different way as you will see in the following pages. Michelangelo Michelangelo was born on March 6, 1475, in Caprese, Italy, a tiny village, owned by the nearby city-state of Florence. His father was the mayor. He attended school in Florence, but he was preoccupied by art. When he was 13, his father agreed to apprentice him to some well-known painters in Florence. Michelangelo was unsatisfied with these artists, because they would not teach him their artistic secrets. He went to work under another sculptor hired by Lorenzo de Medici. When Michelangelo was 21, he went to Rome, where he was commissioned to carve a group of marble statues showing the Virgin Mary supporting the dead Christ on her knees. His sculpture was called Madonna Della Pieta, and it made Michelangelo famous. A few years later, in 1501, he accepted a commission for a statue of David. He took on the challenge of carving this beautiful work out of a â€Å"huge oblong chunk of pure white unflawed Carrara marble – some 18 feet high and weighing several tons - that had been badly block out and then abandoned by an earlier sculptor† (Coughlan 85). This piece had always fascinated Michelangelo, but neither he, nor anyone else, could think of what to carve from it, until now (Coughlan 85). Thus began a new era in art, the High Renaissance. He began carving this statue for the city of Florence. It would become a symbol of this city, â€Å"a city willing to take on all comers in defense of its liberty† (Coughlan 91). The statue acquired this meaning by the way Michelangelo depicted this biblical character. Instead of presenting us with the winner of the battle, with the giant’s head at his feet and a sword in his hand like Donatello did many years before, he portrays David right before the battle begins. David is in the moment where his people are hesitating and Goliath is mocking him. He is placed... ...that will live on forever, just as their names and sculptures will. Works Cited Ceysson, Bernard. Sculpture: The Great Tradition of Sculpture from the Fifteenth Century to the Eighteenth Century. New York: Rizzloi International Publications, Inc, 1987. Coughlan, Robert. The World of Michelangelo:1475-1564. New York: Time-Life Books, 1966. Gilbert, Creighton. Michelangelo. New York: McGraw-Hill Books Co, 1967. Hartt, Frederick. Michelangelo: The Complete Sculpture. New York: Harry N. Abrams, Inc. Heusinger, Lutz. The Library of Great Masters: Michelangelo. New York: Riverside Book Co, 1989. http://www.geocities.com/Vienna/Choir/4792/david.html http://www.murrayco.com/eleganza/238David.html http://www.arthistory.sbc.edu/euroart/117euroart/berninidavid.html Janson, H. W. History of Art. 4th ed. New York: Harry N. Abrams, Inc, 1991. Keutner, Herbert. Sculpture Renaissance to Rococo: A History of Western Sculpture. Greenwich, CT: New York Graphic Society, 1969. Stokstad, Marilyn. Art History. New York: Harry N. Abrams, Inc, 1995. Wallace, Robert. The World of Bernini: 1598-1680. New York: Time-Life Books, 1970.

Benefits of Playing a Musical Instrument

Did you know that musicians have better hearing than people who don't play an instrument at all? Scientists have done research to prove that this statement is a fact. This is more than just being able to pick out a drum beat from the background of a song, like many people can. Musicians hear better overall. The reasons for this are not fully understood, but some people have some pretty good ideas as to why musicians develop better hearing. Musicians can hear better than non-musicians. Hearing depends on microscopically small hairs deep inside of the ear. If the hairs in the ear are gone, so is the person's hearing. (HearingAids.com) People never stop hearing. Even while sleeping the brain just ignores all sound, not letting the person hear what is actually going on around them. (The Hearing Place, February 6, 2017) This is in fact the same for musicians too., Iit is just something the body does, and playing an instrument or not does not affect this part of the hearing process. Musicians hear better in ways, like being able to hear from further away, and they are better at remembering sounds. (NPR music, October 19, 2009) This likely happens because musicians improve due to auditory attention and memory. (National Science Foundation, November 13, 2009) Hearing changes due to the experiences the person has had in their life. (NPR music, October 19, 2009) Musicians can hear better because a lot of experiences they've had are related to sound. These experiences would be the music they are playing, composing, or listening to. These claims may seem a little confusing, since some people believe that loud music or sounds are related to hearing loss, but these facts are scientifically proven. The differences between musicians hearing and non-musicians hearing is more to do with memory than anything else. This is surprising because better hearing is usually equated with hearing quieter sounds, or the ability to hear from further away. The scientist who found that musicians hear better and remember sounds better than people who don't play instruments is Nina Kraus. (NPR music, October 19, 2009) Thanks to her we have this information which could help people who are concerned about losing their hearing with old age. (Jane Langille, September 26, 2012) Nina Kraus says that playing an instrument, no matter how good someone is at playing, could improve hearing. (NPR music, October 19, 2009) This could happen at any point in life, although children who play instruments at a young age seem to have better hearing than people who start playing later in life. Musicians have better hearing than people who do not play an instrument. This happens because hearing changes due to the experiences the person has had in their life. (NPR music, October 19, 2009) This also happens because musicians improve due to auditory attention and memory. (National Science Foundation, November 13, 2009) If a 20 year old started playing an instrument, that person's hearing could improve, and stay that way through old age. Composing, playing, and listening to music are all important factors to better hearing and/or memory.

Literature Review on Marriage

In the study of literature it is very important that you know exactly what you are reading and that you completely understand the meaning behind the stories, poems, or plays. When reading the stories you must fully be able to apply many different analogical structures and also different literature theories to them. When reading the stories about lovers and marriage that are going to be listed in my final paper here, you can truly see how they give many great examples of all the things you need to make literature studies work. In choosing the following stories I have decided that they are the closest things related to my personal life. The Story of an Hour†, â€Å"The Necklace†, and â€Å"The Proposal†. I do believe that these are wonderful works of literature and that they can be fully understood and just work with any person that is open to reading different literature pieces. I do believe that if you are willing to sit down and take the time to read these storie s that you will see just how wonderful life with someone can truly be. The way that you need to approach literature is as followed,† The first objection might take this form, in which the reader is imagined to think that this study has not gone far enough.Such readers will have agreed that the theories of literature offered (implicitly or explicitly) by the institutionalist critics discussed above are inadequate in differing but central aspects. They will agree that the dialogue which takes place between the work and its writer and readers as it develops is as important as that which takes place between the work and its origins in philosophical, psychological, and historical causation. They will agree, in short, that works of literature are capable of resisting and transforming institutional contamination as well as succumbing to it. Cited Lansdown, R. Autonomy of Literature : Institutionalism and Its Discontents. (2001) I think that the above is a great way to start when you are beginning to approach literature rather reading it or studying it as well. I believe that it is also important to really do the following as well. When you are reading â€Å"The Story of An Hour† you need to be able to understand that you are reading a story about a woman who experiences a lot of different emotions and experiences a great life trauma.Once you are capable of understanding this reading then you will be able to understand that this is a strong story about trying to understand the great things that can change your life in a few moments on any given day. When I was reading this story, I did find myself being able to relate to it. That may be because I have a heart condition my own self and it was easier to understand that meaning in the story line. For myself in reading this I found that I was using the reader response. I have always been the type of person that has tried to read a story and express my emotions to it by trying to understand and relate to what I am reading.You have to try to use a reader response whenever you are reading a new story or poem. You need to be able to understand the meanings in a story in order to fully either appreciate it or feel nothing towards the story or poem. I however can not see how you would get no feeling what so ever from reading â€Å"The Story of An Hour†, because it is very emotional, heartfelt, and warm. When reading the story you can see how the story is unfolding and leading up to a wonderful ending, even if it very sad at the end as well. When reading any story though you need to be aware of how you can understand any type of story.This is a story that is going to involve you needing to use many different resources in order to fully understand that the writer is trying to use a great expression as to how the lady died in the aftermath of her husband was also found to be dead from a railroad accident. According to the story here you can understand just how the lady probably felt as sh e was leading up to her own death, while her sister and her husband’s friend were waiting outside the door for her to calm down from receiving bad news on her husband.As far as being able to relate this story to what the author wrote the story about, you can truly see that she was also a heartfelt woman who probably did miss her husband deeply after he died, and had wished that she could have died with him, instead of having to continue on with her life as well. You can understand from the reading that you are going to need to understand a little bit about the author’s life in general to truly enjoy the story for what it is about. If you are going to read a story like this then you are going to want to use the reader-response, formalist, or biographical/ historical approach.The two that make this story easy for me to use and understand has been the reader-response that I have tried to describe in the upper half of the paper. Also the formalist approach works well for m e in this paper because the plot to the story is very memorable and stands out very well. It is very suprising to see that you are reading about a woman finding out that her husband was involved in a railroad accident, yet also turns out that she doesn’t live through the news about him as well either even though he was supposed to not be dead in the end.The language the author used to write this story keeps you involved in reading it to the end because of how she is about describing the setting of the lady’s death within the moments leading up to her last breathe. You can understand everything clearly and nothing is expressed in the writing that turns you off from it. You can relate to the characters very easily and see yourself as being one of them in the story line. The point of view is very well wrote out in the first person from what I can understand and believe as the lady is the one describing how she could feel all this things happening to her from the way that she felt them.Overall this is a very wrote out story and you can also use the biographical/historical approach because of the author having lost her husband at a young age as well. You can see how all of that would affect her and make her not want to continue on with her life raising her children alone as well. In reading the necklace you can also see how the husband really loved his wife and would do anything for her. As he was not a rich man but knew of how she longed to go out and feel the life style of the rich.I know that the husband in the story was all about making sure that his wife was able to go out and enjoy herself at a very high price. You can see how the woman in the story is wanting to make sure she has the proper dress and jewelry to wear on the night of the big party. It is about being able to love the life that you are leading and know that no one can make you feel like you do not deserve happiness either. You have to just be thankful for all that you are given and not wish for more because things can always get worse than they are.The Necklace is about being able to understand this from a third person setting. The narrator is the person telling the story from his point of view here and you can see that this is a wonderful way to get to read this because then you can understand how the wife and the husband feel about the wife losing the necklace. It is always important that you be able to see the two sides to a story like this because then you can understand how the man is feeling about having to give up his money for his wife to be able to go out and enjoy herself like she always wants.Then on the other side you can see how the woman must feel about the dress, necklace, and about losing a not so expensive piece of jewelry as well. As well as this is a story about being able to use a reader approach to be able to understand that this story is going to make you feel a certain way in the end. It is important for me to say that I used the reader approach because of the fact that I feel like I really could relate to the lady in the story as well. I want to always know what it would feel like to be a rich woman for just a short time but I do understand that it could not turn out as well as I would like it to either.It is about the story catching your heart and making it break for the couple within it. You want to be able to help this lady who believes that it was important to feel wonderful for just a few hours when finding out that she is responsible for losing what she believes is an important expensive piece of jewelry that she was allowed to borrow. You are wanting to be able to help this woman and man earn the money to pay for the necklace so that they can return to being able to enjoy life’s simply things.In the story of â€Å"The Necklace† it is a story that is based more so on characters and the setting that they are trying to become involved in as well. You want to be able to understand how important t he setting is because it is what makes the lady want to be able to experience being rich and famous almost. It is the very thing that has made her poor husband work so hard for just so that he can make sure she gets to go out and enjoy herself in the setting that she has always belonged to in her mind. It is also about being able to see that the husband is very caring and loves his wife deeply.He is willing to have to work all these long hard years just to help her replace a piece of jewelry that gave her the one night that she has always wanted. You can also see how it is very important that you know that the plot of the story is about the necklace but also the lessons that you can learn from wanting more than you have. It is a big thing for the plot to be about the party because it is what makes the lady so desperate to be a part of and want to borrow what she believes is a very rich piece of jewelry.I do believe that you need to understand that the necklace is just a prop in the story line about the lady that is going to end up having to spend all of their extra money that they earn in order to replace this item that she has borrowed from her friend. No matter rather you can understand that the necklace is just a piece of jewelry for her to wear that makes her feel important or not you can also see how it is important for the lady to learn that not everything is what it appears to be in life either. This is a big lesson that many people need to be able to nderstand so that they will learn to be happy and not take things for granted like she did within this piece of literature. In the story that is called,†The Proposal† you can see how this is a play about the proposal of marriage to a woman who is just not fully accepting of the man wanting to marry her at first. It is very odd that the lady would want to argue over who owns what land and who does not. However at the same time the lady is madly in love with the man that is wanting to marry her b ut yet she is really not wanting to agree with him that he owns more land than her family does.It is just funny to read about how the two people begin to feel ill over the argument about the land that their families own once they realize how much they love each other and want to be together no matter what happens. This is a story about a man and woman loving each other and not wanting to set for just anyone or anything. This is going to be considered a first person themed story because of it being a play and the characters having to act out their own parts without a person to read the story lines to you from their point of view.You can really see how the play is going to express lots of different emotions and show you that things in life are not as important as the people that you love and care about deeply. It is really about the people that you are willing to learn to let things go for and not be worry about what happens in the end of life. You need to be able to see that this is a story about the setting which is apparently on a bunch of land in the woods, so most people would probably consider it to be a country style home.The country style home is the setting in which the man comes to ask the lady for her hand in marriage but must first talk to her father about doing so. In the story you can see how it is important that the man sit and talk to the girl’s father before he talks to her so that you can see how nervous and anxious he really is about asking her to marry him. The father in the story also ends up being the one that lets his daughter know just why the young man is there and arguing with her so much over a piece of land.You can also see how this story is again about the characters that are playing in it. You need to have these characters laid out for you to be able to understand this because of the fact that it is a play. You are going to want to understand that the young man is a very rich land owner and the older man in the story is the f ather to the young lady. The lady is also the one that is going to end up engaged in the end and the one who is arguing very much so over a piece of land that she feels is close to her heart.Overall though it is again about being able to see that the people in a story can make it or break it for most people who are reading and studying literature. You need to be able to feel connected to the stories in many ways and need to be able to understand that the characters are very important pieces to reading literature. You want to feel like you are sitting in the same room as the story is being told or played out in front of you. You want there to be a meaning behind the literature that you are reading or taking in, as to this is what makes literature grand.