Musculoskeletal diseases are the most common problems and prevalent conditions affecting the elderly worldwide and can cause significant disability if not taken seriously. Musculoskeletal tissues show increased bone fragility, loss of cartilage resilience, reduced ligament elasticity, loss of muscular strength, and fat redistribution decreasing the ability of the tissues to carry out their normal functions. Loss of mobility and physical independence from arthropathies and fractures can be devastating. This affects them physically and psychologically thus increasing mortality rates.
The diseases may include the following;
Osteoarthritis is disease that affects the articular cartilage, subchondral bone, ligaments, joint capsule, synovial membrane, and periarticular muscles. Pathological changes can include fibrillation of cartilage, disruption of collagen fibers, and changes in proteoglycan staining. It is a common joint disease in people 65 years of age and above, with a prevalence of about 90% in women and 80% in men. Etiology factors may include female gender, genetics, metabolism, and excessive mechanical stress. It frequently leads to decreased function and loss of independence. The joints of the hand, knee and hip are the most commonly affected.
Signs and Symptoms
Shoulder osteoarthritis and rotator cuff are associated with shoulder pain and disability related to decreased shoulder movement.
Tears of large rotator cuff.
Inflammatory in joints with low back pain.
Diagnosis
The diagnosis is based on clinical history and physical examination. Plain radiographs can help confirm both the diagnosis and grade the severity of the condition. The cardinal radiographic features of osteoarthritis non-uniform narrowing of the joint space in the areas subjected to the most pressure, subchondral cysts, subchondral sclerosis, and osteophytes.
Also surgical treatment is done on lumbar and cervical spine in order to improve on pain. Ultrasound is also done to assess the rotator cuff tendons.
Infection
This is an area where the elderly patients are more prone since there is an increased incidence of predisposing disorders such as diabetes mellitus, peripheral vascular disease, and poor dentition. Others include immunosuppressant and surgical procedures used like dental extractions and open heart surgery. The infectious agents in elderly people not different those affecting the young persons, although the elderly are prone to them than others. In people over 80 years of age, the knee, spine, shoulder, and hip are the most frequently affected. A close attention should paid on the diagnosis of tuberculosis and malignancy as TB may affect the spine which may be a consequences of any joint resulting to deformity. It should be noted that elderly men may present with bone lesions, as a manifestation of reactivation of the disease.
Diagnosis and Treatment
Imaging signs of musculoskeletal tuberculosis and other infections may lack, a diagnosis by biopsy and culture, chest radiographs and skin tests may be recommended. Magnetic resonance imaging may be suitable for soft tissues musculoskeletal infections. Ultrasound can be used to collect fluids in the joints or soft tissue, the evaluation of orthopedic structures and assessment of small peripheral joints. A mobile ultrasound device can be moved close to elderly beds. Computed tomography, radiography and nuclear medicine studies are considered to be ancillary and can be used to diagnose the infections.
Paget’s disease
This is the excessive breakdown and formation of bone leading to disorganized bone remodeling. This results to weakening, pain, fractures, and arthritis in the joints near the affected bones. Persons over 50 years of age, varying according to geographic areas are affected. In a minority of cases, sarcomatous degeneration may develop, mainly in the humerus, pelvis and proximal femur.
Signs and Symptoms
There is an advancing wedge of bone resorption, an accentuation and coarsening of the bone trabeculae along lines of stress, cortical thickening, and enlargement of the bone. Secondary osteoarthritis, fractures, bowing of the bones, and spinal cord or nerve root compression can be observed. But many patients do not know they have the disease, because there are rarely symptoms to be observed. And if they may occur they are confused with those of arthritis or other disorders.
Diagnosis and Treatment
Diagnosis can be done through an elevated level of alkaline phosphatase in the blood in combination with normal calcium, phosphate and aminotranferase levels. Also bone scans are useful in determining the extent and activity of the condition. If a bone scan suggests Paget’s disease, the affected bones are X-rayed to confirm the diagnosis. Markers of bone turnover in urine like pyridinoline are used in diagnosis.
Drug therapy can relieve bone pain and prevent the progression of the disease. Medical therapy prior to surgery helps to decrease bleeding and other complications. Patients who are having surgery should discuss treatment with their physician. Exercise is very important in maintaining skeletal health, avoiding weight gain, maintaining joint mobility, avoided stress on affected bones and discusses any exercise program with their physicians before beginning.
Fractures
They are often in the elderly persons due to effects of falls and osteoporosis. Low-impact falls from a standing height are the most common cause of injury in elderly. Can be due to impaired mobility, loss of muscular strength, poor visual acuity or even medication. Osteoporosis leads to bone fragility and increased risk of fractures. Prevalence of osteoporosis in women is more as opposed to males. Also mineral bone density is higher in black women and lowers in Asian women, while in white women evidence shows an intermediate value.
Vertebral compression fractures are the most common osteoporotic fractures, with a greater incidence in women over 60 years of age. The fractures are associated with higher mortality and significant morbidity. Other important sites of fractures are the hip and the pelvis, which are associated with increased mortality and specific diagnostic problems in the elderly people.
Signs and Symptoms
Sudden, severe back pain.
Worsening of pain when standing or walking.
Difficulty and pain when bending or twisting
Loss of height
Deformity of the spine — the curved, “hunchback” shape also known as dowager’s hump
Diagnosis and Treatment
Dual energy X-ray absorptiometry is used to diagnose osteoporosis, predict the risk of fracture, determine therapeutic intervention, and monitor response to treatment. A value less than 2.5 times the standard deviation below the young adult mean, is considered to indicate osteoporosis. The main radiographic features of osteoporosis are increased radiolucency and cortical thinning, mainly in the spine, giving rise to a well demarcated outline of the vertebral body. An increased biconcavity of the vertebral end plates can be observed with a protrusion of the intervertebral disk into the vertebral body.Diagnosis of the hip and the pelvis fractures are conventional radiography, particularly fractures of the proximal femur.
Treatment can be through immobilization (aligning the bone, through reduction in good position and verifying the improved alignment with an X-ray), pain management, surgery and a times bone grafting.
Microcrystal disorders
It characterized by gout and calcium pyrophosphate dihydrate deposition (CPDD) arthropathy. Gout is the most common inflammatory arthritis in the elderly and is characterized by a disturbance of purine metabolism, with deposits in the joints, cartilage, and kidneys. The radiographic features include eccentric nodular soft tissue masses, close erosions and preservation of the joint space. Ultrasound may be particularly help to demonstrate more tophi and erosions than plain films. Calcium pyrophosphate dihydrate deposition (CPDD) on other hand is disease is characterized by articular and periarticular tissue deposits also in the spine. Unlike gout, in which the increase in serum leads to supersaturation and deposits in the joints,the calcium deposits in CPDD, usually appear in the cartilage in the absence of any serum abnormality.
Osteoporosis
It is a degenerative arthritis or porous bone which is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to frail bones and an increased risk of fractures of the hip, spine, and wrist. When too much calcium is dissolved from bones or not enough replaced, bones lose density and are easily fractured. Elderly people are most affect by this disease but it can be prevented and treated if early noticed. Osteoporosis is responsible for million bone fractures, including hip fractures, vertebral fractures, wrist fractures, and more other fractures of the body. Once the ovaries stop producing the estrogen hormone, women are at higher risk of developing osteoporosis.
Signs and Symptoms
Osteoporosis itself has no symptoms its main consequence is the increased risk of bone fractures. Osteoporotic fractures occur in situations where healthy people would not normally break a bone; they are therefore regarded as fragility fractures. Typical fragility fractures occur in the vertebral column, rib, hip and wrist.
Diagnosis and Management
The diagnosis can be done using conventional radiography and by measuring the bone mineral density. Dual-energy x-ray absorptiometry is done. Depending on the likelihood of an underlying problem, investigations for cancer with metastasis to the bone should be done.
Lifestyle prevention can be through tobacco smoking cessation and moderation of alcohol intake. Elderly should have a better diet. Medication through bisphosphonates is useful in decreasing the risk of future fractures in those who have already sustained a fracture due to osteoporosis.
Effects of Exercise on Musculoskeletal Diseases
Elderly with joints problems should do it in moderation, especially within one’s cardiac tolerance. Excessive exercise may induce injury to musculoskeletal structures. Rest periods may also be helpful to relax the structures involved, as well as to regain energy lost with exercise. Exercises which could have kept the cartilage from becoming thin and damaged are hindered. This makes them vulnerable to injury or degenerative joint disease.
Activities that strengthen tendons are affected. The stretching and recoiling of tendons which help in transmission of force produced by muscles to the bones stops. Exercise amplifies their strength, preventing them from becoming physically injured.
Without exercise, the ligaments can loosen up. Exercise can help them maintain their power and durability. Due to old age, inactive nature of these people weakens the bones making them susceptible to all sorts of physical injuries.
General Diagnosis and Treatment of musculoskeletal diseases
The diagnosis of musculoskeletal diseases requires knowledge of the diseases which affect this age group, well knowing the signs and symptoms, and a working knowledge of laboratory and radiographic abnormalities.
Treatment is based on the principles of pain relief and maintenance of function. Physical therapy, patient education, psychological support and the use of medications is also recommended. Anti-inflammatory drugs are the most used as they are effective in relieving pain and improving function in most patients. However there is increased risk for anti-inflammatory drugs induced toxicity, and therefore an individual should choose carefully. On that note potential precaution on toxicity must be weighed against realistic benefits before and during actual therapy.
References
Fonda, D., & National Health and Medical Research Council (Australia). (1994). Musculoskeletal disorders in the older person: Report of the Health Care Committee Expert Panel for Health Care of the Elderly. Canberra: A.G.P.S.
Perry, H. M., Morley, J. E., & Coe, R. M. (1993). Aging and musculoskeletal disorders: Concepts, diagnosis, and treatment. New York: Springer Pub. Co.
Reichel, W. (1995). Care of the elderly: Clinical aspects of aging. Baltimore: Williams & Wilkins.
Reichel, W., & Arenson, C. (2009). Reichel’s care of the elderly: Clinical aspects of aging. Cambridge: Cambridge University Press.
Rothstein, D. E. (1992). The interrelationships among physical activity status, musculoskeletal variables, and gait in the elderly.
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In this assessment the paper will be analyzing the major destinations and generators of tourists of the world in terms of number of visitors and income generations. The essay will also be analyzing development statistics to determine the destination of tourism and make prediction of future developments. The assessment will further have an explanation that is analyzed about physical, social and cultural features of tourist destinations and how they make an appeal to the tourists. The paper will compare the developing features and the leading tourist destinations. That is London, Northern Ireland and Jersey and Gibraltar. Finally, the paper will be explained how the destinations characteristics affect the tourists appeal. The essay will compare the present appeal of leading destination of the tourists with the current tourist destination that is developing. Lastly, it will evaluate how tourist destination features affect its appeal. Tourism destinations according to Clancy (2009), is the country where a tourist chooses to visit. Tourism generators are a country where the tourists come or originate from. Generally France is the major tourism destination and U.K is the main generator of tourism. The appendix contain table for the top tourist destinations, top earners and top spenders in the world.
United Kingdom and Northern Ireland according to Mehta (2007), is situated in North West of Europe. The area has an area of 242,514 kilometers squared with a population of about 62.4 million people. United kingdom is surrounded by North Sea, Atlantic ocean, Irish Sea and English channel which all form physical tourist attractions to the country. Ireland is one of the top ten destinations of tourists with international tourist arrivals of 28.1 million (Hassan, 2013). Howie (2003) pointed out that Ireland and United Kingdom is ranked at number six globally compared to United States which is ranked at number seven with 30.4 billion receipts of international tourists.
London
According to Joly (2010), London is one of the leading destinations of tourisms in the world. The city is home of range of famous attractions to tourists. Nicholson (2011) observed that London attracted in 2011 about 15.3 million of international tourists or visitors making it one of the most visited in the world. The visitors to London in 2011spent 9.4 billion pounds, which is slightly above half of the revenue from international visitors of the whole united kingdom that year (Office, 2008)
Gibraltar
Gibraltar according to Wearing et al (2010) forms one of the territories of the British that are overseas. Despite the fact that the population of Gibraltar is only 30,000 people, in 2011 the area recorded about 12 million visitors. Yeoman (2008) observed that tourism contributed in 2006 more to the economy of Gibraltar compared to other sectors, with the visitors in 2011 spending approximately 279.41 million pounds (Gibraltar. (January, 2000). Similarly, the same year recorded arrival visitors of 11,940,543
B)
Ireland
Tourism sector is very significant to the Irish economy and make a very important contribution to the national and regional employment, export service performance, tax revenue and the overall economic activities in general. Clancy (2009) observed the most recent tourism data in 2009.
The total domestic and out of state expenditure on tourism totaled to £5.3 billion, that is equivalent to 3.9% of the GNP
In gross value, the tourism sector generated about £ 3.6 billion of added value, which is equivalent to 2.5% of the total value that is added to the economy
The total earnings in foreign exchange from tourism was £ 3.9 billion, which is 2.6% of the total exports
The generated direct tax revenue from tourism was £1.3 billion, which is 3.7% of the total tax revenue generated in 2009
Employment in food service and accommodation services in 2009 was 123,300, which is equivalent to about 6.4% of total employment. The hospitality and tourism sector in general was about 191,747 employees in 2009.
Despite the fact that the tourism sector is making important contribution to the economy in general, currently it is experiencing difficult conditions of trade in terms of revenues and tourism numbers the trends in numbers of visitors from 1999-2005 is represented n the table. The number of overseas visitors increased in Ireland by13.9% (Hassan, 2013).
Gibraltar
Tourism is very important to the territory of Gibraltar and is dependent on incoming flows of tourists, especially from UK. The economic outlook from 2009-2010 in the United Kingdom led to reduction in number of visitors to Gibraltar. The financial recovery experienced in UK has fuelled tourist flows to Gibraltar.
The limited geographical size of Gibraltar and bordering of Spain on the seaside resorts of Spain has undermined its performance. The resorts enjoy reputation international as outstanding areas during holidays compounded to wide range of offers of the tourists visiting the area (Gibraltar, 2000).
London
Tourism sector in London is an invisible giant. The sector is sixth in UK largest industry, generating £ 115 billion yearly and employing 1 in every 11 people working in UK. This is because over 80% of about 249,000 businesses of tourism in London employ less than ten people. Furthermore, the small businesses are spread across entire London and UK rather than congregating together (Howie, 2003).
Joly (2010) pointed out that in 2011, the inbound revenue from tourism grew five times the economy rate, while the estimated domestic revenue of 2011 was 14% higher compared to 2010.this was an additional expenditure of about £ 3.8 billion with ability to generate about 76,000 new job opportunities.
According to Mehta (2007), there are three key aspects of the London Tourism which are very uncompetitive internationally. That is the air passenger duty, visa requirements and VAT rates. The expected tourism industry gold mine where London will be the center stage is the Olympics and the diamond jubilee where the expected tourists to the Olympics will generate a lot of income in the tourism and the hospitality industry.
Task 2
A)
According to Nicholson (2011), white chapel is a district located in the east of London. For a long time the area has been a neighborhood of the working class and the poor
Culture
The 19th century theatres, the Effingham and the Pavilion, were located at the white chapel road. White chapel has prominently figured in the London’s art scene. The most prominent venue of art in white chapel is the white chapel Art Gallery (Office, 2008). According to Wearing et al (2010), in the early 21st century, white chapel prominently figured in punk rocks/skuzz of London with these prominently featuring in the nightclubs, restaurants and factories.
Many see white chapel as a cultural hub political activism that is community based especially of an anti war or anti authoritarian trend. Furthermore, White chapel Art Gallery (2001) observed that the Bangladeshis migrant group is the most visible currently making up of the almost half of the population. The east London mosque symbolizes the existence of the Islamic community
Physical features
Some of the conspicuous physical features of the white chapel as a tourist destination is the royal London hospital which has been in existence since 1757 (Yeoman, 2008). Additionally, the population of white chapel is predominantly the Bangladesh, West Indies, Pakistan and the India. The area is also near enclaves of Choreditch and Hoxton. Similarly the white chapel market also offers variety of Asians spices.
Social features
According to Clancy (2009), white chapel formed the hub of the end of the Victorian East. The area long around the 17th century was very prosperous but began to deteriorate in the mid 18th century. The area later became overcrowded and infected with crime. The notable social features in white chapel are many poor families that are crammed in single rooms without proper ventilation and sanitation. Hassan (2013) asserted that the area was a murder venue that was committed in the 1880s on any women by jack the Ripper, an anonymous killer.
B
In comparing white chapel and London in physical features that attract tourists, may structures comes in play. North white chapel and London has built physical structures that attract tourists. Howie (2003) pointed out that the there are many notable tourist attractions in London. For instance, the London Eye, which is a permanent structure and wheel like situated on the edge of river Thames. Nearby, there are the Big Ben, London Aquarium, Nelson Column, Westminster Abbey and Houses of parliament. Recently, the tallest building in London forms one of the tourist attractions in addition to the Buckingham palace and Tower of London. Furthermore, other physical things include museums, open spaces and parks for tourists to rest, stroll and relax.
Similarly, when white chapel is compared to Gibraltar, many differences and similarities are noted. The main attractions of Gibraltar are the Rock of Gibraltar, with its inhabitants of the Barbary Macaques or the apes, the marinas, casinos, duty free shopping and the military heritage. This contrary to white chapel that has a huge chapel building in the locality, many restaurants and casinos and mixture of populations from different races (Gibraltar, 2000).
Task 3
A
Location and accessibility
London is excellently situated while the location of white chapel is also good. White chapel runs from the city of London and great Bishops gate and from the commercial road heading to Brick lane. The location of London is centrally placed with accessibility to all means of transport for tourists such as airports, railways and accessible roads. White chapel can be accessed by tourists from the west side at Aldgate East station and directly take you to the white chapel art gallery or to the East of Chapel Road (Hassan, 2013).
Image
The image of London as a tourist destination is very good compared to white chapel which is very poor. London has beautiful parks, well maintained structures and cleans environment that is appealing to the tourists. However, the white chapel is congregated and is a slum with degraded environment, old building and structures, overpopulation and poor sanitation (Howie, 2003).
Security and safety
London city has an excellent and tight security for the tourists from the central government and the municipal governments. All tourists’ avenues are guarded with high security detail compared to white chapel which is a slum, crowded and has emergence of criminal activities in addition to high crime rate (Joly, 2010).
Heritage
Both London city and white chapel has good heritage that is appealing to the tourists. Both areas were built long time ago and has physicals structures that attract tourists. Similarly, both towns has rich cultural heritage which appeals to the tourists to learn more.
Social and economic status
London has a good social and economic status compared to white chapel. The socio-economic class in London is high, has several economic activities that are operational compared to white chapel that is predominantly slums, overcrowded and the residents are of low social class.
B
Life expectancy and health
The data retrieved from the borough o tower of Hamlets shows that the life expectancy for males is 72.9 years and 78.9 years for females. Similarly, the self assessed proportion good health found in white chapel is 68.2% higher than tower of hamlets 67.9% (Mehta, 2007).
Households
In white chapel area, there exist about 9380 households (Nicholson, 2011). The number of the lone parents without children is 8.5% which is more than double of Wales and England. Moreover, there is much greater proportion of other households, 21.3% households. Office (2008) asserted that the high percentage in white chapel of other households is likely to be linked to high levels of housing and overcrowding.
Crime
Although it is a big issue in white chapel, it has reduced of late. White chapel continues to be a street crime, anti social behavior and violent crime hotspot
Key sectors and economic growth
The employment in white chapel is dominated by retail and whole sale at 13.2%,real estate at 21%, health and social work at 11.45% and finally finance at 9.4%.the area is over represented by restaurants and hotels while underrepresented in public administration and manufacturing (Wearing et al, 2010).
Unemployment
The white chapel n 2001 had an unemployment level of about 6.9%, London had 4.3%, and Tower of Hamlets had 6.6%.
Work force skills
The white chapel workforce has relatively high level of higher and intermediate managerial grades AB workers of about 34.9% compared to 32.5% of London and Wales and England of 23%. The supervisory or the grade C1 is equal with other areas. In contrast, the skilled manual or grade C2 stood at 9.3%, unskilled and semi skilled manual workers was 15.9% (White chapel Art Gallery, 2001).
Task 4
A
The industry o tourism faces many different factors. These factors may affect particular destinations while other factors may affect the whole tourism sector. These factors include the following:
Economic crisis
If people are becoming jobless and keeps worrying where their next meal or rent to pay their mortgage, definitely they will not think of tourism. The worry of the future may force people to save their money rather than spend it on travel. This is because many people consider travel as a luxury which should be done by the extra money at good times. For instance, the global recession of 2007 rendered many people jobless and this affected tourism in Ireland (Yeoman, 2008).
Prices of the gas
When people spend much on gas, they may be reluctant to taking long road trips which they would have gone for. Additionally, may companies that are associated with the travel and tourism industry like the bus companies and the airlines need to pay for gas. When the gas price rises up a little, they will have added costs (Clancy, 2009). Therefore, to account or if, they will raise their charges which may eventually influence most people not to go for a trip because of the cost added. For instance, increase gas prices from gas producers affected tourists to London
Natural disasters
This can have some influence on particular destinations. When people are hit by a natural disaster, they will be worried about going for a travel. There are also particular tourist destinations that might be hit by their own disaster, which can influence people to avoid going there. Natural disasters include explosions, terrorist attacks, earth quakes and hurricanes among others. For instance, when explosion occurred in Gibraltar, many travelers cancelled their trips (Gibraltar, 2000).
B
The Cape Town declaration states that responsible tourism in the destinations is about making places better for the people to live, and better places for more people to visit (Hassan, 2013). Responsible tourism according to Howie (2003) is very broad but has a commitment to respect places tourist visit and the significance of having an interest on the environments and the host communities, cultural and natural first.
Responsible tourism entails taking responsibility collectively and individually for the bottom-line sustainability; environmental, social and economical. It is about taking corporate and individual responsibility for sustainable development principles implementation. Furthermore, it entails taking responsibility for an action instead of demanding that another person else does it.
According to Office (2008), The Cape Town declaration of 2002 defines responsible tourism as possessing the following characteristics;
Minimization of negative social, environmental and economic impacts. This implies that when the tourists visits London city on a tour visit. They should ensure they reduce negative environmental impacts like throwing litters aimlessly; not polluting the environment and ensuring the environment remain natural like the way they found it. Negative social and economic impacts imply that the tourists ensure they minimize negative influence on the host communities.
The tourists can also generate to the host communities greater economic gains and also enhance their well being, improve their working conditions and ease their access to the tourism industry. This can be enhanced by the tourism bodies, government agencies and including the locals in the industry to gain economically.
The tourists also should involve the local people in the host communities in decision making that affect their lives. This includes decisions on expansion of the tourist sites of the tourism areas, corporate social responsibility of the corporate to the local communities and employment of the employees in the tourism sector
The tourists should also make positive contributions to the maintenance and conservation of the cultural and natural heritage, to the diversity of the world maintenance. This is essential for the continuity of the tourism heritage areas. Conservation of the wildlife is important for the future generation. Furthermore, maintenance of the cultural heritage of the locals like in Gibraltar is important responsible tourism.
APPENDIX
The data under the appendix section has been extracted from website of UNWTO.
TOURISTS NUMBER 2005-2011(‘000s)
Origin Markets
2005
2006
2007
2008
2009
2010
2012P
Britain
3430
3428
3340
3452
3553
3526
3658
Mainland Europe
1321
1436
1336
1378
1484
1582
1896
North America
950
1056
903
844
892
956
929
Rest of World
243
261
261
245
249
319
289
Overseas Visitors
5943
6181
5840
5919
6178
6384
6772
Northern Ireland
460
465
513
557
586
598
n/a
Total Out-of-State Visitors
6403
6646
6353
6476
6764
6982
n/a
Domestic Trips
n/a
5478
6307
6452
6657
7001
n/a
P=PROVISIONAL, N/A= NOT AVAILABLE
TOURISM REVENUE 2005-2011 (€ MILLION)
Country/Area
2005
2006
2007
2008
2009
2010
2011
Britain
1012
1088
1211
1283
1319
1276
1280
Mainland Europe
631
727
815
867
885
930
1258
North America
555
689
718
709
787
772
708
Other Overseas
145
178
209
229
236
256
241
Total Overseas
2343
2682
2952
3088
3228
3235
3487
Northern Ireland
115
123
143
161
176
183
n/a
Overseas Same-Day
Total Expenditure by non-residents
16
2474
19
2824
21
3115
17
3266
21
3424
22
3440
n/a
n/a
Carrier Receipts
641
813
820
723
633
636
n/a
Tourism Foreign Exchange Earnings
3115
3637
3935
3989
4057
4076
4273
Domestic Tourism Receipts
n/a
707
880
849
971
1037
n/a
All Tourism Revenue
n/a
4344
4815
4838
5028
5113
n/a
References
Clancy, M. (2009). Brand new Ireland?: Tourism, development and national identity in the Irish republic. Farnham, Surrey, England: Ashgate Pub. Co.
Hassan, A. (January 01, 2013). Perspective analysis and implications of visitor management – experiences from the Whitechapel Gallery, London. Anatolia Ankara International Journal of Tourism and Hospitality Research-, 24, 3, 410-426.
Howie, F. (2003). Managing the tourist destination. London: Continuum.
Joly, D. (2010). The dark tourist: Sightseeing in the world’s most unlikely holiday destinations. London: Simon & Schuster.
Mehta, G. (2007). The welcome business: Tourism and travel in Ireland. Dublin: Gill and Macmillan.
Nicholson, L. (2011). London. Washington, D.C: National Geographic.
Office, I. L. (2008). Sources and Methods: Labour Statistics. Employment in the Tourism Industries. Special Edition. Geneva: International Labour Organization & World Tourism Organization.
Wearing, S., Stevenson, D., & Young, T. (2010). Tourist cultures: Identity, place and the traveller. Delhi: SAGE.
Whitechapel Art Gallery. (2001). The Whitechapel Art Gallery centenary review. London: Whitechapel Art Gallery.
Yeoman, I. (2008). Tomorrow’s tourist: Scenarios & trends. Amsterdam: Elsevier.
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Films are a form of art that involves presentations of moving images. Films originated from photography as they are motion pictures resulting from high level of creativity and innovation. Their presentation as moving pictures makes them unique with respect to other forms of art like paintings. Films, according to Plato are a representation of the real world- a notion that has been strongly disputed by some film analysts and theorists. Plato was a theorist who believed in realism. Plato argued that filmmakers ought to reflect the actual society, human behavior, culture as well as nature and not just produce films for entertainment as their major role in the society is to inform and educate thus should not exaggerate or alter actual facts. This paper assess the filmmakers’ ability to imitate nature in their films with regard to Plato’s theory drawing examples from Blow-up film by Antonioni, Nananook of the North, Workers Leaving Lumiere Factory by Lumiere brothers and The Plow that Broke the Plains.
The Perception of Reality in Documentary Films: Exploring the Relationship between Reality and Filmmaker’s Interpretation
Plato believes that art, films inclusive, reflects the actual society. Plato argues that filmmakers’ ideas as well as issues expressed in films are inspired by actual events in the society and nature. He believes that filmmakers’ intention ought to be to educate the audience by presenting issues that affects the society as imitation is an appropriate natural mode of learning morals as well as ethics. However, most filmmakers’ intention is always to entertain and in their attempt to achieve that purpose they end up exaggerating thus distorting the actual events. They delude the truth and use language to make the film captivating and moving hence cannot be assumed to be a copy of the real world as explicated by Buckland (2011). For instance, in the film Blow-up by Antonioni, the filmmaker paints an exaggerated picture of a day in the life of glamorous photographer.
Plato believes that art is the imitation of absolute reality such that every image depicted in film has an original form in the actual world. However, the signs used in films to signify events, culture and human behaviors are normally unclear thus ambiguous. In most cases the symbols used express varied meanings such that the meaning deducted by the audience may completely differ from the meaning the filmmaker had in mind. The signs could represent anything in the society depending of the audience’s extent of exposure and scope of knowledge concerning the subject matter. Therefore, filmmakers cannot be assumed to imitate reality in their films as described by Buckland (2011). For instance in the film Blow- up, Antonioni uses a car as a symbol which could be interpreted to signify the protagonist’s elegance, wealth or style which may not have been the filmmakers’ original significance as suggested by Kozloff, M. (1967).
Plato argues that films mirror nature and human behavior because they bring about culture and portray human behavior. However, culture is prone to human manipulation. For example in most cases human beings make rules and regulations followed and believed in culture and often give nature as reasons for their actions. Buckland (2011) claims that human beings can choose what to view as nature and the aspects of nature to include in their culture. Similarly, filmmakers can choose the aspect of nature to incorporate in culture and aspects that they want the audience to view as reality thus cannot be considered to be expressing reality. For instance, the images of Inuk and his family eating raw meat in Nananook of the North is unnatural in the real context as much as it is not entirely impossible but it is the extraordinary aspect the filmmaker incorporates as a culture of people experiencing hardship on their journeys but is not completely true for every individual who find himself/herself in a similar circumstance as implied by Matheson (2011).
In addition, Buckland (2011) suggests that filmmakers do present their own ideas, opinions and experience which depend on their own level of interaction with human beings, environment as well as nature. As much as Plato suggests that filmmakers’ ideas are inspired by events in the real world, their level of inspiration depends on their own context of experience with reality, interpretation of life events and their own perception of humanity, nature as well as life. Therefore, their ideas cannot be termed to represent the entire society as the audience may have entirely different experience of a similar situation that would not have any connection with the ideas and opinions of the film makers. For in instance in the film, Workers Leaving the Lumiere Factory, the Lumiere brothers share their own ideas concerning workers’ behavior including their anxiety to get home and their extent fatigue after the days’ work but does not mean all the workers behave in a similar manner after work as illustrated by Allan, M. (2008). . Therefore, assuming that films imitate reality would be misguided as well as misleading since issues and ideas they present has no connection with the real world.
Buckland (2011) further suggests that the art of film production involves simulation. Filmmakers do reverse or recreate reality through simulation of real events. Therefore, they cannot be considered to be holding up to nature as the process of simulations alters the real world presenting the world in regard to filmmakers’ own image and liking. In the process of film production, filmmakers push things to their limit, modifying and manipulating them to achieve their own desires thus transforming reality such that the end results are models of reality which should not be mistaken to be real. They destroy the actual, making reality disappear since opposing deductions of a film are all true from the image they generate from. Thus tend to show events in the manner they did not appear in real life. Therefore as much as films have some aspects of reality in the resulting model they do not absolutely mirror the society. For instance in the film- The Plow that Broke the Plains, the events showed in the film are not the actual events instead are modeled with the assistance of the inhabitants of the plan to suit his intentions of informing the government of the suffering of the people as explained by Lorentz et al (2007).
Moreover, Buckland (2011) states that films are fictions hence cannot reflect the actual world. The process of film production does require creativity and innovation that employ imaginations hence films are illusions. In an attempt to make their work unique, outstanding and selling they incorporate a lot of imaginations mixed with reality. Their imaginations tend to reflect their own thoughts, desires or expectations of the society but should not be mistaken for real. For instance Antonioni’s Blow-up is a fiction story concerning the lifestyle of the protagonist who is a glamorous photographer thus cannot be real. Even documentary films of historical events do not imitate reality since in most cases filmmakers arrive at the scene after the occurrence of the event and attempt to recreate the events in the manner they imagined those events occurred originally with the help of eye witnesses thus liable to biasness as expressed by Eagleton (2003). .
Buckland (2011) says that nothing can absolutely reflect the real world since nature is complex, culture is dynamic and individual’s behavior is unpredictable thus nothing can exactly bring out the complexity of nature. Moreover, films are subjective hence cannot be taken as a representation of reality. Different inferences can be inferred from one film by different people hence films are not objective and those deductions would not be rejected as long as they are appropriately defended. Thus filmmakers do not copy the society because every individual has their own perception of reality just by the fact that we are unique in nature. Their interpretation depends on the audience hence the audience holds the vote concerning whether the film reflects reality or not therefore should not be coaxed into agreeing that the film imitate reality. For instance, in the film- Nanook of the North– the filmmaker documents the Inuk’s family’s experiences on their journey; showing the hardship they went through and the extent they went through to survive but those are not the challenges faced by every individual who at one point faced hardship on their journey as implied by Matheson (2011).
In conclusions, films are a unique form of art that express ideas or narrate stories by using motion pictures aimed at entertaining. The notion that filmmakers do imitate reality as claimed by Plato has been disputed and considered misleading. Filmmakers do not normally hold the mirror up to nature as they present their own perception of nature which is not entirely true given that every individual experiences nature and life differently. Besides filmmakers do not always present events exactly as they occur in the real world since they are clouded by their desire to captivate and impress the audience thus end up altering or exaggerating reality. In addition, films incorporate imagination of reality but that does not mean the events are real. The art of film production itself involves simulation of real events leading to reconstruction of reality thus the resulting models cannot be assumed to mirror the actual world. Therefore, filmmakers may attempt to express some aspects of reality but that does not mean they reflect the actual society as nothing can absolutely bring out the complexity of nature.
References
Allan, M. (2008). Deserted histories: The Lumiere Brothers, the pyramids and early film form. Early Popular Visual Culture. doi: 10.1080/17460650802150416
Buckland, W. (2011). Review of Richard Rushton, The Reality of Film: Theories of Filmic Reality. New Review of the Film and Television Studies. Doi:10.1080/17400309.2011.585876
Eagleton, T. (2003). After theory. New York: Basic Books.
Kozloff, M. (1967). The Blow-Up. Michelangelo Antonioni. Film Quarterly. doi: 10.1525/fq.1967.20..3.04a0060.
Lorentz, P., Stoney, G.C, Thomson, V., King, F., Gil-Ordonez, A., … Naxos Rights International Ltd. (2007). The plow that broke the plains: The river. United States: Naxos.
Matheson, S. (2011). The “True Spirit” of Eating Raw Meat: London Nietzsche, and Rousseau in Robert Flaherty’s Nanook of the North (1922). Journal of Popular Film and Television: doi 10.1080/01956051.2010.490074
With a student-centered approach, I create engaging and informative blog posts that tackle relevant topics for students. My content aims to equip students with the knowledge and tools they need to succeed academically and beyond.
The identified practical issue the paper will address is the prognosis method of physical examination used in predicting fifth disease among children below the age of 15 years. Fifth disease is very common among children aged 5 years to 15 years and is characterised with distinctive red rash on the children’s faces. The red rashes then spreads to the other parts of the body such as the legs, arms and trunk. Health care professionals usually predict fifth disease by the unique rashes on the body or the face of the child. This is done by physically examining the body of the infected patient. However, studies indicate that fifth disease starts with headache, fever and mild cold like symptoms or the runny or stuffy nose. Eventually these symptoms disappear and the disease seems to have gone away until days later when rash appear. These bright red rashes normally start on the face of the child and days later it spreads and extend to the arms, legs and the trunk (yyyy, uuuu, gggg). Furthermore, noted that an individual with parvovirus infection is very contagious before the appearance of the rashes. This implies that before the appeared of the rashes on the body and face, fifth disease is very contagious during incubation (period before onset of symptoms after infection) and when the child is experiencing mild respiratory symptoms. The current method for prognosis of fifth disease depends on physical examination after red rashes has appeared. The method is useful only after the incubation period of the virus and after the patient has passed the contagious phase of the disease.
Also referred to as erythema infectiosum, the disease is usually mild and spreads through the respiratory droplets entering the air from sneezes and coughs of an infected person or through blood. According to (), fifth disease is a viral disease that most children quickly recover from without any complications. Various studies indicate that despite the fact that40%-60% of adults globally show laboratory evidence of having parvovirus B19 in the past, most of them cannot remember experiencing the fifth disease symptoms. Therefore, it is believed by the medical experts that most people infected with parvovirus B19 have no symptoms at all or have very mild symptoms (ffff,gggg.kkk). () pointed out that fifth disease occurs everywhere and mostly it tend outbreak during early spring and late winter. However, there could be some sporadic cases of fifth disease throughout a year. () noted that these rashes normally spares the soles of the feet and the palms of the hand. As the rashes begin to disappear, they takes on an appearance that is lacy net like. According to (), older children complain sometimes that the rashes itch. Moreover, certain stimuli such as the stress, exercise, heat and sunlight may reactivate the rashes before it fades completely. For the rashes to completely heal, it may take about 1-3 weeks. Other symptoms that occurs sometimes with fifth disease include red eyes, swollen glands, diarrhoea, sore throat and rarely skin rashes that appear like bruises or blisters.
Despite the fact that healthcare professionals majorly depend on physical examination of the patient as a prognosis method for fifth disease, there is limited understanding on the physical examination prognosis method for fifth disease before appearance of the red rashes. As such, physical examination variables for prognosis of fifth disease before the onset of the red rashes varies significantly between the physicians. Although the doctors beliefs and the characteristics of the patient likely account for some of the disparity, it is likely that many cases of fifth disease will need minimal examination of the red rashes if the disease is to be detected in its incubation period to prevent it from spreading. To examine properly the physical characteristics of fifth disease in its incubation stage, it is necessary to consider the following factors; physical characterises, the severity of the characteristics, and the duration the characteristics has manifested themselves.
Blood testing of the parvovirus B19 allows the doctors to detect the virus at its initial stage put adequate measures to prevent the spread of the disease and to better manage it during its incubation stage. Fifth disease is caused by parvovirus B19 which is a human virus, and is not the same virus that affects the pets like dogs and cannot be transmitted from animals to humans or from human to animals.
Aim of project: this project seeks to introduce blood testing for parvovirus B19 as the best prognosis method for fifth disease among children. The paper hope to achieve the following improved outcomes:
Reduced rate of spread of fifth disease among the children from the time of infection to the period of the onset of symptoms (incubation period). This will also be helpful in taking precautionary measures to prevent the spread of the disease
Reduce intervention time from the period the child is infected to the time the child begins experiencing the symptoms
PICOT Question
In children 5-15 years (P), how does blood testing of the parvovirus B19 (I)compared to physical examination the body (C) influence reduction in the severity and spread of the disease (O) over 4 days (T).
(P)- Population: This describes a group of patients and uses factors such as gender, age group, having a condition or disease, ethnicity. In the study, the population will comprise of children 5-15 years suspected to be ailing from fifth disease and who have not shown red rashes on their body
(I)-intervention: This describes the intervention being considered such as a diagnostic/prognostic test or treatment method. In the study, the blood of the subjects will be tested for parvovirus B19. The subjects will also receive physical examination prognosis done to the control group who will not be blood tested or quarantined
(C)- Comparison: This is the identified alternative treatment for comparison. In the study, a standardised comparative prognosis sheet will be used. All the participants regardless of the group, would be tested using physical examination for fifth disease symptoms. However, the active group will be tested for parvovirus B19 on their blood unlike the control group
(O)- Outcome: This describes the effect desired or the patient outcome. Changes in the number of newly reported cases of fifth disease will be measured from the quarantined blood tested subjects and the free control groups
(T)-Time: This is a specific period of time over which the population will be observed and the outcome measured. In the study the outcome will be measured after 1 week
The practical issue of physical examination as a prognosis of fifth disease is significant in numerous ways. First of all, the outcomes of the method is poor and unreliable compared to blood testing of parvovirus B19. The method cannot be used when the fifth disease is still in its incubation period or before the symptoms start manifesting themselves. However, cost wise the method is cheap compared to blood testing since it does not involve any costs. Furthermore, the method can be applied by anybody unlike blood testing of parvovirus B19 which needs qualified medical personal (). According to (), physical examination also does not require any equipment for testing. On the other hand, blood testing of parvovirus B19 requires laboratory equipment for accurate prognosis.
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Cooge Pavilion is a restaurant located in the heart of the city. It specializes on offering a wide variety of casual lunches and dining experiences for the patrons. The restaurant has been in the market for more than a decade now. It has been touted for its unique organist ion which includes three floors, that is the ground, the Mediterranean and the roof. Each of the floors offers its own unique dining experience depending on what the patron is looking for. Perhaps the greatest feature of the restaurant is the rooftop bar, which allows patrons to enjoy a scenic view of the beach as well as offers a wide space for fun including an interesting array of drinks.
Cooge Pavilion has adopted a differentiation strategy by offering a wide variety of experiences for the average diner. The ground floor for example specializes in pizzas and burger, children under the age of 18 can be accompanied by adults and enjoy this dining experience. On the other hand, the rooftop specializes in adult fun only, with a range of alcoholic drinks and an exciting social interaction environment.
Furthermore, whereas majority of the restaurants located on the beach are highly priced and especially for the boutique restaurants, Cooge Pavilion maintains an averagely priced menu for both drinks and food. This means that the restaurant therefore enjoys a wide variety of loyal customers. This restaurant for example shows a high level of local patrons how the business keep running even when the tourist are absent.
Management
The restaurant has a manager who handles all financial and day to day management decisions. The manger reports to the owners of the organization who then are responsible for the executive decisions. It is important to note however, that the manager often has an upper hand in the decision making. This is because he is more aware of the situations on the ground.
Cooge Pavilion prides itself in offering quality service and food. To ensure this policy is maintained, the restaurant has three executive chefs who are in charge of the kitchens in each floor. A unique aspect of this arrangement is that the chefs often operate on a rotational basis between the three floors. Each executive chef is in charge of ensuring the supply of the best and freshest quality of products. They often meet in the mornings to discuss the menus and supplies for the day.
Day to day operations
A typical day at the restaurant begins at five every morning and ends well into the night. Chefs often take shifts to allow for rest. The morning shift has to handle the breakfast menu which has taken root and is in high demand within the area. At eight o clock, the executive chefs meet with the manager to discuss the menus and any changes to be implemented in the daily schedule. Because chefs are in charge of their own kitchens, they are also expected to hire their own approved staff including the service personnel. This is because; as shown by (Scanlon 1993 ) they can easily identify talent and train them to ensure that quality is maintained in the restaurant. However, every hire needs to be approved by the manager for purpose of maintaining some financial control. At the end of the day, chefs and managers again come together with the supervisors to evaluate the day including challenges experienced with the service delivery and solutions that could be implemented for the future.
Proposed Innovations
Cooge Pavilion has maintained a strong hold in the market. However, with changes in technology, there is need for the restaurant to take into consideration some of the following proposed changes which will allow efficiency in delivery of services.
Electronic menus
For the past decade, all businesses are attempting to go electronic for many reasons. Cooge Pavilion has three floors, with more than a hundred tables for the patrons. While electronic menus may seem luxurious, for this large restaurant they can help speed up the service delivery by handling backlog. Simply, each table will be fitted with an electronic menu which in turn feeds to the main menu an order schedule in the kitchen. The menu will include, what is available in all three restaurants. Each patron will be given the chance to peruse the menu, scrolling through majority of the beverages and food items available. They can then place their order directly or through a service waiter.
Service waiters will be available for any clarification and to assist the patrons in placing their orders. Because the restaurant is taking on a chef driven approach towards the menu creation, the available orders may change from time to time. However, the electronic menus will include as much information as possible on what is available.
Tablets for table and restaurant management
During busy hours, supervisors and chefs are often pressed with regard to the demands that have been put by patrons. Often, confusion reigns and leads to wastage especially where orders are not handled properly. Tablets input with the right software will allow the supervisors to keep track of the tables, the patrons and the orders. This will also minimize chances of waiters and service staff absconding with the payments and fees charged to the patrons. Through this system, the supervisors will keep track of the orders placed in a particular table and can also be alerted of any delays so that he can calm the patrons. The system also sends orders directly to the kitchen. Therefore, service staff do not need to enter and crowd the kitchen space. They can continue taking other orders, and only appear to take their orders when they are ready.
The system is very simple to operate. The menu for the day is input and during installation the placements of the tables is also input. Waiters have access to the system at various vantage points from which they can place their orders. The order is catalogued and immediately sent to the kitchen with an estimated wait time. The supervisor can track all this through the tablet. Once the order is complete, a delivery note is published by a press of the button. The delivery and receipt of the order are published together and prepared awaiting final approval. In case an order has delayed, an alert is immediately sent to the supervisor so that amendments can be made. In addition, chefs can confirm the orders easily through their own system ensuring that the service delivery is quick. The system is completely software, although hardware for operations are needed. It is also as unique as the restaurant itself and can therefore not be duplicated by competitors. Maintenance can be done easily, although professional knowledge of the operations system is required.
Effect of innovations on day to day operations
Electronic menus will increase the efficiency of service provided to the customers. As indicated before, Cooge Pavilion prides itself in quality service provision. With an electronic menu there are less chances of making mistakes and a higher chance of introducing customers to a wider variety of dishes and services in the restaurant. (Gordon and Brezinski 1999) state that often the service delivery staff do not engage customers in trying out the new products available. Because customers are unaware there are newer versions and a variety of more dishes available, they are less likely to try them out.
Both innovations will introduce Cooge Pavilion into a unique possibility. They will allow immediate interaction between the three categories of the restaurant. Bringing together these components has been a matter that the restaurant has considered for a long time. The electronic menu will allow the customers to view all menus including those of other restaurants. They can also order from these menus to compliment the food they are ordering from another restaurant. Supervisors can use the tablets to keep track of the different orders and the location of such orders. This will give the restaurant a new marketing opportunity. For example, families who have come with their children need not confine the choice of their menu to the ground floor because children are not allowed to the other floors, they can order drinks from the top floor to compliment their food.
Effect on management
Perhaps the greatest effect of the innovation will be with regard to ease of cost control and reduction of the same. Because clients can order directly using the electronic menus, fewer service delivery staff will be needed in the restaurant. This will greatly reduce the cost of service delivery while at the same time increasing the efficiency of service provision. Orders can be dealt with quickly and efficiently, yet the number of staff on the floor has been greatly reduced. This reduction will also increase the ambience of the restaurant which is often crowded with service delivery staff carrying trays or rushing to the kitchen to place orders and collect payment.
Secondly, it will be easier to keep track of finances, that is, items sold and payments made. (Mill 2001) states that majority of the restaurant losses come from miscalculations where clients are wither overcharged or undercharged. When clients are undercharged, it means the restaurant directly loses income. On the other hand, overcharging may lead to a bad reputation and loss of clientele who become disoriented with the restaurant. Tablets for table management will allow easy tracking of sales and payments. In addition, the automatic calculation means there are fewer chances of overcharging and disgruntlement. The tablet allows both the chefs and the supervisors to keep real track of the tables at any particular moment.
With this system in place, each order can be confirmed with the delivery and receipt in real time. In addition each item placed on order can be tracked to the individual who placed the said order. This will make the staff highly accountable and responsible for any orders in their name. There is expected to be a significant increase in profits and operational income once these systems are in place and the losses accruing have been handled.
References
Gordon, R. T., & Brezinski, M. H. (1999). The complete restaurant management guide. Armonk, N.Y: Sharpe Professional.
Mill, R. C. (2001). Restaurant management: Customers, operations, and employees. Upper Saddle River, NJ: Prentice Hall.
Scanlon, N. L. (1993). Restaurant management. New York: Van Nostrand Reinhold.
With a student-centered approach, I create engaging and informative blog posts that tackle relevant topics for students. My content aims to equip students with the knowledge and tools they need to succeed academically and beyond.
Over the past three decades, Christopher Lasch has established himself as a perceptive analyst of modern culture and the socio-political life of the Americans. As a great historian, his writings have combined shrewd evaluations of culture and politics through a robust examination of historical antecedents. This review is based on Lasch’s “The Culture of Narcissism” lamenting to diminishing confidence and loss of resolve found in contemporary American life. Further, the debates of assertions of Lasch perhaps persistent among the liberal have remained alive well beyond his death in 1994. Social critics, intellectuals, and historians have condemned and commended the role of the book in social critic, criticized his nations, and applauded his efforts to explain the problems of the diminishing American culture. This paper has described the assertions by Lasch regarding the loss of American culture from chapter to chapter and later provides an evaluation of the book wholly based on reflections of the outstanding chapters.
Book Review: Culture of Narcissism, American Life in an Age of Diminishing Expectations
Introduction
Christopher Lasch is an exemplary public writer in the field of sociology in the United States. Based on his focus on the socio-psychological change in the US, he contributed to the field of sociology by documenting the Culture of Narcissism. Lasch explained that the Americans had emerged “pessimistic” and had lost confidence as a result of the loss of the Vietnam War, the fear of depletion of natural resources, the slowed economic situation, and general fatigue after the tribulations of the sixties and that the pessimism led to the loss of resilience and creativity to comfort challenges of contemporary life. As such, he defined “narcissism” as the “psychological dimension of resilience on experts resulting from the loss of reproductive functions and productivity of the family. Perhaps, the use of productive functions, he referred to skills needed to meet material needs and reproductive function in having and raising children (www.labri.org/england/resources/…/AF03_Narcissism). The author took a narrowly clinical term and employed it to diagnose a pathology that appeared to have spread to all corners of American life. Notably, through his vigorous appraisal of contemporary American life and the combination of formidable intellectual grasp, and moral conviction, the book provides insights into personality in a stunning social context.
Chapter Summary
Chapter 1: The Awareness Movement and the Social Invasion of the self
In this chapter, Lasch reflects on the early political structure of the sixties where the Americans had retreated to personal preoccupations. The author emphasizes the American lives and indicates that the Americans had no hope of improving their lives, and people had convinced themselves that the element of psycho self-improvement is the fundamental thing that matters. As such, he writes that the Americans created awareness movement and social invasion of self by getting in touch with their feelings, taking lessons in ballet, and eating healthy food (p. 12). Further, Lasch provides notes in this chapter that the American’s sense of social invasion through authenticity and awareness reflects the retreat from politics as well as a repudiation of the past. Fundamentally, the chapter outlines the development of psycho self-improvement through awareness movement and to live for the moment is the prevailing passion.
Lasch observes that numerous commentators have seized on the resemblance of awareness as a means of understanding the contemporary cultural revolutions. Yet, this ignores the features that distinguish it from past religion. The chapter provides insights into the rise of therapeutic climate and notes that the authority of the poverty on America’s families: Assessing our research knowledge. Journal of the family has been wasted away. (Baron Larry. (2010) The Reproduction of managing the business. He has 34 years of experience in vehicle maintenance in the military in Florida, so has vast experience in its regional culture and personality: a critique of Christopher Larch. Sociological Spectrum (Vol 3) pgs 297 paragraph 2 and 298 paragraph 1 and 2)- can be found on the Tandfonline site
The author observed and described the emerging power of a new industry that supplanted the lost functions previously contained inside of the nineteenth-century family structure. He notes that schools, the juvenile court system, and child advocacy organizations providing parent education were promoted to the regulators of every dimension of child welfare with parents reducing to subordinates (www.reviews.ctpdc.co.uk/lasch.htm) (p. 16).
Chapter 2: Narcissistic Personality of Our Time
Lasch writes of criticism of narcissism which he described metaphorically and reflected that the new critics confuse the effects and causes of narcissism. Lasch underscores that narcissism presented as a way to overcome the repressive conditions of the past that are aimed to forget the past and establishment certain levels of happiness in the hopeless world. Lasch’s view of narcissism is from a clinical perspective and used descriptions found typically in the fields of psychology and sociology to describe this phenomenon. He observed that to fully comprehend narcissism, as a social and cultural phenomenon, it was essential to look at the expanding corpus of writing that addressed it (p. 31). The culture of narcissism described in this chapter provides robust details regarding clinical narcissism found in contemporary clinical studies and literature and imparted a description of Freud’s research works into human personality and behavior (https://launiusr.wordpress.com/2012/04/16/reflecting-on-christopher-lasch-and-the-culture-of-narcissism/). The chapter highlights that the theoretical precision about narcissism is significant since the idea is readily susceptible to moralistic inflation and the practice of equating narcissism with everything disagreeable and selfish militates against historical specificity (P. 33). Lasch describes the role of socialization in narcissism and indicates that it has led to new social forms that require new forms of personality, new ways of organizing experience, and new modes of socialization. (https://launiusr.wordpress.com/2012/04/16/reflecting-on-christopher-lasch-and-the-culture-of-narcissism/)
Chapter 3: Changing Modes of Making It
In this chapter, Lasch recounts the heightened levels of stress that accrued from personal accomplishments, occupational achievement, in particular. The story of success witnessed in the American society alongside the self-made respect is hugely present in the American society. Quoting two great sociologists, Philip Brief, and Robin Williams, Lasch demonstrated the American meaning of work ethics based on the myths of the capitalists. Lasch criticizes the American economy and highlights that there is excessive erosion of investments and savings by the growing inflation. According to him, American society is characterized by violence, lawlessness, and unpredictable situations that a denied Americans the hope to prosper. Moreover, Lasch’s view of success achievement is based on the development of credible power realities through policymaking and the pursuit of the administration based on objectivity (p. 61). Proper government structures, he observes constitute the necessary, yet sufficient cause of upward mobility. He observes that the current government structure is based on single-mindedness to the task and hand, and there is robust performance rhetoric, efficiency, and productivity that fails to provide mechanisms of hard work. According to him, the Americans had lost the capacity for spontaneous feeling and have embarked on social survival. The decline of individualism and lack of proper social structures symbolizes the issues that trouble American society.
Chapter 4: Banality of Pseudo-self Awareness
Lasch describes the theatrics of the politics of and everyday existence. According to him, the modern class of managers, professionals, and bureaucrats has gained increasing power in society. As such, he indicates that approach to serious social and political issues sometimes. Satire gets used to ridicule, expose and highlight human, political life has become a form of theater and entertainment. The politicians speak to the public through stage-managed events, advertising, and propaganda. Lasch (p. 72) writes that in the simpler time, advertising has called attention to the product and extolled these advantages. The Americans have found that public life has become distant, and they emerge powerless to participate in public activities. According to him the social sciences have significantly promoted politics and industry, providing innovative techniques to persuade, motivates, control workers, and manipulates workers, consumers, and citizens.
The professional and managerial class has aggressively expanded its power and influence suppressing the less affluent societies. The chapter outlines one of Lasch’s project based on the idea that expert judgments on the process of human social living are desired and highly attainable. The managerial class, he explains, discredits common sense, tradition, and personal judgments. Therefore, he indicates that this has led to the erosion of democracy and disempowerment of the American ordinary citizens. For instance, he highlights that the overexposure to manufactured illusions by the managerial class has destroyed the representational power of the citizens (p. 87).
Chapter 5: Degradation of Sport
Lasch observes that sports have also been subjected to corruption. He takes the critics of sports to a task for using elements of extreme statements in which the old-fashioned coaches defend sports as a route to Americanism and manliness, to describe the entire sports profession. Lasch writes that sports affiliates would wish to abolish competition and eliminate the standards of athletic excellence. The broadening of possibilities for participation in sports, Lasch observes, represents a decline in the standards only because there is a reduced multifaceted nature of sports to a single element. He describes this as the display of “virtuosity” by a superior artist before an audience. According to his critics of sports, that might the only significant aspect of sports, however, he eliminates other elements such as participation in intramural sports alongside activities such as hiking, jogging, swimming, and a competitive sport whose intent is to develop physical fitness (p. 105). The chapter equates the widespread of increased sports participation demands with a call for therapy and provides that physical fitness is an ulterior purpose that leads to degradation of sports and excludes a wide variety of sporting activities encompasses today. The chapter focuses on the development of athletic programs in private schools and colleges and ignores the developing body of literature that the effectiveness of sports in Americanization and regulation of leisure activities of the working class.
Chapter 6: Schooling and New Illiteracy
In this chapter, Lasch underscores that the schooling system has led to the development of an elite class of managers, professionals, and bureaucratic that has gained increasing power. According to him, individuals cannot speak for themselves and much less come to an intelligent understanding of their well-being and happiness. Schooling has created a valueless world for the less affluent, only accepting those of the market hence the education system has failed (p. 126). The market has universalized itself, and it does not necessarily coexist with institutions operating based on the antithetical principles to itself. Lasch observes that universities and schools, newspapers, and magazines have been absorbed by the market. (http://zgm.se/files/Lasch_Christopher_The_Culture_of_Narcissism.pdf) Besides, it puts an irresistible pressure on the daily activities to justify that itself is the only term it recognizes. The current schooling has turned the market into entertainment, and scholarship into professional careerism, and social work into scientific management of poverty.
Chapter 7: Socializing Reproduction and the Collapse of Authority
The social structures of small communities and families, in which children learned the business of being human from interaction with trusted adults, according to Lasch, have been disrupted and massively discredited. Many times, the adults interact with their peers in workplaces while the children are sent to school where they interact with one another and few selected adults. Moreover, the chapter outlines the degrading changes in acquiring literacy were at home, the interaction with adults is minimal and is largely organized in the consumption of commodities. Such commodities, he outlines include entertainment from movies, TV, and games (p. 160). Thus, the family bonds are strained, and the role of parents in the education and socialization of children has been minimized. Besides, the parental authority has been radically undermined. In his view, adults are culturally sanctioned for failing to fulfill the wishes of their children and for hurting the feelings that have reduced them to negotiating with their children and bringing them to embrace good behavior. He concludes that the adults have failed the parental tasks of socializing children, and they have become insecure tyrants. (http://www.eiu.edu/historia/Scott.pdf )
Chapter 8: The Flight from Feeling: The Sociopsychology of the Sex War
The short chapter starts with the claim that the modern dream of the capitalists or wealthy individuals’ erotic, satisfying and emotional relationship is an illusion. The chapter outlines that personal relations crumble under the emotional weight whereby the rich are burdened. He underscores that love is based on trust, and the United States (Arroyo, 2001). The Japanese culture of narcissism makes it difficult to trust anyone in the culture of narcissist people. Therefore, people are so vulnerable, isolated, so fearful that they can’t even establish and maintain satisfying emotional relationships (p. 193). Lasch observes that the sexual revolution has not allowed people to become more intimate, contrary to the hopes of the liberationists of the 20th century. Thus, love has simply made us promiscuous. Besides, Lasch writes that the degradation of work and the impoverishment of communal life has forced Americans to turn to sexual excitements to satisfy their emotional needs (p. 193-194). There is a sense of togetherness where men and women acknowledged each other’s inadequacies without making them the basis of causal relations with their own sex and ideological alternative to love.
Chapter 9: Shattered Faith in the Regeneration of Life
Lasch introduces the dread of old age and Lasch shows that there are two problems of seeking prolonged life and improving its quality and the medical problem (p. 207-208). He indicates that both approaches rest on hope and the powerful aversion to the prospect of bodily decay. Old age inspires apprehension, moreover, not because it represents the beginning of death but because their condition has deteriorated in modern times. He writes on the social theory of aging and depicts that the dread of age originates in the cult of the self rather than the cult of the youth (p. 217). The chapter has emphasized the significance of subjectivity to teaching, and the entire process of education. The significance of subjectivity that is inseparable from the social when people are together in solitude leads to the reconstruction of the relationship in the society to restore the “shattered faith in the regeneration of life. The emergence of narcissistic personality reflects the drastic shift in the sense of historical times of the Americans. The chapter introduces the theory of aging and indicates that the dread of aging originates not in a “cult of youth” but in a cult of the self (p. 217).
Chapter 10: Paternalism without Father
Lasch observes that paternalism has risen from the ruins of the old paternalism of priests, kings, authoritarian fathers, and landed overlords. People have been thrown into slave and feudalism then outgrown in their own familial and personal form. The capitalists have evolved a new political ideology, welfare liberalism that absolves individuals of moral responsibility and treats them as victims of social circumstance (P. 218). The managerial and the professional class continue to be the ruling class which has taken inherited advantages for granted (p. 221). According to him, capitalism has removed the family heads from the home to go for work and the care for the children outsourced to other institutions. The author conservatively criticizes the elements of bureaucracy that have so far remained imprisoned in the assumptions of the 18th century. The reason behind it was political liberalism, which objects to the cost of maintaining a welfare state (p. 232). (Kathy Smolewska & Kenneth Dion: Narcissism and Adult Attachment: A Multivariate Approach. Self and Identity: volume 4(1), (pg 63 and 67): found on and online. Com)
Evaluation
Lasch’s “The employee engagement is not an activity that is to be ticked off in the calendar of change. It is to become an everyday part of the organization Culture of Narcissism, American Life in an Age of Diminishing Expectations” emerged as the best selling sociology textbook when it was first published in 1979. The book stands as one of the most distinctive works of commentary and social criticism of the last three decades. The metaphoric use of the term narcissism is indeed an experimental venture, and it is filled with well-addressed social theories that made the book become of the catchphrases of popular psychology. The iconoclastic Lasch observes that Americans in the 1970s had developed a specific form of narcissism that obligated most citizens to constant external validation. According to Lasch, this resulted from the post-World War II of the liberal government and politics, economic wealth, spiritual bankruptcy, and persistent and unsuccessful attempts to establish self-actualization (Roweton 1980, p. 149). In essence, the author established evidence of utopianism stemming from the long-term social disintegration through the aforementioned actions. Further, this led to self-transmuting in the 1970s and the endless search (http://users.telenet.be/jan.de.vos/narcissism%20and%20the%20dsm-v%20JAN%20DE%20VOS.pdf) for personal growth that again was completely fruitless and increasingly elusive.
Notably, the book provides a robust exploration of the rising of the individual to the level of iconography that has permeated the very dimensions of American culture. According to Roweton (1980, p. 151). Lasch viewed the development as the ultimate detriment of American culture. Notably, the book provides considerable effort in characterizing the evidence of narcissism as the result of an organized kindness and its respective manifestation of seeking humanity’s constant external validation. The aspects of development through a variety of priorities and representations traced in the book provide the readers with the knowledge of the quest for wealth and fame that existed in their culture. Characterized as “making it”, the highlights on the popularity self-awareness, the rise of celebrity and people becoming famous, and the turning of politics into a spectacle, educational transformation provide a range of the objectives that constituted the American culture. ( www.ahalmaas.com/system/files/…/culture_narcissism.pdf)
(http://users.telenet.be/jan.de.vos/narcissism%20and%20the%20dsm-v%20JAN%20DE%20VOS.pdf, Despite some aspects of Lasch’s arguments sounds like personal grousing from a curmudgeon than reason, the book offers a complex analysis of the American culture and its priorities. The author, according to Roweton (1980), was a fundamental critic of mass society. The documentations of the book, Culture of Narcissism, is pivoted at the modern psychic development n the rise of masse production, with its destruction of economic independence, the professionalization of education, social welfare, management, and concomitant deskilling of workers. Besides, the book provides a strong sense of alongside a deep concern about the trajectory of America as it leaves the reader with anticipations of the current ills of the American nation. For instance, the discussion of the women’s rights movement portrays the current ills of America. Lasch laments on the treatment of role in their general health. For instance, cervical cancer, ovarian cancer, and childbirth only affect women against women as the primary causes of discrimination and sexual danger that women get exposed to in society. As such, the book enables the readers to understand the resentment of men against skeletal muscles. In a study conducted by (), the findings indicated that HRT improves the functions of muscles in women since men still control most of the wealth and power the American society, yet they still feel threatened ( Lasch 1979, p. 205). Notably, the irrational power and wealth juxtaposition and intimidation analyzed in the book are supported by another theme.
It is significant to underscore that Lasch establishes the use of liberals and conservatives used in a culture of narcissism to support their individual societies deem as normal gender roles. Gender is personal, part of everyone’s developing identity and web of relationships, but it is also political agendas since the 1970s. Lasch enables the readers to understand the demise of traditional values in the history of the republic as this evidently led to the modernization of families and the community. Indeed, the work of Lasch in The Culture of Narcissism has addressed significant social and existential themes, thus drawing on a deep vein of commentary about alienation and anomie from various authors. Reading the book, seemingly, is both a rewarding and challenging experience. The biting critics drawn from a particular time and place provide wisdom most applicable.
Conclusion
Narcissism refers to ungrounded, weak, insecure, defensive, and manipulative self that represents the psychological dimension of dependence. Undoubtedly, in the “Culture of Narcissism”, Lasch has potentially uncovered the problems of the 20th-century American life arising from the aftermath of the turbulent 1960s and the narcissistic tendencies born this pessimism, which expanded corporate and industrialization control of all dimensions of human life. However, most of the writings are well-supported by data. Throughout the chapters, the central incident denotes that Americans have isolated themselves from the past, and, therefore, have lost a sense of responsibility for posterity. The analysis of the book is well informed by psychoanalytic and social theory alongside historical learning that significantly influences the moral-intellectual climate of American society. In a nutshell, Lasch had hopes that intellectuals would lead America to democratic socialism as the Americans were not achieving true democracy and freedom.
References
Lasch, C. (1978). The culture of narcissism: American life in an age of diminishing expectations. New York, Norton.
Roweton, W. E. (1980). Lasch, C. The culture of narcissism: American life in an age of diminishing expectations. New York: W. W. Norton. Psychology in the Schools.17, 141-156.
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