Monday, September 30, 2019

Existence of God Essay

Descartes applies the ‘Cogito ergo sum’ (‘I think therefore I am’) argument from the second meditation to prove another foundational truth, which is the existence of God. He uses his personal Christian belief and definition of God to build upon this proposition and tries to prove that something besides him exists by contemplating his idea of God. This essay will explain and assess Descartes’ aetiological and cause of existence arguments for the existence of God by identifying the meaning of existence in this context and the clear and distinct rule, as well as examining each premise and conclusion of the proofs. Finally, this essay shall attempt to evaluate Descartes’ arguments. The Third Meditation begins with Descartes’ affirmation of his own existence. He is a thinking thing which exists by clear and distinct perception, and it is therefore impossible to be doubtful of knowledge that he completely understands. Certainty and truth are equated. In order to establish the clear and distinct rule, Descartes must prove the existence of a perfect and undeceiving God: â€Å"Since I am a thinking thing, and have in me an idea of God, whatever finally the cause may be to which my nature is attributed, it must necessarily be admitted that the cause must equally be a thinking thing, and possess within it the idea of all the perfections that I attribute to the divine nature.† Descartes has an idea of God and perceives that God would not deceive him since deception would mean imperfection, and God is infinite and perfect. Descartes also presents the idea that with God’s perfection comes His existence. This can be summarised as: |(P1) |Descartes exists because he thinks. | |(P2) |He exists by clear and distinct perception of things. | |(C1) |Descartes exists as a thinking thing. | |(P3) |As a thinking thing, he has an idea of an infinite and perfect God (which is clear and distinct). | |(C2) |God is infinite and perfect in his idea. | |(P4) |Existence is perfection. | |(C3) |An infinite and perfect God exists in his idea. | This is an argument considering the idea of God alone and does not rely on experience to prove his point. This relies on the ‘Casual Adequacy Principle’[1]. Descartes argues: â€Å"There must be at least as much reality in the efficient and total cause as in its effect.† He claims that his idea of a perfect God must itself be caused by something perfect. Descartes also defends this argument by insisting that: â€Å"†¦.certainly not nothing, and so it cannot come from nothing.† For example, the existence of a stone (which previously did not exist) must be produced by something which contains the components of a stone. The cause must have more reality than its effect. The flaw here is that there is no definite connection between the cause of an object (something perfect) and its effect (idea of a perfect God). If there were, then it would follow that perfection created God, and that perfection must have been caused and created by something else, and so o n and so forth, which would lead to an infinite regress. This idea therefore, does not have a straightforward cause and is false. Hume argues that we can conceive of something perfect without any bearing on its actual and immediate existence. It is logically possible that some ideas have no cause. If the idea of God has no cause, Descartes’ proposition is false and the argument fails. Another variation of this argument is that the idea that God cannot exist in Descartes’ mind unless God Himself put that idea there, and that God must have brought about Descartes’ existence; not himself, his parents or something else less than God, which does not have a power and perfection to cause this, neither could an infinite series of events, each causing the other but not able to cause the idea of God: â€Å"Altogether then, it must be concluded that the mere fact that I exist and I have within me the idea of the most perfect being, that is, God, provides a very clear proof that God indeed exists.† This can be summarised as: |(P5) |If the cause of Descartes’ idea of God must not come from himself, his parents, something else or infinite series of | | |events. | |(C4) |Then the cause of Descartes’ idea of God is God. | |(C3) |An infinite and perfect God exists in his idea. | |(P6) |Neither himself, his parents, something else, nor an infinite series of events causes Descartes’ existence. | |(C5) |Descartes’ existence is caused by God. | |(P7) |If God created Descartes. | |(C6) |Then God exists. | This argument depends more on assertion than logical progression, but Descartes goes on to try and prove through the ‘aetiological’ or ‘trademark argument’ that the presence of the idea of God in our mind means that God has stamped it there. It is innate and cannot be explained by experience. Descartes’ idea of God is clear and distinct, and by God he means infinity and perfection. This can be summarised as: |(P3) |Descartes has a clear and distinct idea of God. | |(P8) |Only something infinite and perfect can create something infinite and perfect. | |(P9) |The only infinite and perfect being is God. | |(C7) |The idea of God must be created by God (the same as C4 but reworded) | |(P3) |Descartes has a clear and distinct idea of God. | |(C8) |God exists clearly and distinctly in his idea (the same as C3 but reworded) | If both P3 and C8 are true, Descartes is guilty of circular reasoning (begging the question fallacy). This argument relies upon its conclusion. It also follows God exists only as an idea. However, Descartes claims that there are different kinds of clear and distinct perceptions; one that could be subjected to doubt, for instance: 1 + 1 = 2 is a judgement (which corresponds to things that exist independently of him) and can be doubted unless God confirms it, and, therefore, potentially doubtful. The other is that his clear and distinct perception that God exists is an idea with no judgement attached and somehow immune from doubt (he cannot be wrong about the contents of his own thoughts/ideas). This makes me think that Descartes awards himself the prerogative of distinguishing ideas that can be clearly and distinctly perceived from those which cannot. In this essay, and in Descartes’ meditation, the word ‘idea’ has come up numerous times. This leads me to conclude that the only proof that Descartes manages to establish is that God exists as an idea. He does not have to build the reality of God’s empirical existence into an idea that is already clear and distinct. However, it does not follow that anything represented by such an idea actually exists, except, of course, in the case of God (again, probably one of Descartes’ prerogatives). For example, within my reasoning, I possess the concept of God but do not have to believe that He exists; but as a believer, I may argue that God exists for reasons which our intellect cannot grasp. This requires a ‘leap of faith’ rather than hard evidence. Similarly, someone may argue that they can conceive of there being dragons. We all understand what dragons are, but do not necessarily believe they exist. It is probably therefore necessary to build empirical, actual existence into the argument to prove that anything exists in a concrete and meaningful way. Apart from the flaws identified in Descartes’ arguments, much of his reasoning seems sound and valid. He has established two fundamental truths: ‘I exist’ and ‘God exists’ to be logically necessary, clear and distinct ideas. So, as a matter of logic, it does not make sense to doubt the existence of the idea of God. However, Descartes’ argument does little to endorse my residual belief in God, which results from a convent education. The idea of God made in man’s image is comprehensible to most people. Indeed, â€Å"The idea of God is central to religion, and without it, religion would not exist.† (Mary Warnock). This is a perfectly valid argument but no proof of God’s existence outside the mind. Bibliography Burns, E. and Law, S. 2004. Philosophy for AS and A2. Oxon: Routledge Cottingham, C. 1996. Descartes Meditations of First Philosophy. Cambridge: Cambridge University Press Thornes, N. 2008. AQA Philosophy. Cheltenham: Nelson Thornes Ltd Vardy, P. 1999. The Puzzle of God. London: HarperCollins Publisher Warnock, M. 2010. Dishonest to God. London: Continuum International Publishing Group Online Textbook Pecorino, A (MD). 2001. Philosophy of Religion. Queensborough Community College, CUNY Website http://plato.stanford.edu/entries/descartes-meditations http://en.wikipedia.org/wiki/Causal_adequacy_principle Word Count 1,346 ———————– [1] CAP is a philosophical claim made by Descartes that the cause of an object must contain at least as much reality as the object itself, whether formally or eminently.

Sunday, September 29, 2019

Gangnam Style Speech

If the phrase â€Å"Oppa Gangnam Style† doesn’t mean anything to you yet, you may want to Google it or ask your friends about it, or you’ll be left wondering why everyone is hopping up and down on invisible horses. The combination of catchy riffs and the corny-yet-hip dance moves made the music video by Korean artist Psy (short for â€Å"Psycho†) the most â€Å"liked† YouTube video of all time. Who is this Psy? Where exactly is Gangnam and what is its style? Well, I have all the answers for you.Today, I’d like to share you about Gangnam Style including a man behind Gangnam Style, the meaning of Gangnam Style, and its achievements. First, a man behind gangnam style. Park Jae Sang, known as PSY, is a Korean hip hop artist under YG Entertainment. He debuted in January 2001 with his full-length album titled â€Å"PSY†¦ From the Psycho World! â€Å", for which he later had to pay fine due to accusations saying that the album contains  "inappropriate contents†. Since then PSY has become a controversial artist as his second album was even banned in 2002.However, he gained much fans with his style of music. He is especially popular for his sense of humor. In summer 2012, PSY launched himself into an international stardom through â€Å"Gangnam Style,† the song that he wrote, composed and produced by himself. The term â€Å"Gangnam Style† was listed in Time's weekly vocabulary list as a manner associated with lavish lifestyles in Seoul's Gangnam district. Gangnam is the area where rich and fashionable young people get together. This song describes a guy who wants to be cool and stylish like a typical Gangnam person, but eventually fails.Psy said in an interview that he intended a twisted sense of humor by claiming himself to be â€Å"Gangnam Style† when everything about the song, dance, looks, and the music video is far from being such a high class. â€Å"People who are actually from Gangna m never proclaim that they are—it's only the wannabes that put on these airs and say that they are â€Å"Gangnam Style†Ã¢â‚¬â€so this song is actually poking fun at those kinds of people who are trying so hard to be something that they're not. † – Psy. Now we know about Psy and Gangnam Style more, right?Third, let’s talk about the achievements of the song and its accompanying music video â€Å"Gangnam Style† was recognized by Guinness World Records as the most â€Å"liked† video in YouTube history and won Best Video at the MTV Europe Music Awards. The song reached the number one position in more than 30 countries including Canada, France, Germany, and the United Kingdom. As if that’s not enough, Psy himself visited the U. N. and taught Gangnam Style dance moves to Secretary General Ban Ki-moon. Together, they rode invisible horses.According to the United Nations, PSY has become an â€Å"international sensation† through h is song â€Å"Gangnam Style Psy is far from the word â€Å"handsome† but he chose not to have a plastic surgery. He had kind of a tough run to this point. As we all know that Korean music is exceptionally focused on looks, and Psy is not a good looking guy, so he had to work his way to the top. It took him six albums to become a superstar. I admire Psy a lot because he is true to himself. He reminded me of Sebastian's line in The Little Mermaid that â€Å"You got your own style, now let it come through. And remember no matter what, you got to be you. â€Å"

Saturday, September 28, 2019

Arthur Andersen’s Legal Ethical Issues

Describe the legal and ethical issues surrounding Andersen’s auditing of companies accused of accounting improprieties The largest bankruptcy of a non-profit organization,the investors of Baptist Foundation of Arizona sued Andersen which served as the auditor for $217 million for issuing false and misleading approvals of BFA financial statements and also lost $570 million donor funds. BFA management allegedly took money from other investors to pay off the current investors which the court held that there is a Ponzi scheme going on.Here, the auditors of Arthur Andersen has clearly compromising their integrity and honesty by issuing a false information to the public. The next company up in the sacks is Sunbeam whereby Arthur Andersen audits failed to address serious accounting errors while they issued an unqualified opinion. Losses to the shareholders amounting to well over $4. 4 billion and 1,700 people was jobless. Andersen paid $110 million out of an approved $141 million for the settlement of the case which they resolve the claims without admitting fault or liability.Andersen was also named in the case of Waste Management where they could earn additional fees in some â€Å"special work† which in this case overstating nearly $1. 4 billion earnings. At first, Andersen identified those improper accounting practices and presented them but both Waste Management and Andersen went into a closed-door engagement with Andersen to write off those accumulated errors. Here there is a Self-Interest threat.In the case of Enron, Andersen admitted that they had destroyed a number documents concerning its audit on Enron which had filed bankruptcy in late 2001. The destroyed documents had led to an indictment for obstruction of justice on March 14, 2004. Further scandals surfaced and this time is WorldCom where they blame Andersen for failing to find the accounting irregularities however Andersen blame for the scandal insisting that the expense irregularities had not been disclosed to them and it had complied SEC standards in its auditing for WorldCom

Friday, September 27, 2019

Arbitration Law Assignment Example | Topics and Well Written Essays - 2000 words

Arbitration Law - Assignment Example First the seat of the arbitration3 should be in England or any other country signatory to Convention on the Settlement of Investment Disputes between States and Nationals of Other States, or Panama Conventions to ensure enforcement of arbitral awards.4 The seat should, as far as possible, be outside jurisdictions  known for judicial interference. For example, the Argentine Supreme Court, in June 2004 Cartellone decision,5 held that waivers were invalid when issues of public policy are at stake.6 Secondly, the clause should include a commitment by the company to resolve disputes through arbitration such that rights and duties of each party cannot be determined by a unilateral action of the host state. With regards to the laws applicable, article 4(2) of ICSID convention gives the parties autonomy to decide the law that is applicable to them, whether national law or international law. Article 4(2) requires an ICSID tribunal, in the absence of agreement by the parties on applicable la w, to apply laws that are applicable in the state party that is a party to the dispute, and rules of international law that are applicable. In AIG Capital Partners Inc. v. ... The scope8 of the clause should be wide and cover all the possible disputes that are likely to arise from the contract. With regards to an arbitral tribunal,9 TLG should advocate for an institutional rather than ad hoc one. Most importantly, the government of Languada should expressly waive its immunity with regards to both jurisdiction and execution of the arbitral award. Enforcement proceeding against assets of state owned companies may implicate issues under state and foreign law. Moreover, they should structure the clause so as to gain access to the arbitral jurisdiction established by international investment treaties.10 In conclusion, TLG should consider including the model clause proposed by ICSID or any other international body such as ACICA.11 Word count: 475 References. Arbitration Act 1996 s 1(c)Arbitration Act 1996 s 3 Arbitration Act 1996 s 3 Arbitration Act s 15 Case law GSS Group v. National Port Authority Civil Action No. 09-1322 (PLF) (D.D.C. Mar. 2011. AIG Capital P artners Inc. v. Republic of Kazakhstan. Internet Sources Applicable Law in Investor-State Arbitration, http://www.arbitration-icca.org/media/0/12112009316810/applicable_law_in_investor-state_arbitration.doc (accessed March 19, 2012). Asit Ranjan Mishra, Mint, New Delhi. India rejects investor-state clause in FTA with EU. July 4. Sierra club of Canada. http://www.sierraclub.ca/en/main-page/india-rejects-investor-state-clause-fta-eu( Accessed 19t march 2011) Others Bishop R, Crawford J & Riesman M. cases. Foreign investment disputes: cases, materials, and commentary.(Kluwer Law International. 2005 Dugan, C. Enforcement Against Assets of State-owned Companies. (September 2009). Dugan C, Rubin, N, Wallace D, & Sabahi, B. Investor-state Arbitration. (Cambridge University

Thursday, September 26, 2019

Patients with terminal and preterminal cancer- Evidence Based Practice Assignment

Patients with terminal and preterminal cancer- Evidence Based Practice - Assignment Example Round the clock administration of oral morphine for acute and chronic pain in patients with terminal and preterminal cancer is a widely accepted procedure. However, the need to administer the drug frequently and the increased risk of analgesic efficacy poses a problem in the management of pain in cancer patients. Several studies have reported other means of administration of opioid without altering the analgesic efficacy and without cumbersome dosing schedules. A couple of such important strategies are controlled-release morphine tablets and fentanyl-transdermal therapeutic system. To ascertain as to which is a better strategy for pain relief in cancer patients review of literature is essential. Making clinical decisions based on appropriate evidence is known as evidence-based practice. According to McKibbon (1998), "Evidence-based practice (EBP) is an approach to health care wherein health professionals use the best evidence possible, i.e. the most appropriate information available, to make clinical decisions for individual patients. EBP values, enhances and builds on clinical expertise, knowledge of disease mechanisms, and pathophysiology. It involves complex and conscientious decision-making based not only on the available evidence but also on patient characteristics, situations, and preferences." Literature review is the most critical exercise for EBP. Literature search for EBP can be done effectively by creating appropriate question in PICO format. In this assignment, literature review for an evidence-based answer of a clinical question will be discussed after deciphering the question in PICO format. The literature search will be performed in a systematic manner through electronic databases. Clinical Question "In patients with terminal and preterminal cancer, which is the most appropriate strategy for pain relief? Oral sustained release morphine or transdermal fentanyl?" PICO Population: Patients with cancer in preterminal or terminal stages with acute or chronic pain Intervention: Orals sustained release morphine Comparison: Intradermal fentanyl Outcome: Relief from pain Search Process The commencement of search in electronic databases was based on the inclusion/exclusion criteria and knowledge of the hierarchies of evidence. Hierarchy provides a confidence measure to the end-user (Evans, 2003). According to Evans (2003), random control trials can be considered of good standard and they are in fact labeled as the gold standard of research for providing optimal research designs to answer pertinent questions. However, systemic reviews and meta-analysis have topped the hierarchy list. The databases used for search were PUBMED, Google Scholar and CINAHL. The MESH terms used in PUBMED were cancer pain (AND), morphine (AND), fentanyl (AND), & pain (AND). The limits used were adults and

Death Penalty and the American Criminal Justice Research Paper

Death Penalty and the American Criminal Justice - Research Paper Example It is aligned with the retributive justice system where there is a focus on the crime, the criminal and punishment and justice is meted within the "eye for an eye" context. Capital punishment has been sanctioned mainly because it is supposed to serve three purposes: deterrence to crime, retribution for the victim and repentance on the part of the criminal. According to Banner, these promised benefits have not been met (23). Particularly, the death penalty failed to drive a decrease in heinous crimes. In addition, claiming the life of an offender for retribution and repentance is morally inconsistent. There is the ethical challenge of weighing the lives of the innocent against that of the guilty. This is further aggravated by the position that the government is partially to blame for failing to prevent serious crimes. There is the position that individual offenders are not the sole responsible for criminality so there is the question of whether they should be made to bear the brunt of such extreme punishment. These variables tend to violate the morality and ethics of using death penalty in order to serve their stated purposes. The American Law Institute, the very organization that created the death penalty through the Model Penal Code of 1963, withdrew its approval of the capital punishment. The organization argued that death penalty is not aligned with the core legal values of the United States that is why it should never have been sanctioned in the first place (Hood & Deva, 182). This was highlighted by Zimring and Simon when they pointed out that there is always a risk of error in administering the death penalty and the consequences of this event far outweigh the potential benefits in terms of harm done and the justice being called for in the resolution of crimes (158). The US Supreme Court is also known to support its abolition. Early decisions have established the judicial view that capital punishment is  unconstitutional and it violates the Eighth Amendm ent of the US Constitution.

Wednesday, September 25, 2019

UK National Health Services Essay Example | Topics and Well Written Essays - 1500 words

UK National Health Services - Essay Example The UK National Health Services has long delivered care and public health programmes through primary care. The community oriented primary care based on general practice populations and other health workers has debatably been able to make a significant headway against all odds mainly because of failure of primary care population failing to assume responsibility and proactive ownership of the process involved in improving the health of the population. The ideal would have been tailoring the primary care according to the local needs to a personalized care. Despite predominantly biomedical and humanist orientation, general practice in the United Kingdom has long been infused with knowledge and skills traditionally associated with public health medicine. The philosophy involves protecting, maintaining, and generating good health through a combination of individual and family assessments and provision of a supportive environment. This policy, to be able to be successful, demands closer working relationships between the public and the professional and the system acting as an integrating catalyst between the two and the policies building the ground rules for close collaboration and exchanges. The clinician in this framework has essentially dual responsibility in the sense that he needs to devise and implement anticipatory measures to reduce the risk of a future illness within the guidelines of the framework as well as to treat the disease in case of an incidence. Assuming the responsibility of both community and clinical function is painstaking since this calls for establishment of a new alliance between the health professionals and patient population to co-produce health in a joint venture. Unfortunately even though, this is sound theoretically, practically, the market-oriented reforms in the health services in an attempt to redefine and strengthen the discipline of health services did not help much to improv e the perceived the decline in the quality of care. This happened essentially due to a fault in the framework itself. The desired result and improvement was never achieved since the internal market within the service framework tended to separate the roles of health authorities and practitioners. The public health professionals sought to develop strategic planning and purchasing functions within the health authorities mainly to remain in control as they were, and in contrast, the fund holders dismissed the constraining disciplines of needs assessment and service evaluations (Majeed, A., 2003). Child Health Services: It is important to consider child health services in the framework. It is an important indicator for quality of care services. United Kingdom health services pay particular attention to the children in need. Children in need are defined as those who will be unable to achieve and maintain a reasonable standard of health or those whose health or development is likely to be significantly impaired or further impaired without services. This puts in place services for the children in need, for the children with disabilities, with family difficulties, and with poverty. Using school health as an example, the problems are known to be encountered liaising with the education

Tuesday, September 24, 2019

Leadership Essay Example | Topics and Well Written Essays - 2750 words - 1

Leadership - Essay Example Many researchers have been struggling to define and explain the leadership traits, theories, challenges and related affairs. The importance that has been given to this area of research is the importance of leadership on employees, performance and overall success of the organizations. There have been a lot of facts and myths associated with the concept of leadership. In the past, leadership was linked by people with the superhuman characteristics bestowed by God to various leaders. This idea was further developed by Weber and named as Charisma by him. The leadership charisma involved the qualities and special characteristics that leaders posses. The leaders having leadership charisma are Charismatics. The concept of Charisma actually directs towards the special power and influence of Charismatics over the followers (Rickards & Clark, p79). In addition to the concept of charisma in leadership, it has been a point of debate if leadership skills are inborn or they can be taught. Researchers have been struggling to find an appropriate answer to this. However, it is not unjust to say that the answer to this question contains an equal portion of both statements. The answer to this question has been given attention for the reason that it may help organizations have effective leaders. Brainpower is the only thing that requires being in a person naturally. Knowledge can be gained, skills can be learnt but intelligence cannot be generated. A person needs to be intelligent and sharp in order to gain knowledge and utilize it. Leadership requires certain traits in a person. These traits include strength of mind, interest to resolve issues, ready to face challenges, power to proceed with plans, will to succeed, determination and passion (Levicki, 2008). Leadership qualities, theories and concepts are valuable and useful when it comes to practical life. The leadership skills are not limited to benefit in businesses but

Monday, September 23, 2019

Struggles for Freedom and Equality Assignment Example | Topics and Well Written Essays - 250 words

Struggles for Freedom and Equality - Assignment Example Martin Luther King took more of a collaborative approach. In essence, he felt that this battle was for whole America, not just the African Americans themselves. King felt that it was the duty of the humanity to act on the behalf of equality, and that a non-violent approach would go long ways to ensure that equality will be achieved for African Americans. Malcolm X was a Muslim, and believed in Muslim principles. His most famous line was â€Å"By any Means Necessary†. Malcolm X understood that to simple play â€Å"fire with fire.† This was a complete different approach to his colleague - Martin Luther King. Malcolm X understood that freedom must be achieved by any means. However later in his life, he changed his views and become more susceptible to nonviolence. Even during the famous March to Washing, Malcolm X felt that this would destroy the focal point of black freedom. In essence, he was a segregationist and was confined to the equality of African Americans within

Sunday, September 22, 2019

Childhood and Adolescent Depression and the Risks of Suicide Essay Example for Free

Childhood and Adolescent Depression and the Risks of Suicide Essay Introduction Problem and its Background   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One of the most common reasons for referral of children and adolescents to mental health professionals is suspected depression. There are continues debate as to whether childhood and adolescent depression are a reflection of normal variation in mood. It is reasonable for the primary care physician to view childhood depression as a constellation of factors that forms a syndrome. This constellation consists of a persistent mood disorder and dysfunctional behavior that intrudes and distorts the child’s day-to-day activities (Gottlieb Williams, 1991 p. 1). A firm denial gave way into a general and strong conviction about significance of depressive syndromes in childhood and adolescents, and of the implications throughout the life course. The realization of the problem occurrence made it possible for the therapeutic interventions and prevention programs to be developed and set up for depressive children, and to have these programs sponsored and evaluated on a scientific perspective. Various factors have facilitated the progression of this study concerning the recognition of childhood depression. Society is approached with enormous cost of untreated childhood depression later on in life (Corveleyn etal, 2005 p.165).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The concept of a depressive syndrome that is distinct from the broad class of childhood onset emotional disorders has been linked to incidence of suicidal rates worldwide. The condition of such incidence is becoming evidently alarming as the number of suicidal rate continue.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The treatment of such depressive states range from pharmacologic drugs up to psychological modifications and therapies, such as behavioral, peer and group focused groups, etc. With the serious nature of childhood / adolescent depression, it is crucial that treatments with known efficacy and more than transitory effects be provided promptly and skillfully (Maj Sartorius, 2002 p.292). Scope and Limitations   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The treatment procedures and the condition of health care management for the case of childhood and adolescent depression are the primary subjects of the study. The concept on treatment procedure involves the pharmacologic, medical and psychological interventions that are absolutely necessary in the health care management of such condition. The study shall cover the discussion of depressive condition of the childhood and adolescent age group. Diagnostic procedures and issues shall be tackled in this research in order to portray possible conflicts and difficulties that occur in diagnosing the condition. The neurobiology of the depressive state shall be elaborated utilizing psychophysiology of the disorder, and linked to probable external physiological occurrences. Lastly, since the study focuses on therapy and medication as treatment modalities, the following methods and means of treatment shall be involved in the study. The following shall be the objectives of the over-all study. To be able to define, discuss and elaborate the conditions involved in the occurrence of depression in adolescent and childhood stages To be able to provide and tackle the treatment procedure as the center scope of study, accompanied by the issues, physiology and specific drugs involved in depression health care management. Discussion   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Cases of despondency and depression in children and adolescents were reported as early as the seventeenth century. Prior to the 1970s, however, little attention was paid to depression in youth (Hersen Hasselt, 2001 p.243). The study on depression had been more inclined to adulthood depression and not on childhood and adolescence.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Depression among children and adolescents is relatively common, enduring, and recurrent disorder that has an adverse impact on a youngster’s psychosocial development and in some cases is associated with self-destructive and life-threatening behaviors. Depressive disorders during childhood and adolescence may be more virulent and of longer duration than depressive disorders in adults. Depressive disorders during childhood are a risk factor for the development of additional psychological disturbances and for the development of depressive disorders later in life. The number of youths who are experiencing depressive disorders is increasing at the same time that the age of onset is decreasing (Mash Barkley, 2006 p.336).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Depression can be conceptualized both as a dimension and as a category. Epidemiological studies suggest that juvenile depression is a continuum that is associated with problems at most levels of severity. According to Oregon Adolescent Depression Project, the level of psychosocial impairment increased as a direct function of the number of depressive symptoms. Moreover, in line with studies of adults, much of the morbidity associated with depression occurred in the â€Å"milder† but more numerous cases of minor depression. Such results suggest that even mild forms of adolescent depression are a risk factor for depression in early adulthood (Rutter Taylor, 2002 p.463).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In recent years, increased attention has been given to evidence-based psychosocial and pharmacological interventions for depressed youth. The need to highlight what we know about treatment is underscored by the fact that most depressed youth do not receive treatment. However, as knowledge about treatments for youth depression has increased, the rate of treatment appears to have developed. Although depression among youth is treated more often, it is not clear that standard practice is effective at alleviating depressive symptoms or preventing recurrence. Moreover, there is a bias toward the utilization of pharmacologic drugs and extremely brief psychosocial interventions (Gotlib Hammen, 2002 p.441). Diagnostic Issues involved in Depression   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision groups mood disorders into two categories: depressive disorders and bipolar disorders. Both types of disorders are characterized by depressive episodes. For a diagnosis of depressive disorder, the child must be experiencing a mood disturbance for a period of at least 2 weeks, and the symptoms must be present more often than not. At least four of the following symptoms must be present during the same period (Mash Barkley, 2006 p.337): Significant, unintentional weight gain or loss Insomnia or hypersomnia Psychomotor retardation or agitation fatigue or loss or energy feelings of worthlessness or extreme guilt Diminished concentration pr ability to make decisions Recurring thoughts of death, suicidality, or suicide attempts In depressed preadolescents and adolescents, a lack of perceived personal competence was associated with depression; however, in adolescents, the more abstract concept of contingencies is also related to depression (Mash Barkley, 2006 p.338). Confusion sometimes arises in the childhood depression field, as it does with adult depression, because of different usages of the term â€Å"depression† and associated differences in methods of assessment. Moreover, the Diagnostic and Statistical Manual of Mental Disorders, which is the primary reference of psychiatric diagnosis, frequently changes. One example is in studies of childhood and adolescent depression, the term is variously used to identify depressed mood, a constellation of mood and other symptoms forming a syndrome, or a set of symptoms meeting official diagnostic criteria for depressive disorder. The usage of such term connotes various meaning, such as depression as a symptoms (lonely, fear impulses, guilt, etc.) and depression as a syndrome (comprises clusters of various signs and symptoms) (Mash Barkley, 2003 p.336). Neurobiology of Childhood Adolescent Depression   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Biologic studies in children are difficult to implement since they often require several blood draws, subjects remaining still more long periods of time, and the overall cooperation of the children and adolescents. Three types of investigation have provided information on possible developmental differences in the neurobiology of depression. The first is the study of Cortisol secretion, measured by investigations such as the dexamethasone suppression test (Rapoport, 2000 p.230).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Studies of neurotransmitters in depressed adults have focused on norepinephrine, serotonin, and acetylcholine. Serotonin regulation studied in adults with depression reported that in response to L-5hyroxytrytophan in 37 pre-pubertal depressed children secreted less Cortisol and more prolactin than age-matched and gender-matched normal controls, suggesting a deregulation of central serotonergic systems in childhood depression.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Abnormalities of the hypothalamic pituitary-thyroid axis and the hypothalamic pituitary-growth hormone axis have been reported in depression in adults. However, Cortisol hypersecretion, as measured by repeated samples over a 24-hour period or by nocturnal sampling, has not been identified in depressed children and adolescents although adolescent showed a Cortisol elevation at the approximate time of sleep onset (Coffey, 2006 p.266).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The second type of developmentally informative investigation is the study of sleep. Polysomnographic studies of depressed children and adolescent have tended to demonstrate abnormalities of sleep, including shortened rapid eye movement (REM) latency and reduced slow wave sleep. These generally positive results of polysomnographic studies with children have shown few differences (Rapoport, 2000 p.231).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The third type of developmentally informative investigation is the study of growth hormone. A variety of pharmacological challenge agents that stimulate release of growth hormone have been studied in depressed adolescents and children. Interestingly, the results with adolescents have been negative in terms of slow blunted growth hormone response to provocative stimuli. However, some studies have reported high levels of growth hormone in adolescents with major depression. Moreover, pubertal children both during depressive episode and after recovery have demonstrated blunted growth hormone response to provocative stimuli (Rapoport, 2000 p.231). Psychopharmacology: Antidepressants (SSRIs)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Special considerations arise in treating children and adolescents with antidepressants. Empirical data on antidepressants in young patients are quite limited. Psychiatrists, faced with depriving children of potentially effective medication or prescribing medication or prescribing medications â€Å"Off Label,† need information on which to base treatment decisions, and efforts are underway to promote research in this area. Clinically significant differences in pharmacokinetics and possibly pharmacodynamics between adults and younger patients can also complicate treatment. Moreover, younger patients may also be more sensitive to adverse effects of medications (Preskorn, 2004 p.356).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The antidepressant drugs are a heterogeneous group of compounds that, in adults, have bee found to be effective in the treatment of major depressive disorder. This particular pharmacologic intervention is also utilized in adolescent and children with major depression; although, there have been no studies that validate the appropriateness of such medications. The following are considered as the major treatment of adolescent depression, specifically Tricyclic Antidepressants and (SSRI) Selective-serotonin reuptake inhibitors (Rossenberg Ryan, 1998 p.28).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Tricyclic antidepressants (TCAs) have long been the first-line antidepressants used by most clinicians for adults because of their established efficacy, safety, and ease of administration, but they have been less successful in the treatment of child and adolescent conditions. The mechanism by which TCAs are effective in the treatment of adult depression and other disorders has not been clearly established. There is, however, evidence that these agents affect monoamine neurotransmitter systems in the central; nervous system, such as serotonin and norepinephrine (Rossenberg Ryan, 1998 p.28-29). The TCAs inhibit the reuptake of norepinephrine and serotonin, potentiating their action. It has been suggested that antidepressants work by increasing noradrenergic and/or serotonergic transmission, compensating for a presumed deficiency. Controlled studies failed to demonstrate that TCAs are superior to placebo in the treatment of childhood and adolescent depression (Rossenberg Ryan, 1998 p.28-29).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Since serotonin is also implicated in the etiology and maintenance of affective disorders, particularly depression; hence, the use selective serotonin reuptake inhibitor (SSRIs) is possible. SSRIs prevent the re-uptake of serotonin, which poses significant therapeutic value although has been shown to be less effective in therapeutic trials in children (Mash Barkley, 2006 p.384). The SSRIs are now first-line agents for treating child and adolescent depression. The newer antidepressants, such as bupropion and mirtazapine, do not have an adequate empirical base with children; however, they are sometimes used as second-line treatments for those youths who do not respond to SSRIs. Thus far, none of the SSRIs has produced irreversible damage in children and adolescents. However, as the SSRIs gained wide use with depressed adolescents, concerns emerged about the safety of this class of medications. Reports suggested that they were responsible for increased suicidal ideation and behavior among youths (Mash Barkley, 2006 p.384). In 2003, the British Medicines and Healthcare products Regulatory Agency   (MHRA) concluded that most of the SSRIs do not show benefits exceeding their risks of suicidal ideation, and thus should not be prescribed in the child and adolescent population (Mash Barkley, 2006 p.384).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   If the adolescent fails to respond to any SSRI, then switching to a different class of antidepressant is recommended. At present, no data support the use of one agent over another. Therefore, whether the clinician chooses a TCA, nefazodone, or venlafaxine should be based on clinical experience. Other factors to consider for a given adolescent are medication side effects, medical conditions, previous medication trials, comorbid psychiatric conditions, and familial history of a positive response to particular antidepressants (Esman, 1999 p.222). Other classes of antidepressants are fluoxetine, setraline, paroxetine, fluvoxamine, venlafaxine, bupropion, trazodone, and nefazadone. As major depression has a high recurrence rate, it is recommended that pharmacologic treatment continue for a minimum of six months achieving resolution of symptoms. Medication discontinuation should be accomplished gradually, with a slow, stepwise reduction in dosage over a two- or three-month period. The health care providers should carefully monitor the adolescent for withdrawal syndromes and reemergence of depressive symptoms (Esman, 1999 p.222). Relationship to Suicide Rates   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Suicidal thoughts and attempts are among the diagnostic criteria for major depression. Suicidal ideation is quite common, and has been reported in more than 60% of depressed preschoolers, preadolescents, and adolescents. Actual suicidal attempts also may occur, at rates that appear to be higher among depressed adolescents than among depressed adults (Mash Barkley, 2003 p.336).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Studies have shown consistently high rates of comorbid psychiatric disorders in depressed children and adolescents. The comorbidity rate in children and adolescents with depression has been reported to be 80% to 95%. The most common comorbid disorders in adolescents with depression are anxiety disorders, with rates ranging from 40% to 50%. Moreover, substance abuse frequently co-occurs with depression. Adolescents with major depression are at risk for impairment in school performance and interpersonal relationships, which may interfere with achievement of appropriate developmental tasks. Suicidal behavior is a common sequela. A 10-yar follow-up of depressed child and adolescent outpatients found that 4.4% committed suicide. Mood disorder, prior to suicide attempt, and substance abuse are major risk factors for adolescent suicide (Esman, 1999 p.216).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Depressed and suicidal children and adolescents are often not identified. Identification of children and adolescents who express suicidal ideation or suicidal acts is crucial since such symptoms are recurrent and strong predictors of youth suicide. Other risk factors for youth suicide behavior have been described including family, other environmental and biological factors. Notably, family history of suicidal behavior increases risk for youth suicide (Rapoport, 2000 p.231). Reference Coffey, E. C. (2006). Pediatric Neuropsychiatry. Lippincott Williams Wilkins. Corveleyn etal, J. (2005). The Theory and Treatment of Depression: Towards a Dynamic Interactionism Model. Routledge. Esman, A. H. (1999). Adolescent Psychiatry: Developmental and Clinical Studies. Routledge. Gotlib, I., Hammen, C. L. (2002). Handbook of Depression. Guilford Press. Gottlieb, M. I., Williams, J. (1991). Developmental-behavioral Disorders: Selected Topics. Springer. Hersen, M., Hasselt, V. B. (2001). Advanced Abnormal Psychology. Springer. Maj, M., Sartorius, N. (2002). Depressive Disorders. John Wiley and Sons. Mash, E. J., Barkley, R. A. (2006). Child Psychopathology. Guilford Press. Mash, E. J., Barkley, R. A. (2006). Treatment of Childhood Disorders. Guilford Press. Preskorn, S. (2004). Antidepressants: Past, Present, and Future. Springer. Rapoport, J. L. (2000). Childhood Onset of Adult Psychopathology: Clinical and Research Advances. American Psychiatric Pub., Inc. Rossenber, D., Ryan, N. (1998). Pocket Guide for the Textbook of Pharmacotherapy for Child and Adolescent Psychiatric Disorders. Psychology Press. Rutter, M., Taylor, E. A. (2002). Child and Adolescent Psychiatry. Blackwell Publishing.

Saturday, September 21, 2019

Religion Essays Dharma: Daily impact on the lifes of Hindus

Religion Essays Dharma: Daily impact on the lifes of Hindus Dharma: Daily impact on the lifes of Hindus Introduction To Hinduism Assessment Question: Explain The Meaning And Significance Of Dharma, And Discuss How It Impacts On The Daily Life Of Hindus According to the Narayanan, the Sanskrit word Dharma, comes from the true implication of the phrase â€Å"to sustain,† and it is known to mean â€Å"truth, righteousness, duty, law and justice,† It is known that the first language that was in use in India was Sanskrit. It is known that Dharma is the trail of morality and living a life agreeing to the codes of conduct as portrayed by the Vedas and Upanishads. On the other hand the phrase is illustrated as â€Å"literally untranslatable† by many sources due to its variety of explanations in its initial form. Hindus portray Dharma as the existing, primary energy, which passes through all of reality. Dharma is set off upon this ever-existing, endless concept, and all meanings of Dharma are taken away from this concept. Arthur Avalon (1, 1918) gives a complete explanation of dharma in his work.  ´Ã‚ ´The overall Hindu Religion and Bharata philosophy says that the universe is prearranged. This cannot be a clutter of errata set jointly inadequately, where a relationship does not exist.. If there was very little Dharma, then this would lead to the world decomposed into pandemonium. But this is mainly said to be impossible, for even if chaos (Adharma), does take place, it be able to only pass through momentarily, for quite a long time, and in a number of sections of the whole. Dharma, nevertheless, from the initial Hindu’s philosophy, mustultimately assert itself. ¨ It is known that Dharma is more dependant upon the manners of ahuman being, in relation to their beliefs, which makes difficult the procedure of transmitting an obvious translation in to English. There are a lot of dissimilar articles and authors that find it hard to be in agreement on an explanation of dharma, in dictionary terms, due to its numerous connotations they have in their original perspective. It is not easy to get a reliable hint as to what dharma can be explained as when using a lot of sources. Generally explained as ‘law’, and factually as ‘that which upholds or supports’, this is from the source ‘Dhr’ which is known as to hold, which is almost certainly the source of the â€Å"to sustain† part of Narayanan’s definition comes from. It should also be considered in to account that dharma itself has many functions, including differences that have significance to different faiths. Here we observe at it in the Hindu perspective in particular. Previously outsiders such as the Persians, Greeks and English established the words â€Å"Hindu† and â€Å"Hinduism†, the belief was said to be named as vaidika dharma, that is, the Vedic dharma to the people that pursue. The single word that is known to mean more than dharma is â€Å"religion,† in the western world.  ´Ã‚ ´The prehistoric term dharma which in general is converted into English as belief has a more philosophical importance in Sanskrit language. Dharma is the essential issue; that will comprehend pour soi, the truth of everything before it had actually existed. Dharma is the godly thing that is working in our being. When any sin is carried out it is said to be dharma that is wronged, suggesting that deceitfulness has for the time being, conquered our inner being. ´Ã‚ ´. It could be said that there are noticeably inconsistencies, or at least, distinction in judgment of the meaning of dharma. So this means that it becomes hard to in a few words recap what the meaning of dharma is. One way to help portray the meaning of dharma is to may be observe the method that which the word is practised by Hindus – this may permit us to link the meaning of the word, which will clear up any doubts to its meaning. As the speculative implications of Dharma comprise something which is superior than sum of its sections, Hindus found a way to extrapolate Dharma, therefore they possibly will secure its whole supremacy. For instance, in a choice they may perhaps have to make, they would believe that the thought of what is dharmic, to assist them to settle on a specific path. Dharma’s wider meaning features the origin of present development. Dharma is known to be the everlasting directing force which has directed the original human passage on Earth. Hindus think that Dharma is the ultimate method for making the quality of life better, as cheerfulness relies on the inner growth of peace and happiness, as to go up against money-orientated luxuries. The development of dharma is known to be the target of God, and the education of dharma is said to be God’s purpose. All problems that arise in daily life come from unawareness, it is disputed, and to get rid of unawareness, is to exercise dhar ma, where dharma would be the ethical commandment Hindu’s follow. Hindu’s would split dharma into four groups; universal, human, social and personal. Dharma was known to be the heavenly commandment put in place by god when the universe was made, it endorses command. Dharma holds a lot of importance; the real quantity would be independently taken in to account as how it plays a role in life is hands of the believer. In terms of how it links to the religion’s remainder, it would level highly as a notion to be used universally all the way through life. Heuze describes the socio-economic suggestions of the dharmic idea:  ¨Dharma creates of this life a journey, in link with a significant theory, which is portrayed by a series of incarnations, the development of which is irritated by the strict law of dharma, and the social and political order demonstrated by the socio-economic chain of command of elitism and caste. ¨ Hindu’s acknowledge the theory of reinc arnation, which consists of the circle of life, which in turn contains birth, life, death and then re-birth. The primary belief, in basic terms, is behaviour of the current life, will settle on the life in the next. This only occurs if the Hindu believer fulfils and lives life in harmony with the Hindu teachings, they will develop by being re-incarnated into an improved form. This procedure of the dependence of the life after is known as Karma, which basically links in with the deeds carried out by the body and the mind. The process to attain good karma is to fulfil life in harmony to dharma, and its conditions. This includes undertaking the things that are morally correct on a personal basis, the family, and the class/caste and this could be done for the whole universe, which is where the four groups mentioned before come into play. As we can observe Hindus centre on dharma as a way of accomplishing overall goals. This trail of morality was portrayed in the holy books in Hinduism, known as the Upanishads and Vedas. We can now acquire a fairly good thought of what dharma actually is concerned with. It is known that Dharma is a notion which holds a large element of the believers’ lives. It is an ethical instruction which includes large parts of life, and as a result is relied upon a lot when carrying out everyday errands. It is a widespread idea that humans are accountable for the world, which associates with dharma, as dharma endorses a responsibility on Hindus to take care of the world on a personal level; this is in accord with the idea of the world being an addition of one self. The importance broadens to also some sources stating that human society is up held in particular due to dharma. It consequently justifies just how much importance is placed on the word. Noting the importance and power linked with the term Dharma, it is a test knowing where to begin when looking at how it affects the daily life of Hindu believers. Hinduism is a religion that centres on behaviour more than belief; on the other hand there is a lot of assortment when the issue rises of the guidelines and beliefs Hindus stick to live a good life according to them, which is known as dharma. An important concept that Hindis believe is that the behaviour, of which a Hindu can fulfil, weather worldly, or wholly religious have religious propositions and costs and all deeds should have praxis in mentality, which means the right behaviour. To appreciate what makes up dharmic behaviour, one must comprehend the Hinduism essentials. These are very close up associates between the godly and the physical. According to this, it known that family life, social order and the natural world are together all linked with godly order, and consequently the religious is immanent. As a result we can see how the importance of Dharma can be in opposition to itself to other views of life, if not all other. There are certain beliefs that the more modern and western world won’t link with religion, for instance it could be objects, your home, Hinduism would state how you do something around them would have got to be Dharmic by dong it with ‘praxis’ at thought. This can be rather mystifying to figure out, but the important matter to be conscious of is that Dharma acts as a daily part in our everyday lives by commanding itself on things that are meant to be religious as well as those material. To completely be grateful for the importance of dharma, one should appreciate the importance the term has, it has many words linked with it, such as karma and svabhava for instance, where svabhava is known as understanding. This is an illustration of the way dharma associates with another notion in Hinduism, and there is several more, varying from law, responsibilities, to relations within holy books. Dharma’s known to be more or less like a covering term to portray so many main important ideas within Hinduism. Hinduism, similar to a number of other religions, targets to not only direct society on an extensive level, but to also outline the life of a believer. As well as building up society through caste’s, it also builds up a person’s daily routine. The name given to this building up is known as ‘varnasramadharma’. The main aim is to imagine the upcoming day as he rises, with a plan to add to dharma and artha (wealth). It is in that case comprehensible that some younger Hindu’s might uncover this as a test. One may consider the four main goals of Hindu life in turn to completely reply to these questions, of which artha is an element to. Hindus completely agree upon the quest of Artha, or worldly gain, as the main, working section of dharma. Hogan describes Artha as the main, vital part of dharma:  ¨Periodically, I am intently analysing kama and artha, physical love and and socio-political power. These work strongly with fundamentals of Hindu metaphysical beliefs and with multiple religious and aesthetic philosophies . To ensure that we maintain simplicity, we have left out two other spiritual goals noted by the Sanskrit philosophers: dharmamoral duty, and moksa—the transcendence of the spirit. ´Ã‚ ´It can now be concluded that Dharma fundamentally makes up Dharma, Artha, Kama, and Moksha contained by the Universe, and it stands for all of the paths of life for a typical Hindu believer. If you observe more closely into this philosophical diamond, it could be said that both time and space are a part of Dharma. Dharma also makes up all of dimension; therefore it is the designer and the creation is all of which we live through. Humankind builds up an important element of Dharma, we who know about Dharma, know about it for the reason of Dharma ´s will, so, we are fundamentally taking trail of the will of Dharma at every instant. Such a strong philosophical and metaphysical theory makes up the foundation for Hindu belief, yet Dharma enlarges more into Hindu religious practice. After doing this, we should take in to account Dharma ´s association to Kama, or sensual pleasure. Dharma ´s part as a primary being which motivates all action surely has a link to this crucial component of a Hindu ´s life. According to the traditional story, the Kama Sutra, we be taught more importantly, that it represents a lead to living. It is not simply a guide of sexual positions. The Kama Sutra is there to offer Hindu believers a way to achieving Kama:  ¨This is the cause for kama playing a part as an important role of dharma to the people who spoke Sanskrit: A person, the era of whose life is figured between 60 and 120 years ago, have to to carry out Dharma, Artha and Kama at a range of times, and due to such a purposeful manner that they may function together and not become hectic in any way. He must acquire teaching in his early days, he must think about the wants of Kama and Artha , and in his elderly times he have got to be in presence to Dharma, and through this he may try to find and get hold of Moksha, i.e. independence from more reincarnation. Or because of t he complexity of life, he may set out to to them at times when they have to be trained for a number of explanations. But a significant matter is to be considered, a person must show the way of life of a chaste student awaiting the time that he has finished his schooling. ´Ã‚ ´So far we have considered the main Hindu text and discovered that Dharma holds a natural link to the four major goals. As a result, Dharma stages an essential part in the quest and success of these goals, yet for the believer, Dharma does not finish with the success of such goals. Nevertheless, we must still look at the final goal of Moksha and its link to Dharma before we may conclude our study. Moksha makes up the gradual freedom of the soul from the torment of reincarnation. Hindus endeavour into obscure terrain when relating to Moksha, nevertheless moksha holds a very powerful link to Dharma. It could be said that the right pursuit of dharma shall lead to moksha. The goal of the Dharmic man is to attain moksha. For moksha is that condition in which one has united with dharma, consequently, moksha is that success of the ideal state. Moksha characterises that poetic attitude towards Dharma, and is portrayed as: â€Å"These equal symbols represent the four different stages of Moksha, or Release from further bodily Transmigration and Reincarnation. The primary is Sayujyata, or incorporation into the existence of the Deity; the secondary is Samipyata, proximity to the Deity, the emergence of the spirit into the Divine Presence; the tertiary is Sarupata, or approximation to the Deity in physiology and material anatomy; the quarternary and finally is Salokata, or permanent resi dence in the heavens.† Dharma to Hindus is seen as a universal philosophical being whose supremacy enlarges into obligatory responsibility. While the theoretical significance of Dharma makes up an element which is better than the some of its roles, Hindus exposed an approach to extrapolate Dharma so that they may bind its strength. The primary study of Dharma lets the scholar to further study the dharmic suggestions. The suggestions of the Dharma enlarges into the socio-economic, political, and, certainly, religious views of life.  ´Ã‚ ´Monarchy stays put, even philosophically, trapped between religion and secularity, sacredness and mortaity, justified rule and accidental puissance, dharma and adharma. ´Ã‚ ´ such a universal theory classifies the cyclical, nonetheless combined nature of the Hindu religion. Surely, Dharma does grasp theoretical on top of useful significance, and the objective of every believer, in life is to bring together and achieve these objectives.