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Thus, the next stage in the writing process may be to develop an outline of the logical structure of your paper. Several questions may help: To begin, what exactly have you proven? What are the lemmas (your own or others) on which these theorems stand. Which are the corollaries of Samples Service Inspiration these theorems? In deciding which results to call lemmas, which theorems, and Free Templates | Sample Resume And Free, which corollaries, ask yourself which are the central ideas. Which ones follow naturally from others, and which ones are the real work horses of the paper? The structure of writing requires that your hypotheses and Samples Service, deductions must conform to Memo Template Document | Report, a linear order. However, few research papers actually have a linear structure, in which lemmas become more and Samples Of Resumes For Customer Representative, more complicated, one on top of another, until one theorem is proven, followed by Downloadable | Sample Resume And Free a sequence of increasingly complex corollaries. On the contrary, most proofs could be modeled with very complicated graphs, in which several basic hypotheses combine with a few well known theorems in a complex way. There may be several seemingly independent lines of reasoning which converge at the final step.
It goes without saying that any assertion should follow the lemmas and theorems on which it depends. However, there may be many linear orders which satisfy this requirement. In view of this difficulty, it is your responsibility to, first, understand this structure, and, second, to Of Resumes For Customer Inspiration, arrange the necessarily linear structure of your writing to Outcome Education, reflect the structure of the work as well as possible. The exact way in Samples Of Resumes For Customer Service Inspiration which this will proceed depends, of course, on Generic Application Sample - 9+ In Word, Pdf the specific situation. One technique to Samples Service, assist you in revealing the complex logical structure of your paper is a proper naming of results. By naming your results appropriately (lemmas as underpinnings, theorems as the real substance, and corollaries as the finishing work), you will create a certain sense of - 9+ parallelness among your lemmas, and help your reader to Samples For Customer Representative Inspiration, appreciate, without having struggled through the research with you, which are the really critical ideas, and which they can skim through more quickly. Another technique for developing a concise logical outline stems from a warning by Paul Halmos, in HTWM, never to repeat a proof:
If several steps in Template | Sample Templates the proof of Theorem 2 bear a very close resemblance to parts of the proof of Theorem 1, that's a signal that something may be less than completely understood. Other symptoms of the Of Resumes For Customer Service Representative Inspiration, same disease are: 'by the same technique (or method, or device, or trick) as in the proof of Theorem 1. ', or, brutally, 'see the Templates | Download Free & Premium Templates, proof of Theorem 1'. When that happens the chances are very good that there is a lemma that is Of Resumes For Customer Representative worth finding, formulating, and proving, a lemma from which both Theorem 1 and Theorem 2 are more easily and Outcome Base, more clearly deduced. (p. 35) These issues of structure should be well thought through BEFORE you begin to write your paper, although the Of Resumes Representative Inspiration, process of writing itself which surely help you better understand the structure. Now that we have discussed the formal structure, we turn to the informal structure. The formal structure contains the formal definitions, theorem-proof format, and rigorous logic which is the language of 'pure' mathematics. Base Education. The informal structure complements the formal and Samples Of Resumes For Customer Service Representative Inspiration, runs in parallel. It uses less rigorous, (but no less accurate!) language, and plays an important part in elucidating both the mathematical location of the Education, work, as we discussed above, and in presenting to the reader a more cognitive presentation of the work. For although mathematicians write in the language of logic, very few actually think in the language of logic (although we do think logically), and so to understand your work, they will be immensely aided by subtle demonstration of why something is true, and how you came to Samples Of Resumes For Customer Service Representative, prove such a theorem. Outlining, before you write, what you hope to communicate in these informal sections will, most likely, lead to more effective communication.
Before you begin to write, you must also consider notation. The selection of notation is a critical part of Analysis Templates | Download & Premium Templates writing a research paper. In effect, you are inventing a language which your readers must learn in Of Resumes For Customer Service Representative order to understand your paper. Good notation firstly allows the reader to forget that he is learning a new language, and secondly provides a framework in Sample Templates Resume which the essentials of your proof are clearly understood. Bad notation, on the other hand, is disastrous and may deter the reader from Samples, even reading your paper. In most cases, it is wise to follow convention. Using epsilon for a prime integer, or x(f) for a function, is Generic Sample - 9+ Pdf certainly possible, but almost never a good idea.
Section 4: Writing a Proof. The first step in writing a good proof comes with the Of Resumes For Customer Inspiration, statement of the Generic Application For Employment Sample Examples, theorem. A well-worded theorem will make writing the proof much easier. The statement of the theorem should, first of Service all, contain exactly the right hypotheses. Of course, all the necessary hypotheses must be included. On the other hand, extraneous assumptions will simply distract from the point of the theorem, and should be eliminated when possible. When writing a proof, as when writing an entire paper, you must put down, in 5 Professional Memo Templatereport Template a linear order, a set of hypotheses and deductions which are probably not linear in form. I suggest that, before you write you map out the For Customer Representative Inspiration, hypotheses and the deductions, and attempt to order the Education, statements in a way which will cause the least confusion to Samples For Customer Inspiration, the reader. In HTWM, Halmos offers several important recommendations about Generic - 9+ In Word, writing proofs: 1. Write the proof forward. A familiar trick of Of Resumes bad teaching is to Application For Employment - 9+ Examples Pdf, begin a proof by For Customer Service Representative Inspiration saying: Given e, let d be e/2.
This is the traditional backward proof-writing of classical analysis. Free Resume Templates | Sample Resume And Free. It has the advantage of Samples Service Representative being easily verifiable by By At-A-Glance a machine (as opposed to understandable by a human being), and it has the dubious advantage that something at the end comes out to be less than e. The way to make the human reader's task less demanding is obvious: write the proof forward. Of Resumes For Customer Representative. Start, as the author always starts, by putting something less than e, and then do what needs to be done--multiply by 3M2 + 7 at the right time and divide by 24 later, etc., etc.--till you end up with what you end up with. Neither arrangement is elegant, but the forward one is graspable and rememberable. (p. Base. 43) 2. Of Resumes For Customer Service Representative. Avoid unnecessary notation.
Consider: a proof that consists of Template | Sample a long chain of expressions separated by equal signs. Such a proof is easy to Samples Representative, write. The author starts from the first equation, makes a natural substitution to get the Application For Employment - 9+ Examples, second, collects terms, permutes, inserts and immediately cancels an inspired factor, and by steps such as these proceeds till he gets the last equation. This is, once again, coding, and the reader is forced not only to learn as he goes, but, at the same time, to decode as he goes. The double effort is needless. Samples Of Resumes Service Representative. By spending another ten minutes writing a carefully worded paragraph, the author can save each of his readers half an hour and a lot of confusion. The paragraph should be a recipe for Generic For Employment action, to replace the unhelpful code that merely reports the Samples Of Resumes For Customer Service Representative, results of the act and Generic Application For Employment Sample, leaves the Samples For Customer Representative Inspiration, reader to guess how they were obtained. The paragraph would say something like this: For the proof, first substitute p for Resume And Free q, the collect terms, permute the factors, and, finally, insert and cancel a factor r. Of Resumes For Customer Service Representative. (p.
42-43) Section 5. Specific Recommendations. As in any form of communication, there are certain stylistic practice which will make your writing more or less understandable. These may be best checked and corrected after writing the first draft. Many of these ideas are from HTWM, and are more fully justified there. Notation that hasn't been used in several pages (or even paragraphs) should carry a reference or a reminder of the meaning. The structure should be easily discernible by headings and punctuation. There should be a clear definition of the Book/planner By At-A-Glance, problem at hand all the way through. The title is the first contact that readers will have with your paper. It must communicate something of the substances to Of Resumes For Customer Service Representative Inspiration, the experts in your field as well as to the novices who will be interested.
Thus, while the terminology should be technically correct Don't over work a small punctuation mark such as a period or comma. They are easy for the reader to overlook, and the oversight causes backtracking, confusion, delay. Example: Assume that aÂX. X belongs to the class C, . . The period between the two X's is overworked. A good general rule is: never start a sentence with a symbol. If you insist on starting the Requirement Templates | Download, sentence with a mention of the thing the symbol denotes, put the appropriate word in apposition, thus: The set X belongs to the class C, . . The overworked period is no worse than the Service Representative, overworked comma. Outcome Base. Not For invertible X, X* also is invertible, but For invertible X, the adjoint X* also is invertible. (p.
44) I recommend then with if in all mathematical contexts. The presence of then can never confuse; its absence can.(p.44) Another critical feature is the layout or architecture of the page. If it looks like solid prose, it will have a forbidding, sermony aspect; if it looks like computational hash, with a page full of symbols, it will have a frightening, complicated aspect. Of Resumes Inspiration. The golden mean is Annual | Sample golden. Break it up, but not too small; use prose, but not too much. Intersperse enough displays to give the eye a chance to help the brain; use symbols, but in the middle of enough prose to keep the For Customer, mind from drowning in a morass of suffixes. (p. 44-5) The same symbol should never be used for more than one thing; if you have used n as a counter in one proof, use m in Annual Agenda the next proof, unless the two play a similar role in Samples Representative each All notation should be meaningful (no free variables): avoid the use of irrelevant symbols. Example: On a compact space every real-valued continuous function f is bounded. What does the symbol f contribute to the clarity of that statement. A showy way to say use no superfluous letters is to say use no letter only once. (p.
41) In everyday English any is an ambiguous word; depending on context that may hint at Application For Employment Sample Examples Pdf, an existential quantifier (have you any wool?, if anyone can do it, he can) or a universal one (any number can play). Conclusion: never use any in mathematical writing. Replace it by Samples Representative Inspiration each or every, or recast the whole sentence (p. 38) Other offenders, charged with lesser crimes, are 'where', and 'equivalent', and 'if. then. if. then'. Where is usually a sign of a lazy afterthought that should have been thought through before.
If n is sufficiently large, then | an | e, where e is a preassigned positive number; both disease and cure are clear. Equivalent for theorems is logical nonsense. (By theorem I mean a mathematical truth, something that has been proved. A meaningful statement can be false, but a theorem cannot; a false theorem is self-contradictory). As for if. then. if. then, that is just a frequent stylistic bobble committed by quick writers and rued by Outcome Base slow readers. If p , then if q , then r . For Customer Representative Inspiration. Logically, all is well, but psychologically it is just another pebble to stumble over, unnecessarily.
Usually all that is needed to avoid it is to recast the sentence, but no universally good recasting exists; what is best depends on Requirement Analysis Free & Premium what is important in the case at hand. It could be If p and q then r , or In the presence of p , the hypothesis q implies the conclusion r , or many other versions. (p. 38-39) Use counter-examples to demonstrate the necessity of conditions on For Customer Inspiration theorem Use words correctly: distinguish between function and Sample Downloadable | Sample Resume, value.
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Therapist guided internet based cognitive behavioural therapy for body dysmorphic disorder: single blind randomised controlled trial. Objectives To evaluate the efficacy of therapist guided internet based cognitive behavioural therapy (CBT) programme for body dysmorphic disorder (BDD-NET) compared with online supportive therapy. Design A 12 week single blind parallel group randomised controlled trial. Setting Academic medical centre. Participants 94 self referred adult outpatients with a diagnosis of body dysmorphic disorder and a modified Yale-Brown obsessive compulsive scale (BDD-YBOCS) score of ?20. Concurrent psychotropic drug treatment was permitted if the Samples Inspiration dose had been stable for at Daily/monthly Book/planner By At-A-Glance, least two months before enrolment and remained unchanged during the trial. Interventions Participants received either BDD-NET (n=47) or supportive therapy (n=47) delivered via the internet for Of Resumes, 12 weeks. Main outcome measures The primary outcome was the BDD-YBOCS score after treatment and follow-up (three and six months from baseline) as evaluated by Quicknotes Appointment Book/planner, a masked assessor. Responder status was defined as a ?30% reduction in symptoms on the scale.
Secondary outcomes were measures of depression (MADRS-S), global functioning (GAF), clinical global improvement (CGI-I), and quality of life (EQ5D). The six month follow-up time and all outcomes other than BDD-YBOCS and MADRS-S at 3 months were not pre-specified in the registration at clinicaltrials.gov because of an administrative error but were included in the original trial protocol approved by the regional ethics committee before the start of the trial. Results BDD-NET was superior to supportive therapy and was associated with significant improvements in Samples Of Resumes Representative Inspiration severity of symptoms of body dysmorphic disorder (BDD-YBOCS group difference ?7.1 points, 95% confidence interval ?9.8 to ?4.4), depression (MADRS-S group difference ?4.5 points, ?7.5 to ?1.4), and other secondary measures. At follow-up, 56% of those receiving BDD-NET were classed as responders, compared with 13% receiving supportive therapy. The number needed to Resume Downloadable And Free, treat was 2.34 (1.71 to Samples For Customer Service Representative, 4.35). Self reported satisfaction was high. Conclusions CBT can be delivered safely via the internet to patients with body dysmorphic disorder. Free Resume Templates Downloadable | Sample Resume And Free! BDD-NET has the potential to increase access to evidence based psychiatric care for this mental disorder, in line with NICE priority recommendations. It could be particularly useful in Samples Service a stepped care approach, in which general practitioner or other mental health professionals can offer treatment to Quicknotes Appointment Book/planner, people with mild to moderate symptoms at low risk of suicide.
Trial registration ClinicalTrials.gov ID: NCT02010619. Body dysmorphic disorder (BDD) is a psychiatric disorder characterised by a pervasive preoccupation with perceived defects in physical appearance accompanied by avoidance and time consuming compulsive behaviours, such as mirror gazing and excessive camouflaging to hide perceived defects.1 If left untreated, this is a chronic and unremitting disorder that is Samples Of Resumes For Customer Service Representative, associated with functional impairment across multiple life domains, relatively high rates of psychiatric admissions to Quicknotes, hospital, substance dependence, and suicidality.2 3 4 Although the disorder is often underdetected and underdiagnosed within the mental health services,5 6 epidemiological studies show that it is a common mental health problem, with a prevalence ranging from Samples Of Resumes For Customer Service Inspiration 0.7% to 2.2% in the general population.7 8 9 10 It is Analysis Templates Free & Premium, common for those with body dysmorphic disorder to Representative Inspiration, seek non-psychiatric care, such as dermatological treatment or plastic surgery, in an attempt to “fix” the Annual Template | Sample Templates perceived defects; however, such interventions rarely work and can lead to a deterioration of symptoms.11 12. Evidence based treatments for Service Representative Inspiration, body dysmorphic disorder include psychopharmacological treatment and cognitive behaviour therapy (CBT).13 14 15 16 Guidance from the National Institute for Quicknotes Daily/monthly Book/planner, Health and Clinical Excellence (NICE) recommends that adults should be offered the choice of either a course of a selective serotonin response inhibitor or specialised CBT that deals with the Samples Of Resumes key features of the disorder.17 There is, however, a gap between supply and demand of CBT because of various factors, such as a lack of trained therapists, direct and indirect costs associated with treatment, and geographical barriers that prevent people with body dysmorphic disorder from Free Templates Resume receiving specialised CBT.18 19 20 In two surveys, only 10-17% of people with body dysmorphic concerns reported that they had received an Of Resumes Representative, empirically supported psychotherapy (such as CBT), and Annual Meeting Template, 19-34% reported that they had received an SSRI.19 20 Thus, one of Of Resumes For Customer Service NICE’s key priorities for implementation—namely, that each primary care trust, mental healthcare trust, and children’s trust that provides mental health services should have access to a specialist multidisciplinary team offering age appropriate care—is currently far from reality.17 The growth in demand for mental healthcare exceeds available National Health Service (NHS) resources in the United Kingdom, and this gap is Annual Agenda Template, likely to increase up to 2020.21 Cost pressures require that providers find innovative ways to Of Resumes Service Representative, deliver services. The UK government’s mental health strategy “no health without mental health”22 recommends the increased use of information and communication technology to Quicknotes Daily/monthly Appointment Book/planner By At-A-Glance, improve care and access to services. For Customer Representative! UK government initiatives such as “Digital First” aim to reduce unnecessary face to face contact between patients and 5 Professional Memo Template, healthcare professionals.21 Many people with body dysmorphic disorder report that one important reason for not seeking treatment is related to feelings of shame and Of Resumes For Customer Service Representative, stigma associated with their concerns about appearance, making telecare options potentially suitable.19 20. Internet based CBT is a burgeoning area of mental health aimed at increasing access to specialised behavioural treatments.
In some countries (such as Sweden, Australia, and the Netherlands) internet based CBT has been implemented as part of the regular healthcare system and Meeting | Sample, is efficacious and cost effective for a wide range of mental health disorders.23 24 With the primary aim of increasing access to evidence based care for body dysmorphic disorder, we recently developed a therapist guided internet based CBT programme for Service, body dysmorphic disorder (BDD-NET). In a pilot study, this was found to be safe, highly acceptable to patients, and potentially efficacious.25 Crucially, the treatment required only a fraction of the therapist time associated with regular CBT. We evaluated the efficacy of BDD-NET compared with online supportive therapy in the management of adults with body dysmorphic disorder. Resume Downloadable | Sample Resume! Supportive therapy was chosen as a control as most patients report that they receive non-specific talking therapy when they seek help.19 We hypothesised that BDD-NET would be superior to online supportive therapy in reducing symptoms, as well as other psychiatric symptoms, and improve quality of life. This was a single blind parallel group superiority trial conducted at Karolinska Institutet from November 2013 to January 2015. Participants were randomly assigned to 12 weeks of Samples Service BDD-NET (n=47) or online supportive therapy (n=47) in a 1:1 ratio without restriction.
Both groups were followed for three months after the Quicknotes Appointment Book/planner By At-A-Glance end of Of Resumes For Customer Service Representative Inspiration treatment (six months from baseline). Free Resume Templates | Sample Resume! This follow-up point was not included in the trial registration (clinicaltrials.gov) due to an administrative error but was included in the original study protocol. Participants randomised to supportive therapy were offered BDD-NET after the six month follow-up assessments. No changes to methods were made after the Of Resumes For Customer Representative Inspiration trial started. The study is reported in accordance to the Consolidated Standards for Requirement Analysis Templates Free & Premium, Reporting Trials (CONSORT) statement for non-pharmacological treatments.26. Eligible participants were individuals with access to Of Resumes Service Inspiration, the internet, aged 18 or over, and with a principal diagnosis of body dysmorphic disorder according to Sample Resume Templates Downloadable, the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5),1 with a score of at least 20 on Samples Of Resumes Service Representative Inspiration the modified Yale-Brown obsessive-compulsive scale (BDD-YBOCS).27 Exclusion criteria were changes in psychotropic drug treatment within two months before enrolment, completed CBT for body dysmorphic disorder within the past 12 months, current substance dependence, bipolar disorder or psychosis, acute suicidal ideation, a severe personality disorder that could jeopardize participation in treatment (such as borderline personality disorder with self harm), and concurrent psychological treatment. Participants who were taking psychotropic drugs and had been taking a stable dose for at least two months before enrolment were asked to Generic Application For Employment, keep their dose stable during the study period. Recruitment and determination of eligibility. Participants were recruited from all over Sweden.
Flyers were distributed to psychiatrists and general practitioners throughout Sweden with information about the study. In addition, the study was advertised in national newspapers. Interested applicants had to register on Samples For Customer Service Representative Inspiration the study’s secure website and complete an 5 Professional Templatereport Document, online screening consisting of the Montgomery-Asberg depression rating scale self report (MADRS-S),28 alcohol use disorders identification test,29 drug user disorders identification test,30 body dysmorphic disorder questionnaire,31 and general background information. The body dysmorphic disorder questionnaire is a screening instrument that has shown excellent sensitivity and specificity.31 Potentially suitable participants underwent a structured diagnostic interview with a clinical psychologist or with a trained student in the final semester of a five year clinical psychology programme. The interviews were conducted over telephone, which is a reliable administration format for structured psychiatric assessments.32 To establish a diagnosis of body dysmorphic disorder, we used the structured clinical interview for Samples For Customer Service Representative Inspiration, DSM-IV axis I disorders, with an Outcome Base Education, added question about the presence of repetitive behaviours to reflect the Samples For Customer Service Inspiration updates made to the diagnostic criteria of body dysmorphic disorder in DSM-5. The mini-international neuropsychiatric interview was used to determine the | Download & Premium presence of For Customer Service other comorbid psychiatric disorders.33 All assessors had received extensive training in 5 Professional Memo Template Document Template structured diagnostic interviews. To ensure reliability of diagnostic procedure and eligibility criteria, a consultant psychiatrist reviewed each case and made the final decision on enrolment. BDD-NET is delivered through a tailored online platform with a dedicated hospital server with encrypted traffic and an authentication login function to guarantee participants’ confidentiality.
Treatment lasted 12 weeks, and none of the Inspiration participants had any face to face contact with a therapist. The treatment protocol is based on a CBT model for Education, body dysmorphic disorder, emphasising the Of Resumes For Customer Service role of negatively reinforced avoidance and Generic Sample - 9+ Pdf, safety seeking behaviours (such as mirror checking and camouflaging perceived physical defects) as maintaining factors of body dysmorphic disorder. The treatment protocol has been validated in a previous trial, and the treatment effects are comparable with those gained in Samples Service Inspiration traditional face to face CBT.25 The main intervention in BDD-NET is systematic exposure to fear eliciting situations or events combined with response prevention until anxiety and urges to ritualise subside (such as leaving home and refraining from compulsive mirror checking). In total, BDD-NET consists of eight interactive modules delivered over 12 weeks, with the Meeting first five modules containing the core treatment components.23 Each module is devoted to Samples For Customer Service Representative Inspiration, a special theme and covers psychoeducation, a cognitive behaviour conceptualisation of body dysmorphic disorder, cognitive restructuring, exposure and response prevention, more on exposure and response prevention, values based behaviour change, difficulties encountered during treatment, and prevention of relapse. To progress to the next module participants have to complete homework assignments (such as reading text material, answering a quiz at the end of each module, filling out Quicknotes Appointment Book/planner By At-A-Glance worksheets, or doing exposure and response prevention) and Of Resumes Inspiration, report to Outcome Base Education, their therapist. The participants had contact with an identified therapist throughout the entire treatment using a built-in email system on the BDD-NET webpage.
Participants could log in Of Resumes For Customer Representative Inspiration and send emails at any time. All homework assignments and questions from the Outcome Education participants were reviewed and answered within 36 hours, except on weekends. The role of the therapist was mainly to Samples Of Resumes, guide and coach the participant throughout the treatment, provide feedback on homework assignments, answer questions from the Sample Downloadable And Free participants, and consecutively grant access to the next treatment module. Samples Of Resumes Service! The participants were notified by an automated text message (SMS) when they had a new email in Meeting Agenda Template the treatment platform from Samples Representative Inspiration their therapist. The therapists guiding the participants through the treatment were four clinical psychology students who had completed their basic clinical training (320 hours) and had provided therapy in milder cases under the supervision of a senior psychologist. The clinical psychology students had no prior experience of treating body dysmorphic disorder but were closely supervised by the lead author (JE) with weekly meetings throughout the Quicknotes Daily/monthly Book/planner trial. The duration of Of Resumes Representative Inspiration therapist contact and Base, sent emails was automatically recorded by the BDD-NET platform. Median therapist time spent weekly per participant reading and answering emails was 13.2 minutes.
To ensure treatment integrity and adherence to protocol, the lead author monitored the messages sent by Of Resumes For Customer Inspiration, the therapists throughout the entire treatment, and provided supervision. Appendix 1 shows a screenshot of BDD-NET. Participants had access to the integrated email system on Application Sample - 9+ Examples Pdf the BDD-NET webpage and unlimited access to an identified therapist. Of Resumes Service Representative Inspiration! They were given the opportunity to Application - 9+ Pdf, talk freely about Of Resumes Service Representative their experiences, thoughts, and feelings about body dysmorphic disorder and how it affected their life. The therapist sent an email at least once a week, encouraging the participant to Resume Templates | Sample, discuss distressing life events and to promote problem solving. Samples Of Resumes Service Representative! The therapists used skills drawn from Memo Templatereport Template counselling techniques and included minimal encouragers, reflecting, empathising, and Samples Of Resumes Representative Inspiration, summarising. Generic For Employment - 9+! All emails from the participants were reviewed and answered within 36 hours, and participants were notified by an automated text message when they had a new email in the treatment platform. Treatment lasted 12 weeks, and none of the participants had any face to face contact with a therapist. Non-directive supportive therapy delivered via the Representative Inspiration internet has been shown to Requirement Analysis Templates & Premium Templates, reduce symptoms associated with obsessive compulsive disorder,34 though there are no reports of its efficacy for body dysmorphic disorder. The supportive therapy served as a control for caregiver attention and the possible anxiety alleviating effect of Samples For Customer Service sharing one’s distress with a therapist. The same therapists that guided participants through BDD-NET delivered the supportive therapy.
Therapists spent a median of 6.3 minutes per participant per week reading and Memo Templatereport Template | Report, answering emails. To ensure treatment integrity, the lead author monitored the messages sent by the therapists throughout the entire treatment and provided supervision. Samples Of Resumes For Customer! No therapist drift (deviation from treatment protocol) was detected in either of the groups. Participants were randomised on a 1:1 ratio with simple randomisation with no constraints. To prevent potential selection bias related to the randomisation procedure, an external party not involved in Requirement Analysis | Download & Premium Templates the inclusion process used a true number service (www.random.org).
Allocation concealment was ensured through randomisation after the decision to include each participant had been made. Immediately after randomisation, participants received information about which treatment they had been allocated to Samples Of Resumes Service Representative Inspiration, and how they could log on to the secure website. Outcome Base! Assessors in the trial remained masked to Representative, treatment allocation at baseline and three and six month follow-up. Because of the nature of the intervention, participants and therapists were not blinded to treatment. All participants were assessed at baseline and then received 12 weeks of treatment. Follow-up times were three and six months from baseline (after treatment and three months after treatment, respectively). After the six month follow-up, participants in the supportive therapy group were offered BDD-NET and reassessed after receiving 12 weeks of additional treatment with BDD-NET. Participants also completed online self report measures at Meeting Agenda | Sample, these time points, a method that has been shown to be as reliable and as valid as written administration.35 36. The primary outcome was change in severity of symptoms of body dysmorphic disorder assessed with the BDD-YBOCS administered by a clinician.27 The BDD-YBOCS can be considered the ideal for Of Resumes Representative, assessing symptom severity and has a total score of 0-48, with a higher score indicating more severe disorder. To ensure quality of assessments, clinicians in this trial practiced together on case examples with excellent reliability between raters (intraclass correlation 0.95, 95% confidence interval 0.89 to 0.98).
Secondary outcomes included responder status defined as an empirically derived cut off point of Meeting ?30% reduction from baseline on the BDD-YBOCS.37 Remission was defined as patients who no longer met diagnostic criteria for body dysmorphic disorder. Depressive symptoms were assessed with the MADRS-S.28 Clinician rated global functioning and improvement was assessed with the global assessment of functioning scale (GAF)38 and the clinical global improvement scale (CGI-I).39 Quality of life was assessed with the EQ5D EuroQol (EQ5D).40 All outcomes other than BDD-YBOCS and MADRS-S at three months were not pre-specified in the registration at clinicaltrials.gov because of an Samples For Customer Representative, administrative error but were included in the original trial protocol approved by the regional ethics committee before the start of the trial. The occurrences of adverse events were recorded mid-treatment and after treatment with a self report form.41 Treatment credibility and Templates Free & Premium Templates, expectancy of Samples Of Resumes For Customer Service Inspiration improvement were recorded at week two with the C scale (included post hoc after trial registration).42. We received input from Annual Template | Sample Templates patients from the For Customer Inspiration BDD-NET pilot trial on the treatment material. No patients were involved in setting the research question or the outcome measures, nor were they involved in developing plans for recruitment, design, or implementation of the Templates | Download Free & Premium Templates study. Of Resumes For Customer Service Representative Inspiration! No patients were asked to advise on interpretation or writing up of results.
We carefully assessed the burden of the trial interventions on the patients by collecting information about adverse events, quality of life, and time spent on Base the treatment. We plan to disseminate the results of the research to study participants and to the Swedish OCD Foundation. Power calculation and statistical analysis. We powered the study to be able to detect at least a medium standardised effect size (Cohen’s d). We based power calculations on a previous pilot trial of BDD-NET and the efficacy of online supportive therapy for obsessive compulsive disorder.25 34 A sample size of 39 per Of Resumes Representative Inspiration, group was required to Sample Resume Downloadable | Sample Resume, give 80% power and Samples Of Resumes For Customer Service, a two sided 5% significance for detecting a mean difference between groups of at least 4 and a standard deviation of 6.24 on the BDD-YBOCS between BDD-NET and supportive therapy. We anticipated a potential 10% dropout rate, giving a planned sample size of at least 44 per group, or 88 in total. Template Templates! There were no planned interim analyses or rules for stopping.
Analyses were by intention to treat, with participants analysed in the group to which they had been randomised. Missing data were deemed to be missing at random by using Little’s missing completely at random test. Linear mixed models with maximum likelihood estimations were used to evaluate the effect of treatment group on the different outcomes. Such models take into account the differences in rate of Samples Of Resumes For Customer change and differences in trajectories of change between individuals with repeated responses and use all the available data for each participant.43 The fixed part of the model included a treatment indicator variable (supportive therapy/BDD-NET), a time indicator variable (three or six months), and an interaction effect of treatment ? time to Analysis Free, allow for differential change between the two groups from the Samples Of Resumes For Customer Representative three to Quicknotes Book/planner, the six month follow-up. Of Resumes Service Representative Inspiration! Baseline (before treatment) scores on each outcome measure were included as covariates. Participant varying intercepts were included as a random effect in the model. As therapist support time varied between the Templates | Download Free Templates two treatment arms, it was included as an additional covariate in the model. Because it did not predict outcome, however, (P=0.11-0.98) it was dropped from the final model. For Customer Service Inspiration! We used ? 2 tests for categorical data and independent t tests for assessing differences between groups when time was not a factor on Quicknotes Book/planner the outcome variable.
We carried out For Customer Service Representative post hoc analysis of participants in Free Downloadable | Sample Resume And Free the supportive therapy arm who later crossed over to BDD-NET after the six month follow-up using paired t tests. Effect sizes within and between groups were calculated as Cohen’s d. All statistical analyses were done in STATA 13.1. Figure 1 ? shows the flow of participants through the trial. At follow-up at For Customer, three and six months there was a 1% and 9% loss of data, respectively. Little’s test suggested that the missing data met the Free Resume Templates Downloadable assumption for missing at Samples Service Inspiration, random (? 2 =42.57, df=52, P=0.82). There were no significant differences in dropout rates across conditions at after treatment (? 2 =1.01, df=1, P=0.32) or at Free Resume Templates Downloadable, the six month follow-up (? 2 =1.11, df=1, P=0.29), and dropouts did not significantly differ from completers on baseline demographics or on symptom measures. The two groups did not significantly differ on any baseline characteristics (P=0.08-1.00; tables 1 and Samples Of Resumes Service Inspiration, 2 ? ). Fig 1 Flow of participants with body dysmorphic disorder (BDD) through study of therapist guided internet based cognitive behavioural therapy (BDD-NET) Sociodemographic characteristics of participants with body dysmorphic disorder according to allocation to internet based cognitive behavioural therapy (BDD-NET) or supportive therapy. Figures are number (percentage) of Memo Templatereport Template | Report participants unless stated otherwise.
Clinical characteristics of participants with body dysmorphic disorder according to Of Resumes For Customer, allocation to internet based cognitive behavioural therapy (BDD-NET) or supportive therapy. Resume Downloadable | Sample Resume! Figures are number (percentage) of For Customer Inspiration participants unless stated otherwise. BDD-YBOCS scores were significantly lower for Free Templates, BDD-NET than for Samples Of Resumes For Customer Service, supportive therapy, both at the end of 5 Professional Document Template treatment (three months) and at Samples, six months (table 3 ? and fig 2 ? ). Education! The standardised effect size between groups was large at both time points (Cohen’s d=0.95 at three months and 0.87 at six months). The effect size within groups at six months was 1.42 (95% confidence interval 0.95 to 1.89) for BDD-NET and 0.55 (0.13 to 0.96) for supportive therapy. Estimated means, group differences (BDD-NET v supportive therapy), and effect sizes for primary and secondary outcomes at Of Resumes For Customer Inspiration, follow-up. Fig 2 Effect of treatment over time on Yale-Brown obsessive compulsive scale modified for body dysmorphic disorder (BDD-YBOCS) with 95% confidence intervals. Scores are shown at 5 Professional Memo Template Document, baseline, after treatment (3 months), and follow-up (6 months) according to Service, treatment group. Six month follow-up point was not registered at Free Resume | Sample And Free, clinicaltrials.gov because of Samples For Customer Service administrative error. Depressive symptoms, measured with the MADRS-S, decreased over | Download Templates the course of the trial with BDD-NET but not with supportive therapy, and there was a significant difference between groups at both follow-up times (table 3 ? ). Samples Of Resumes Representative! At three months, the effect size between groups was small (Cohen’s d =0.43), whereas at six months it was medium ( d =0.58) There was also a significant correlation between the change in symptoms of Annual Meeting body dysmorphic disorder and Of Resumes Service Representative, change in Memo Templatereport Template | Report depressive symptoms at both follow-up times ( r s (92)=0.46, P0.001) and r s (80)=0.41, P0.001, respectively). Of the 51 participants with a diagnosis of major depressive disorder at baseline, 32/57 (56%) no longer met diagnostic criteria for depression at three months and Samples For Customer Service Representative Inspiration, 27/57 (47%) were still in recovery at Memo Template Document Template, the six month follow-up.
Post hoc analysis of global functioning and quality of Service Inspiration life showed that there was an Base, increase in global functioning with BDD-NET but not with supportive therapy, with a significant group difference on the global assessment of functioning scale at both three and six months (table 3 ? ). At three months, there were no significant differences between groups on health related quality of Of Resumes For Customer Inspiration life (EQ5D). At six months, however, the health related quality of life (EQ-5D) had further improved in BDD-NET, and there was a significant difference between groups, favouring BDD-NET (table 3 ? ). Appendix 2 shows the observed means and Analysis Templates & Premium Templates, standard deviations at the different time points for primary and secondary outcomes. The proportion of Of Resumes participants classified as responders was significantly higher in the BDD-NET group at three months (25/46 (54%) v 3/47 (6%), ? 2 =25.42, df=1, P0.001) and at six months (23/41 (56%) v 6/45 (3%), ? 2 =17.55, df=1, P0.001). At the six month follow-up, 23/41 (56%) of the participants in the BDD-NET group were classified as improved or much improved on the clinical global improvement scale, compared with 7/45 (16%) in the supportive therapy group (? 2 =15.52, df=1, P0.001). The number needed to treat was 2.34 (95% confidence interval 1.71 to Generic Application In Word, Pdf, 4.35). The number of participants no longer meeting criteria for body dysmorphic disorder was 15/46 (32%) versus 1/47 (2%; ? 2 =15.16, df=1, P0.001) at Of Resumes For Customer Representative Inspiration, three months, and 16/41 (39%) versus 4/45 (9%; ? 2 =10.92, df=1, P0.001) at six months, always favouring BDD-NET. Treatment credibility, expectancy, and acceptability. After two weeks, participants randomised to BDD-NET rated the treatment as more credible than participants randomised to supportive therapy ( t (85)=?2.42, P=0.02), but this did not translate in greater expectancy of improvement ( t (85)=?0.58, P=0.57). Participants deemed BDD-NET highly acceptable; 13/45 (29%) were very pleased with the treatment provided, 21/45 (47%) were pleased, 9/45 (20%) were indifferent or somewhat displeased, and 2/45 (4%) were very displeased. In total, 37/45 (82%) reported that if they were in need of additional CBT in the future they would use BDD-NET, and Analysis | Download Templates, 40/45 (89%) would recommend BDD-NET to a friend with similar problems. After the six month follow-up, all participants who had received supportive therapy were offered BDD-NET.
Two participants were lost to follow-up, and four declined. Participants who crossed over to BDD-NET (n=41) showed a significant decrease on Of Resumes For Customer Inspiration the BDD-YBOCS after receiving BDD-NET, with a mean reduction of | Sample ?7.14 (95% confidence interval ?9.06 to Samples Of Resumes Service Representative Inspiration, ?5.23, P0.001; fig 3 ? ). Of the people who crossed over, 14/35 (43%) were classified as responders, and 10/35 (29%) no longer met diagnostic criteria after receiving BDD-NET. Fig 3 Mean scores of participants initially randomised to supportive therapy who crossed over to BDD-NET (n=41) and Analysis | Download Free Templates, received 12 weeks of additional treatment after 6 month follow-up. Similar improvements were observed on the MADRS-S with a mean reduction of Of Resumes For Customer Inspiration ?2.18 (95% confidence interval ?4.29 to Requirement Analysis Templates | Download, ?0.07; P=0.043) and the global assessment of functioning, with mean improvement of Of Resumes Service Representative Inspiration 4.69 (2.93 to 6.45; P0.001). On the EQ5D, there was a non-significant increase of 0.04 points (?0.05 to Free Templates | Sample Resume And Free, 0.14; P=0.378). The four participants in the supportive therapy group who declined to Samples Of Resumes For Customer, cross over to BDD-NET had made significant improvements after receiving supportive therapy, and three of them were classified as responders. Adverse events and protocol deviations. No serious adverse events (that is, events leading to acute health risks demanding admission to hospital) were reported. Fifteen (32%) participants in Meeting Template | Sample the BDD-NET group and six (13%) in the supportive therapy group reported mild adverse events (that is, increased levels of Of Resumes Service Representative Inspiration anxiety and Daily/monthly, general negative wellbeing) at the beginning of the trial, which had subsided for Samples Of Resumes For Customer Inspiration, everyone at Daily/monthly Appointment By At-A-Glance, three months, except for four participants in the BDD-NET group. Samples Representative Inspiration! Of these, two participants reported increased sleep disturbances because of Quicknotes Daily/monthly Appointment Book/planner By At-A-Glance heightened anxiety levels attributed to the exposure exercises, one reported depressive mood, and one reported that the insight gained throughout the Samples Of Resumes For Customer Service treatment regarding time spent on concerns about Sample Pdf appearance was emotionally painful but also enhanced motivation to make changes. Three of the participants reported that the adverse event had little impact on their general wellbeing, except one who thought that the adverse event (sleep disturbances) had a moderate impact on wellbeing.
The occurrence of adverse events during treatment was not related to responder status at follow-up (? 2 =0.91, df=1, P=0.34). All participants taking psychotropic drugs at Of Resumes For Customer Representative, baseline reported that they had kept their dose stable during the treatment period. After the start of Annual Meeting Template | Sample Templates treatment, one participant in the BDD-NET group had been prescribed an antidepressant but was classified as a non-responder at the three month follow-up. None of the other participants reported that they had received any other type of Samples Service Representative healthcare during the duration of the trial. From the - 9+ Pdf three to Representative Inspiration, the six month follow-up, three participants in the BDD-NET group and two participants in the supportive therapy group had received additional healthcare in the form of CBT, pharmacological treatment, or both. In this trial, we compared the efficacy of Agenda Template | Sample Templates BDD-NET, a novel therapist guided internet based CBT programme for Of Resumes Service Representative Inspiration, body dysmorphic disorder, with online supportive therapy, a kind of non-specific talking therapy that mimics the psychosocial support that most patients with body dysmorphic disorder report receiving in the real world.19 20 Overall, BDD-NET was superior to supportive therapy and was associated with significant improvements in symptom severity, depression, global functioning, and quality of life. These gains were maintained for at Daily/monthly Appointment, least three months after the end of treatment. At that point, 56% of those receiving BDD-NET were classed as responders, and 39% no longer met diagnostic criteria for body dysmorphic disorder. The number needed to Of Resumes For Customer Inspiration, treat to Agenda | Sample, achieve one responder was 2.34.
Participants in For Customer Representative Inspiration the supportive therapy group who crossed over to BDD-NET after six months also improved robustly on Outcome Base Education primary and secondary outcome measures. No serious adverse events were reported. Some participants reported mild adverse events (such as heightened anxiety levels associated with exposure tasks) during the Samples For Customer Representative Inspiration trial, but these were generally short lived and were not associated with responder status at the end of treatment. Most participants were satisfied with BDD-NET, despite no face to face contact with a therapist, and - 9+ Examples In Word,, deemed the treatment as highly acceptable. The results indicate that BDD-NET has potential to greatly increase access to evidence based psychiatric treatment for For Customer Inspiration, patients with body dysmorphic disorder, in line with the NICE priority recommendations.17.
Strengths and limitations of study. Despite its modest size, this study represents the Requirement Analysis | Download largest randomised controlled trial ever conducted in people with body dysmorphic disorder. The inclusion of a control intervention with high ecological validity, the Samples Of Resumes For Customer Service Representative Inspiration use of masked assessors, and minimal data loss are other strengths of the study. One potential limitation of the trial is that the results might not be generalisable to everyone with body dysmorphic disorder as the participants were self referred and Analysis Templates | Download Templates, most had reasonably good insight. We also took the precaution, on safety grounds, of excluding participants with substance dependence and severe suicidal ideation. Thus, despite the fact that most participants had been ill for For Customer Service Inspiration, many years, had had previous contact with mental health services, and a fifth had undergone plastic surgery, participants in Sample Resume And Free this trial might have been particularly motivated to engage in psychotherapy compared with more severely affected and delusional patients seen in specialist clinics. As body dysmorphic disorder is severely under-recognised and undertreated, however, it might take many years before patients receive the Samples Of Resumes Representative correct diagnosis and Analysis Templates Free Templates, are referred for specialist treatment.
This means that patients seen in specialist clinics often represent the extreme end of the severity continuum. Of Resumes For Customer Service! From this perspective, our sample could be more representative of the Meeting Agenda Template | Sample people with body dysmorphic disorder in general than those seen in specialist clinics. Another potential limitation is Samples Of Resumes Service, that participants were informed that if they were randomised to Templatereport Template Document | Report Template, supportive therapy, they would be offered BDD-NET after the six month follow-up assessment, although they were not explicitly told that we expected BDD-NET to be superior to supportive therapy. It is still possible that some well informed participants knew about the Samples For Customer Service NICE recommendations and this introduced a bias. Participants randomised to BDD-NET found the treatment more credible than participants in the supportive therapy group, but perceived credibility did not translate to Free Sample Resume Downloadable | Sample Resume And Free, greater expectancy of improvement as there were no differences between groups on how much participants thought they would improve at end of Samples For Customer Inspiration treatment. On average, participants in the supportive therapy group sent fewer emails to their therapist, resulting in less overall therapist contact throughout the active phase of the Annual Meeting Agenda | Sample Templates trial.
The estimated differences in treatment effects, however, remained unchanged when we adjusted for the amount of therapist contact. Overall, our results are in line with previous studies of face to face CBT for body dysmorphic disorder.14 15 The proportion of comorbidities were the same in our sample as in previous clinical trials, though symptoms of depression were on average of mild severity compared with moderate to severe depression as seen in the two recent randomised controlled trials of CBT for body dysmorphic disorder.14 15 BDD-NET is not intended for the most risky and severe end of the spectrum. Conclusions and policy implications. The therapists providing online support had no previous experience of Samples Of Resumes For Customer Service Representative treating body dysmorphic disorder, which indicates that this form of treatment delivery could be easily scalable. BDD-NET is delivered online as a series of interactive modules, and the role of the therapist is mainly to For Employment - 9+ In Word,, encourage the participant to engage in the treatment, making it reasonable to assume that BDD-NET can be used in Samples For Customer non-specialist settings. BDD-NET could be particularly useful in a stepped care approach, where mild to moderately affected patients can be offered BDD-NET by their general practitioner, or other health professionals, thus freeing resources for patients in more severe and complex cases to 5 Professional Memo Templatereport Template, be treated in specialised settings. Logistic barriers are also eliminated, as patients receiving BDD-NET do not have to travel to the clinic once a week to receive the treatment.
This makes BDD-NET particularly promising in more rural areas, where the access to trained CBT therapists is limited.18 Future stepped care trials of BDD-NET in Samples Of Resumes For Customer Service Representative Inspiration non-specialist settings are warranted. What is already known on 5 Professional Templatereport | Report Template this topic. The NICE guidelines recommend cognitive behavioural therapy (CBT) for body dysmorphic disorder but most affected people do not have access to Samples Of Resumes For Customer Service Inspiration, this treatment. Internet based CBT is Sample | Sample, a burgeoning part of mental health aimed at increasing access to evidence based treatments for a range of mental disorders and other conditions. A pilot study suggested that therapist guided internet based CBT could be a highly acceptable, feasible, and potentially cost effective treatment option for body dysmorphic disorder. This large randomised controlled trial evaluated the efficacy of For Customer therapist guided internet based CBT for body dysmorphic disorder (BDD-NET) BDD-NET was associated with significant improvements in Memo Template Template symptom severity, despite no face to face contact with a therapist, and gains were maintained for at least three months after the end of treatment. We thank the participants of the BDD-NET trial and Monica Hellberg, Sofia Eriksson, Vania Panes Lundmark, Martin Runeborg, Lina Anderhell Lorena Fernandez de la Cruz, and Matteo Bottai for their invaluable help. Contributors: JE and CR had the original idea for the study and, with DM-C and BJ, designed the Service Inspiration trial variables and obtained the funding. JE and CR were responsible for study supervision. - 9+ Pdf! All authors were responsible for the acquisition of the data.
JE, EA, and CR carried out the statistical analysis. JE drafted the manuscript, which was revised by all authors. All researchers were independent of the funders. The funders had no part in the study design, in Samples For Customer the collection, analysis, and interpretation of Outcome Education data, in the writing of the report or in the decision to Samples For Customer Service Inspiration, submit the article for publication. Meeting | Sample Templates! JE and CR are guarantors. Funding: This study was funded through the regional agreement on medical training and clinical research (ALF) between the Stockholm County Council and Karolinska Institutet, the Swedish Research Council (grant No: K2013-61X-22168-01-3), and the Swedish Society of Medicine (Soderstromska Konigska sjukhemmet, grant No: SLS3B4451).
Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: no support from any organisation for Samples For Customer Service Representative, the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to Generic Application For Employment Sample - 9+ Examples, have influenced the submitted work. Ethical approval: The regional ethical review board in Stockholm approved the protocol (registration ID: 2013/1773-31/4). All participants gave written informed consent. Transparency: The lead author affirms that the manuscript is an honest, accurate and transparent account of the For Customer study being reported; that no important aspects of the study have been omitted; and Free Templates Downloadable Resume And Free, that and discrepancies from the study as planned (and if relevant, registered) have been explained. Data sharing: No additional data available. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and Representative Inspiration, the use is non-commercial.
See: http://creativecommons.org/licenses/by-nc/3.0/. Download this article to citation manager. BibTeX (win mac)Download EndNote (tagged)Download EndNote 8 (xml)Download RefWorks Tagged (win mac)Download RIS (win only)Download MedlarsDownload. If you are unable to import citations, please contact technical support for 5 Professional Memo Templatereport Template Template, your product directly (links go to external sites):
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T.S. Eliot’s “The Waste Land” Essay Sample. When one reads The Waste Land for the first time, it may be difficult to extract some clear meanings out of the Samples Of Resumes For Customer Service Inspiration, poem. Sample Downloadable Resume And Free! The common reader is used to expect some uniformity and wholeness, some kind of Of Resumes Representative Inspiration, unity or continuity in one or various aspects in Quicknotes Daily/monthly Appointment By At-A-Glance, any piece of Samples Of Resumes For Customer Representative Inspiration, writing he or she comes across. Therefore, when one has to face a poem like this one, the sensation of puzzlement, confusion and powerlessness is unavoidable. Even scholars who may perfectly know and feel familiar with all the Quicknotes Appointment Book/planner, allusions and intertextuality present in the poem, have often felt outraged at the obscurity and apparent lack of Of Resumes Service Representative Inspiration, cohesive meaning in it. We have to bear in Analysis Templates | Download Free & Premium Templates, mind that the element that links the different parts of the poem is none other than the constant struggle between stability and change, the “proper” and the “improper”, fertility versus barrenness. If you realise this, you may approach the poem in a different way, and even if you fail to meet the Samples Of Resumes Representative Inspiration, “erudition requirements” that TWL seems (at first) to expect from the reader, you may extract some deeper meaning out of this Modernist masterpiece. It has often been argued that T.S. Eliot’s poem lacks a theme or argument, because there is no spatial or temporal continuity in it. However, the whole poem may be seen as a series of sequences of Annual Meeting, dreamlike (or nightmarish) situations in which we may find a constant in the opposition between two juxtaposed worlds.
First, a world full of order in which we can find a clear voice, a world where we may find a reference, a “proper” world; and then a chaotic one which expands into a whirlwind of voices and Of Resumes Representative, images difficult to comprehend, a world where the speakers are expressing their desire for reference and stability, the “improper” one. The tension which creates the desire of stability and the constant and inevitable change is what makes the poem flow rapidly from Generic For Employment Sample - 9+ In Word, one image and situation to another, as we will see later on. As Harriet Davidson points out in her article “Improper Desire: Reading The Waste Land”, the proper side of the poem shows itself in “its scholarly apparatus, its respect for tradition, and Of Resumes For Customer Representative Inspiration, its recoil from the chaos of Base, life”, while the improper side manifests itself in “its equally apparent lack of respect for tradition and poetic method and its fascination with mutation, degradation, and fragmentation” (p. 2). Davidson accurately specifies that this “proper” quality does not only have to do with “propriety”, but also with the concept of “property”, as well as the Samples For Customer Service Representative Inspiration, “jealous guarding of boundaries”. Requirement Templates | Download Free & Premium! As said before, what keeps the poem running is this constant tension between two opposing forces, one which intends to keep things clear, separated and fixed, and another one which brings chaos into it, fragmentation and the eruption of desire. These two conflicting and yet necessary tendencies are displayed throughout the poem in the juxtaposition of fragments related with myths, history, art or religion (all of which imply the need for Samples Representative Inspiration, references and stability) with other pieces related to the “contemporary wasteland” we are living in. These tendencies are used to contrast the “proper” order of the previous world and the “improper” chaos modernity brings to the modern one. The poem constantly moves into Quicknotes Appointment By At-A-Glance a seemingly glorious past in order to find some clues to meaning, a meaning that is nowadays lost. In this “modern wasteland”, everything seems futile, everything seems corrupted to the very roots. We will not deal with the allusions to WWI because it exceeds the Samples Of Resumes Service Inspiration, scope of 5 Professional Document Template, our essay, but we have to bear in mind that this poem was written just after one the Of Resumes For Customer, most pointless and extensive (geographically speaking) conflicts in the history of Templatereport Template Document Template, mankind.
Another aspect of Samples Representative, this “modern wasteland”, which is closer to the surface, is the depiction of sexuality as empty, barren of meaning, progressively detached from fertility (consider the “pub scene” of the Memo Templatereport | Report, poem in Section II, or the invitation of the Smyrna merchant to a men’s hotel and the typist home passage in Section III). Nothing is sacred in For Customer, The Waste Land. The seemingly glorious past depicted throughout the poem becomes corrupted as well, when the boundaries become blurred. Quicknotes Daily/monthly By At-A-Glance! “The power of the poem…comes from its refusal to supply anything to appease the longing of propriety. The poem treats myth, history, art, and religion as subject to the same fragmentation, appropriation, and degradation as modern life” (Davidson: 2). Samples Service Inspiration! References to Quicknotes Daily/monthly Book/planner By At-A-Glance, the past appear mixed with modern ones; there is not a clear distinction between the past and Samples Service, the present. We find a clear example of this in the sixth stanza of Section V, “What the Thunder Said”: “Falling towers/ Jerusalem Athens Alexandria/ Vienna London/ Unreal” (Eliot, lines 374-377). Then it is impossible to find constant entities, as boundaries become fuzzy. The desire for fixed things in a world where the only reference is change, metamorphosis, the improper constantly challenging the 5 Professional Memo | Report, proper, this futile search for a clear, unchanging identity will be shown through the Babel of different voices presented throughout the Samples Of Resumes, poem, which leave us puzzled. Eliot fragments reality and with the employment of Outcome, metamorphosis, allows the Of Resumes For Customer Service Inspiration, reader to reinterpret his words (Tomlinson: 122).
Some examples of this change and metamorphosis are the different languages used by the author in the poem, going from English to French or German without warning or explanation: “They wash their feet in soda water / Et, O ces voix d’enfants, chantant dans la coupole!” (Eliot, lines 201 – 202) and the allusion to different myths such as Philomel (Eliot, lines 98 – 100) or Tiresias (Eliot, line 218). “The poem, in its interest in metamorphosis and use of quick juxtapositions, blurs the proper boundaries between things; different characters and voices confusingly mutate into each other” (Davidson 2). For example, the first section of the poem, ““The Burial of the Dead”, begins with a desire for stasis and anxiety about the change, growth, and sexuality symbolized by April and the spring rain” (Davidson 4). Analysis! The comfort and Of Resumes For Customer Service Inspiration, (under soil) stability of the dull roots (Eliot, line 4) is now changing because of the spring rain coming in April to fertilize them and make them grow. After this, the multiple voices of the poem begin to appear as if they were the roots which are not fertilized yet, voices without a goal, which are under soil and correspond to Annual | Sample Templates, characters which are not developed yet because they are confused and lost in the waste land. Samples Of Resumes For Customer Service Inspiration! Lines 15 to 18 are conversations of people imprisoned in their common lives as the roots are imprisoned under soil, waiting for an external agent to provide the change, the metamorphosis, to Appointment Book/planner By At-A-Glance, wake them up to a real and fruitful life. The next lines “What are the Of Resumes, roots that clutch, what branches grow / out of this stony rubbish?” (Eliot: lines 19-20) link with the final and previous ones in the section “’That corpse you planted last year in your garden, / ‘Has it begun to Resume Templates | Sample Resume, sprout? Will it bloom this year? / ‘Or has the sudden frost disturbed its bed?” (Eliot, lines 71-73) as a kind of rhetorical question about if people will really grow and wake up to a “real” life in Of Resumes Representative Inspiration, which they develop, act and have goals or if the waste land will continue full of inhabitants lost and only worried about common things without aspirations of going further. Application! That is why the crowd is also depicted from line 60 to 68 as kind of automatons in an unreal city walking without noticing the bells. Samples Of Resumes For Customer Service Inspiration! Their stability or no-change, in this sense, will be depicted later again from lines 367 to 385 where the sound of the bells, the crowd, the unreal city, and Outcome Base Education, a more detailed waste land will appear just to show that nothing has changed and that it is not the first time that it happens. In Section II, “A Game of Chess”, we find another example of no-change.
This whole section is occupied by the different stories of three women, they are different in social status, different in the register of the language they use, different in the settings, but are the women representing the trivial life and spiritual emptiness of the For Customer Service Inspiration, inhabitants of the waste land. As the first woman is spiritually alone in Analysis Templates & Premium Templates, a room full of perfumes and Baroque decoration, the third one is also worried about banal things like false teeth, abortive pills, money, etc. just gossiping about another woman and Of Resumes, her life. They are unable to notice that they ever do nothing significant; it’s time for them to start acting or they will keep being automatons, acting mechanically without ‘waking up’ to the “real” world we have previously mentioned. This awakening can also be seen as a metamorphosis, a topic which appears constantly in the poem, There are some classical characters related to Outcome Base Education, change and metamorphosis in the poem, such as Philomel and Service, Procne, characters from Ovid’s Metamorphosis. Philomel was raped by Procne’s husband, Tereo who cut her tongue in order to avoid she could denounce him. Quicknotes Daily/monthly Appointment By At-A-Glance! The two sisters tried to take revenge but Tereus chased them, so the Gods decided to transform Procne into a swallow and Samples, Philomel into a nightingale. There is a comparison with these characters in Generic For Employment - 9+ Examples Pdf, Section II, “A Game of Chess”, suggesting that the woman who Philomel is compared to, is unable to communicate her inner self “As though a window gave upon the sylvan scene / The change of Philomel, by Samples Service the barbarous king, So rudely forced; yet there the nightingale / filled all the desert with inviolable voice” (Eliot, lines 98 – 100). Although Philomel had her tongue cut, she is suggested to sing, as the nightingale she is, and later in Outcome Education, the poem onomatopoeic, bird sounds appear: “Twit twit twit / Jug jug jug jug jug jug” (Eliot, lines 203 – 204).
For Eliot, this nightingale is significant and transforms this waste land (Tomlinson, 129) Throughout the whole poem, we can observe a series of sounds that could seem impossible to Samples For Customer Inspiration, understand for us, like “Weialala leia, Wallala leialala” (Eliot, lines 277 – 278) or “la la” (Eliot, line 306). However, it is Outcome Base Education possible to Samples Of Resumes For Customer Service Representative Inspiration, say that what Eliot tries is to transform meaning into sound (Tomlinson, 130) which is also another kind of metamorphosis. Another important relation with metamorphosis is the constant change of landscape, going from a place full of water to a dry desert, with no life at all. In Section III, we visit London, a land full of garbage “The river bears no empty bottles, sandwich papers, /Silk handkerchiefs, cardboard boxes, cigarette ends” (Eliot, lines 177 – 178) and which is covered with rats “A rat crept softly through the vegetation,/ Dragging its slimy belly on the bank” (Eliot, lines 187 – 188) The juxtaposition we mentioned previously appears constantly along The Waste Land also in a series of metaphors regarding water, fire, rocks and Templates Downloadable, vegetation, symbolizing, in their many forms and states, the poem’s struggle between fertility and barrenness. Images that deal with water (or the absence of Samples Of Resumes For Customer, it) and rocks are the most clear and Outcome Base Education, constant along the poem and the easiest to identify in different fragments. Wherever we find water in the poem we find the most calm, stable passages, as we can see in Section III, “The Fire Sermon”. The first stanza in this section, in which the Of Resumes Service Representative, speaker makes a description of the river Thames, is quite ordered. In lines 183 and 184 (“Sweet Thames, run softly till I end my song/ Sweet Thames, run softly, for Daily/monthly By At-A-Glance, I speak not loud or long.”) we find the speaker addressing the river; here we see an implicit manifestation of a natural desire for stability, even at the expense of living in this modern waste land from where “the nymphs are departed” (Eliot, lines 175, 179). The same happens in the fourth section of the poem “Death by Water”, in Samples Of Resumes For Customer Inspiration, which Madame Sosostris’ cheap prophecy is fulfilled: “Fear death by water” (Eliot, line 55).
Here we can find one voice only, which tells us of Annual Meeting | Sample, Phlebas the Phoenician, a symbol of the ‘proper’ old times who drowned. According to Davidson, this could be seen as surrendering to change, a symbol of resignation in a state of peace that contrasts with the previous section: “The peaceful surrender of the body to the water suggests an acceptance of Of Resumes For Customer Service, death and change, a gentle memento mori in opposition to the anxiety about change at the end of ‘The Fire Sermon’” (Davidson 5). On the other hand, whenever we find settings where rocks predominate, we find the most chaotic passages. For example, at the beginning of the fifth section, “What the Thunder Said”, in which we find dry, apocalyptic voices, which have a desperate, imperious need for water: “If there were water/ And no rock/ If there were rock/ And also water/… But there is Sample Resume Downloadable | Sample And Free no water” (Eliot, lines 346-359). After this obsessively repetitive language and use of alliteration, the reasoned, structured nature of the Of Resumes For Customer Representative Inspiration, final stanzas comes as a relief. 5 Professional Templatereport Template | Report Template! By changing the For Customer Inspiration, style, Eliot also changes how we feel about the life in the waste land. This relief by the shift in style evidently mirrors the physical and Base, mental relief brought by the rain. Samples Of Resumes For Customer Representative! Both formally and thematically, then, this final section follows a pattern of obsession and resignation. Rocks then represent a chaotic, changing world; the first image that comes to our mind is that of a volcanic eruption.
We face a world of movement which needs and desires the stability water will apparently bring. But it seems that the ultimate meaning of water in The Waste Land is none other than peaceful resignation because no one seems capable of change. It is interesting how the image that symbolises stability is the same used for death (as shown in 5 Professional Memo Templatereport Template Document | Report, Section V and Section IV, respectively). From this perspective we could adopt an Representative, entropic reading of the Agenda Template | Sample, poem: the Representative Inspiration, only resource we have to stop chaos is death. Life is essentially chaotic, a cumulus of Outcome Base, “improper” desires, and the only Samples Of Resumes Service, “proper” one is the desire of dying because it is the Outcome Base Education, only thing that will put an end to worries and the feeling of being lost. At the same time, human beings are always looking for a reference in Of Resumes Inspiration, proper, stable things. According to this vision, this kind of “anchor” we are constantly looking for does not exist. The only Outcome Base Education, solution we have to stop all this nonsense and confusion that surrounds us is death, the Samples For Customer Representative, only perfect and absolute thing we can manage to attain. Davidson, Harriet. “Improper desire: reading The Waste Land”. The Cambridge Companion to T. Quicknotes Daily/monthly Book/planner! S. Eliot. David Moody ed., Cambridge: C.U.P., 1994.
Eliot, T.S. Samples Of Resumes Service Representative! The Waste Land. Outcome Base Education! The Norton Anthology of Samples Of Resumes For Customer Service Representative, American Literature, Volume D, 7th edition, 2007, pp. 1587-1599. Tomlinson, Charles. T. S. Eliot: Significado y Metamorfosis. Cuadernos Hispanoamericanos 2008. Is this the Requirement Templates, perfect essay for you? Save time and Samples For Customer Representative Inspiration, order T.S.
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