The Importance of Truth-Telling Essay Example for Free

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

The Impact of Terrorism on Immigration Essay -- Exploratory Essays Res

The Impact of Terrorism on Immigration    Always on the lookout for opportunities to press their case, anti-immigration advocates lost no time after the attacks of September 11. As one of them pointed out in testimony before the Senate, It seems clear that the 19 terrorists of September 11 were all foreign citizens and entered the United States legally, as tourists, business travelers, or students. This was also true of the perpetrators of previous terrorist acts . . . While it is absolutely essential that we not scapegoat immigrants, especially Muslim immigrants, we also must not overlook the most obvious fact: the current terrorist threat to the United States comes almost exclusively from individuals who arrive from abroad. Thus, our immigration policy, including temporary and permanent visas issuance, border control, and efforts to deal with illegal immigration are all critical to reducing the chance of an attack in the future".1 On a more extreme note, Pat Buchanan urged an immediate moratorium on all immigration, an expansion of the Border Patrol to 20,000, a radical reduction of visas issued to nationals of states that harbor terrorists, and the expedited deportation of "the eight-to-11 million illegal aliens, beginnings with those from rogue nations." Moreover, "President Bush's amnesty proposal" - a reference to ongoing negotiations between the United States and Mexico for a new immigration program, which might include legalization of unauthorized residents - should be quietly interred".2 In the country at large, the attacks unleashed a spate of aggressions against people who were seen as resembling the terrorists or believed to sympathize with them, occasionally with tragic consequences. Overall, Washing... ...d in Newsweek, November 12, 2001. 6 John Torpey, The Invention of the Passport: Surveillance, Citizenship, and the State (Cambridge: Cambridge University Press, 1999). 7 These figures are taken from Annual Reports of the Immigration and Naturalization Service; I am grateful to Fred C for his assistance in gathering the appropriate data. 8 "Longer Visa Waits for Arabs," The New York Times, Nov. 10, 2001: B5. 9 The Washington Post, Oct. 30, 2001: A1. 10 "In Sweeping Campus Canvasses, U.S. Checks on Mideast Students..." The New York Times, Nov. 12, 2001: B8. 11 The Washington Post, Oct, 25, 2001: A24. 12 Christian Science Monitor, September 19, 2001, 1. 13 The San Diego Union-Tribune, October 25, 2001. 14 The New York Times, September 27, 2001: B3. 15 National Post, October 10, 2001. 16 The New York Times, Oct. 26, 2001: A18.

University College

David John Lodge was born on January 28, 1935, in London’s lower-middle-class East End, the only son of a musician father and a staunchly Catholic mother. The family’s straitened economic situation, his conservative Catholic upbringing, and the dangers of wartime London left their mark on young David. He began his first novel (unpublished) at eighteen while still a student at University College, London, where he received his B. A. in English (with first honors) in 1955 and an M. A. in 1959.Between times Lodge performed what was then an obligatory National Service (1955-1957). Although the two years were in a sense wasted, his stint in the army did give him time to complete his first published novel, The Picturegoers , and material for his second, Ginger, You’re Barmy , as well as the impetus to continue his studies.In 1959 he married to Mary Frances Jacob; they had three children. After a year working as an assistant at the British Council, Lodge joined the facul ty at the University of Birmingham, where he completed his Ph. D. in 1969; he eventually attained the position of full professor of modern English literature in 1976. The mid-1960’s proved an especially important period in Lodge’s personal and professional life.He became close friends with fellow critic and novelist Malcolm Bradbury (then also at Birmingham), under whose influence Lodge wrote his first comic novel, The British Museum Is Falling Down , for which the publisher, not so comically, forgot to distribute review copies; he was awarded a Harkness Commonwealth Fellowship to study and travel in the United States for a year (1964-1965); he published his first critical study, the influential The Language of Fiction (1966); and he learned that his third child, Christopher, suffered from Down syndrome (a biographical fact that manifests itself obliquely at the end of Out of the Shelter and more overtly in one of the plots of How Far Can You Go? ).Lodge’s secon d trip to the United States, this time as visiting professor of English at the University of California at Berkeley in 1969, during the height of the Free Speech Movement and political unrest, played its part in the conceiving and writing of his second comic novel, Changing Places , as did the critical essays he was then writing and would later collect in The Novelist at the Crossroads (1971) and Working with Structuralism (1981). The cash award that went along with the Whitbread Prize for his next novel, How Far Can You Go? , enabled Lodge to reduce his teaching duties to half-year and to devote himself more fully to his writing.He transformed his participation in the Modern Language Association’s 1978 conference in New York, the 1979 James Joyce Symposium in Zurich, and a three-week world tour of conferences and British Council speaking engagements into his most commercially successful book, Small World , later adapted for British television. His reputation growing and his financial situation brightening, Lodge donated all royalties from his next book, Write On: Occasional Essays, ’65-’85 (1986), to CARE (Cottage and Rural Enterprises), which maintains communities for mentally handicapped adults. In 1987 he took advantage of early retirement (part of Prime Minister Margaret Thatcher’s austerity plan for British universities) so that he could work full time as a writer. Lodge soon published Paradise News (1991) and Therapy (1995).He also published two collections of essays, After Bakhtin: Essays on Fiction and Criticism (1990) The Art of Fiction (1992), and a comedic play, The Writing Game (1991). Especially popular for his academic novels, Lodge enjoyed an increasingly strong critical reception in the 1990’s. The Writing Game was adapted for television in 1996, and Lodge was named a Fellow of Goldsmith’s College in London in 1992. In 1996 he published The Practice of Writing , a collection of seventeen essays on the creative process. In this text he treats fiction writers who have influenced him, from James Joyce to Anthony Burgess, and comments on the contemporary novelist and the world of publishing; the main focus, however, is on adapting his own work, as well as the work of Charles Dickens and Harold Pinter, for television.Lodge remained a supporter of CARE and other organizations supporting the mentally handicapped (the subject of mental handicaps appears briefly in Therapy in a reference to the central character’s sister’s dedication to a mentally handicapped son). He retained the title of Honorary Professor of Modern English Literature at the University of Birmingham. In addition to interests in television, theater, and film, Lodge maintained an interest in tennis that is sometimes reflected in the novels. Literary Forms Mediating between theory and practice, David Lodge has proved himself one of England’s ablest and most interesting literary critics. Among his influ ential critical books are The Language of Fiction (1966) and The Novelist at the Crossroads (1971).In addition to his novels and criticism, he has written short stories, television screenplays of some of his novels, and (in collaboration with Malcolm Bradbury and Jim Duckett) several satirical revues. Achievements As a novelist Lodge has made his mark in three seemingly distinct yet, in Lodge’s case, surprisingly congruent areas: as a writer of Catholic novels, of â€Å"campus fiction,† and of works that somehow manage to be at once realist and postmodern. The publication of Changing Places in 1975 and Small World nine years later brought Lodge to the attention of a much larger (especially American) audience. Changing Places won both the Yorkshire Post and Hawthornden prizes, How Far Can You Go?received the Whitbread Award, and Nice Work was shortlisted for Great Britain’s prestigious Booker Prize. Literary Analysis In order to understand David Lodge’s no vels, it is necessary to place them in the context of postwar British literature—the â€Å"Movement† writers and â€Å"angry young men† of the 1950’s, whose attacks on the English class system had an obvious appeal to the author of The Picturegoers , the English Catholic novel and â€Å"campus novel† traditions, and finally the postmodernism to which British fiction (it is often claimed) has proved especially resistant. In addition, Lodge’s novels are significantly and doubly autobiographical. They draw not only on important events in the author’s life, but also on his work as a literary critic.In The Language of Fiction Lodge defends the aesthetic validity and continuing viabilty of realist writing on the basis of linguistic mastery rather than fidelity to life, and in The Novelist at the Crossroads he rejects Robert Scholes’s bifurcation of contemporary fiction into fabulistic and journalistic modes, positing the â€Å"probl ematic novel† in which the novelist innovatively builds his hesitation as to which mode to adopt into the novel. Lodge’s own novels are profoundly pluralistic yet manifest the author’s clear sense of aesthetic, social, and personal limitations as well as his awareness of working both within and against certain traditions and forms. The Picturegoers Set in a lower-middle-class area of London much like the one in which Lodge grew up, The Picturegoers is an interesting and even ambitious work marred by melodramatic excesses. As the plural of its title implies, The Picturegoers deals with a fairly large number of more or less main characters.Lodge’s title also is indicative of his narrative method: abrupt cinematic shifts between the different plots, use of a similarly shifting focalizing technique, and a stylizing of the narrative discourse in order to reflect features of an individual character’s verbal thought patterns. Of the seven main characters, Mark Underwood is the most important. A lapsed Catholic and aspiring writer, he arrives in London, rents a room in the home of a conservative Catholic family, the Mallorys, and falls in love with the daughter, Clare, formerly a Catholic novitiate. The affair will change them: Clare will become sexually awakened and then skeptical when Mark abandons her for the Catholicism from which she has begun to distance herself.Interestingly, his return to the Church seems selfish and insincere, an ironic sign not of his redemption but of his bad faith. Ginger, You’re Barmy Dismissed by its author as a work of â€Å"missed possibilities† and an â€Å"act of revenge† against Great Britain’s National Service, Ginger, You’re Barmy continues Lodge’s dual exploration of narrative technique and moral matters and largely succeeds on the basis of the solution Lodge found for the technical problem which the writing of the novel posed: how to write a novel about the tedium of military life without making the novel itself tedious to read. Lodge solved the problem by choosing to concentrate the action and double his narrator-protagonist Jonathan Browne’s story.Lodge focuses the story on the first few weeks of basic training, particularly Jonathan’s relationship with the altruistic and highly, though conservatively, principled Mike Brady, a poorly educated Irish Catholic, who soon runs afoul of the military authorities; on the accidental death or perhaps suicide of Percy Higgins; and on Jonathan’s last days before being mustered out two years later. Lodge then frames this already-doubled story with the tale of Jonathan’s telling, or writing, of these events three years later, with Jonathan now married (to Mike’s former girlfriend), having spent the past three years awaiting Mike’s release from prison. The novel’s frame structure suggests that Jonathan has improved morally from the self-centered agnostic he was to the selfless friend he has become, but his telling problematizes the issue of his development.Between Mike’s naive faith and Jonathan’s intellectual self-consciousness and perhaps self-serving confession there opens up an abyss of uncertainty for the reader. The British Museum Is Falling Down This moral questioning takes a very different form in Lodge’s next novel. The British Museum Is Falling Down is a parodic pastiche about a day in the highly literary and (sexually) very Catholic life of Adam Appleby, a twenty-five-year- old graduate student trying to complete his dissertation before his stipend is depleted and his growing family overwhelms his slender financial resources. Desperate but by no means in despair, Adam begins to confuse literature and life as each event in the wildly improbable series that makes up his day unfolds in its own uniquely parodied style.The parodies are fun but also have a semiserious purpose, the undermining of al l forms of authority, religious as well as literary. Parodic in form, The British Museum Is Falling Down is comic in intent in that Lodge wrote it in the expectation of change in the church’s position on birth control. The failure of this expectation would lead Lodge fifteen years later to turn the comedy inside out in his darker novel, How Far Can You Go? Out of the Shelter Published after The British Museum Is Falling Down but conceived earlier, Out of the Shelter is a more serious but also less successful novel. Modeled on a trip Lodge made to Germany when he was sixteen, Out of the Shelter attempts to combine the Bildungsroman and the Jamesian international novel.In three parts of increasing length, the novel traces the life of Timothy Young from his earliest years in the London blitz to the four weeks he spends in Heidelberg in the early 1950’s with his sister, who works for the American army of occupation. With the help of those he meets, Timothy begins the proce ss of coming out of the shelter of home, conservative Catholicism, unambitious lower-middle-class parents, provincial, impoverished England, and sexual immaturity into a world of abundance as well as ambiguity. Lodge’s Joycean stylization of Timothy’s maturing outlook proves much less successful than his portrayal of Timothy’s life as a series of transitions in which the desire for freedom is offset by a desire for shelter, the desire to participate by the desire to observe.Even in the epilogue, Timothy, now thirty, married, and in the United States on a study grant, finds himself dissatisfied (even though he has clearly done better than any of the novel’s other characters) and afraid of the future. Changing Places Lodge translates that fear into a quite different key in Changing Places. Here Lodge’s genius for combining opposites becomes fully evident as the serious Timothy Young gives way to the hapless English liberal-humanist Philip Swallow, wh o leaves the shelter of the University of Rummidge for the expansive pleasures of the State University of Euphoria in Plotinus (Berkeley). Swallow is half of Lodge’s faculty and narrative exchange program; the other is Morris Zapp, also forty, an academic Norman Mailer, arrogant and ambitious.Cartoonish as his characters—or rather caricatures—may be, Lodge makes them and their complementary as well as parallel misadventures in foreign parts humanly interesting. The real energy of Changing Places lies, however, in the intersecting plots and styles of this â€Å"duplex† novel. The first two chapters, â€Å"Flying† and â€Å"Settling,† get the novel off to a self-consciously omniscient but otherwise conventional start. â€Å"Corresponding,† however, switches to the epistolary mode, and â€Å"Reading† furthers the action (and the virtuosic display) by offering a series of newspaper items, press releases, flysheets, and the like. â €Å"Changing† reverts to conventional narration (but in a highly stylized way), and â€Å"Ending† takes the form of a filmscript.Set at a time of political activism and literary innovation, Changing Places is clearly a â€Å"problematic novel† written by a â€Å"novelist at the crossroads,† aware of the means at his disposal but unwilling to privilege any one over any or all of the others. How Far Can You Go? Lodge puts the postmodern plays of Changing Places to a more overtly serious purpose in How Far Can You Go? It is a work more insistently referential than any of Lodge’s other novels but also paradoxically more self-questioning: a fiction about the verifiably real world that nevertheless radically insists upon its own status as fiction. The novel switches back and forth between the sometimes discrete, yet always ultimately related stories of its ten main characters as freely as it does between the mimetic levels of the story and its narration. The parts make up an interconnected yet highly discontinuous whole, tracing the lives of its ten characters from 1952 (when nine are university students and members of a Catholic study group led by the tenth, Father Brierly) through the religious, sexual, and sociopolitical changes of the 1960’s and 1970’s to the deaths of two popes, the installation of the conservative John Paul II, and the writing of the novel How Far Can You Go? in 1978. The authorial narrator’s attitude toward his characters is at once distant and familiar, condescending and compassionate. Their religious doubts and moral questions strike the reader as quaintly naive, the result of a narrowly Catholic upbringing. Yet the lives of reader and characters as well as authorial narrator are also strangely parallel in that (to borrow Lodge’s own metaphor) each is involved in a game of Snakes and Ladders, moving narratively, psychologically, socially, and religiously ahead one moment, only to fall suddenly behind the next.The characters stumble into sexual maturity, marry, have children, have affairs, get divorced, declare their homosexuality, suffer illnesses, breakdowns, and crises of faith, convert to other religions, and join to form Catholics for an Open Church. All the while the authorial narrator of this most postmodern of post- Vatican II novels proceeds with self-conscious caution, possessed of his own set of doubts, as he moves toward the open novel. Exploring various lives, plots, voices, and styles, Lodge’s artfully wrought yet ultimately provisional narrative keeps circling back to the question that troubles his characters: â€Å"How far can you go? † in the search for what is vital in the living of a life and the writing (or reading) of a novel. Small WorldLodge goes still further, geographically as well as narratively speaking, in his next novel. A campus fiction for the age of the â€Å"global campus,† Small World begins at a decided ly provincial meeting in Rummidge in 1978 and ends at a mammoth Modern Language Association conference in New York one year later, with numerous international stops in between as Lodge recycles characters and invents a host of intersecting stories (or narrative flight paths). The pace is frenetic and thematically exhaustive but, for the delighted reader, never exhausting. The basic plot upon which Lodge plays his add-on variations begins when Persse McGarrigle—poet and â€Å"conference virgin†Ã¢â‚¬â€meets the elusive Angelica Pabst.As Angelica pursues literary theory at a number of international conferences, Persse pursues her, occasionally glimpsing her sister, a pornographic actress, Lily Papps, whom he mistakes for Angelica. Meanwhile, characters from earlier Lodge novels reappear to engage in affairs and rivalries, all in the international academic milieu. A parody of (among other things) the medieval quest, Lodge’s highly allusive novel proves at once ente rtaining and instructive as it combines literary modes, transforms the traditional novel’s world of characters into semiotics’ world of signs, and turns the tables on contemporary literary theory’s celebrated demystifications by demystifying it. At novel’s end, Lodge makes a guest appearance, and Persse makes an exit, in pursuit of another object of his chaste desire.The quest continues, but that narrative fact does not mean that the novel necessarily endorses the kind of extreme open-endedness or inconclusiveness that characterizes certain contemporary literary theories. Rather, the novel seems to side with the reconstructed Morris Zapp, who has lost his faith in deconstruction, claiming that although the deferral of meaning may be endless, the individual is not: â€Å"Death is the one concept you can’t deconstruct. Work back from there and you end up with the old idea of an autonomous self. † Nice Work Zapp’s reduced expectations ty pify Lodge’s eighth novel, Nice Work , set almost entirely in Rummidge but also—as in How Far Can You Go? —evidencing his interest in bringing purely literary and academic matters to bear on larger social issues.The essential doubleness of this geographically circumscribed novel manifests itself in a series of contrasts: between the nineteenth and twentieth centuries, literature and life, the Industrial Midlands and Margaret Thatcher’s economically thriving (but morally bankrupt) London, male and female, and the novel’s two main characters. Vic Wilcox, age forty-six, managing director of a family-named but conglomerate-owned foundry, rather ironically embodies the male qualities his name implies. Robyn Penrose is everything Vic Wilcox is not: young, attractive, intellectual, cosmopolitan, idealistic, politically aware, sexually liberated, as androgynous as her name, and, as temporary lecturer in women’s studies and the nineteenth century nov el, ill-paid. The differences between the two are evident even in the narrative language, as Lodge takes pains to unobtrusively adjust discourse to character.The sections devoted to Vic, â€Å"a phallic sort of bloke,† are appropriately straightforward, whereas those dealing with Robyn, a character who â€Å"doesn’t believe in character,† reflect her high degree of self-awareness. In order to bring the two characters and their quite different worlds together, Lodge invents an Industry Year Shadow Scheme that involves Robyn’s following Vic around one workday per week for a semester. Both are at first reluctant participants. Displeasure slowly turns into dialogue, and dialogue eventually leads to bed, with sexual roles reversed. Along the way Lodge smuggles in a considerable amount of literary theory as Vic and Robyn enter each other’s worlds and words: the phallo and logocentric literalmindedness of the one coming up against the feminist-semiotic aw areness of the other.Each comes to understand, even appreciate, the other. Lodge does not stop there. His ending is implausible, in fact flatly unconvincing, but deliberately so—a parody of the only solutions that, as Robyn points out to her students, the Victorian novelists were able or willing to offer to â€Å"the problems of industrial capitalism: a legacy, a marriage, emigration or death. † Robyn will receive two proposals of marriage, a lucrative job offer, and an inheritance that will enable her to finance the small company Vic, recently fired, will found and direct and also enable her to stay on at Rummidge to try to make her utopian dream of an educated, classless English society a reality.The impossibly happy ending suggests just how slim her chances for success are, but the very existence of Lodge’s novel seems to undermine this irony, leaving Nice Work and its reader on the border between aspiration and limitation, belief and skepticism, the romance of how things should be and the reality, or realism, of how things are—a border area that is one of the hallmarks of Lodge’s fiction. Paradise News Paradise News centers on the quest motif and the conflicts of a postmodern English Catholic. Bernard Walsh, a â€Å"sceptical theologican,† was formerly a priest but now teaches theology at the University of Rummidge. Summoned, along with his father, to see his aunt, who left England after World War II and is now dying in Hawaii, Walsh signs up for a package tour to save money. The rumpled son and his curmudgeon father join a comic assortment of honeymooners, disgruntled families, and other eccentrics; Lodge calls an airport scene â€Å"carnivalesque.† When the father breaks his leg on the first morning, Bernard must negotiate to bring his father and his aunt together so that his aunt can finally reveal and overcome the sexual abuse she suffered in childhood. Bernard’s journey to Hawaii becomes a journe y of discovery in his sexual initiation with Yolande, who gently leads him to know himself and his body. A major theme, as the title suggests, is â€Å"paradise. † Hawaii is the false paradise—paradise lost, fallen, or packaged by the tourist industry—yet a beautiful, natural backdrop is there, however worn and sullied. Paradise emerges from within the individuals who learn to talk to one another. The â€Å"news† from paradise includes Bernard’s long letter to himself, which he secretly delivers to Yolande, and letters home from members of the tour group.As with Lodge’s other novels, prominent themes are desire and repression in English Catholic families and a naive academic’s quest for self. In a complex tangle of human vignettes, Bernard moves from innocence and repression to an awakening of both body and spirit—an existential journey that is both comic and poignant. Therapy Therapy centers on another spiritual and existentia l quest. Lawrence (Tubby) Passmore, successful writer of television comedies, is troubled by knee pains and by anxiety that leads him, after reading the works of Soren Kierkegaard, to consider himself the â€Å"unhappiest man. † Seeking psychotherapy, aromatherapy, massage therapy, and acupuncture, Tubby moves through a haze of guilt and anxiety.When his wife of thirty years asks for a divorce, he seeks solace with a series of women, with each quest ending in comic failure. Obsessed with Kierkegaard’s unrequited love, Tubby launches a quest for the sweetheart whom he feels he wronged in adolescence. Lodge’s concern with the blurring of literary forms is evident in Tubby’s preoccupation with writing in his journal, sometimes writing Browningesque monologues for other characters. Opening with an epigraph from Graham Greene asserting that writing itself is â€Å"therapy,† Lodge takes Tubby through a quest for self through writing that coincides with a literal pilgrimage when he joins his former sweetheart, Maureen, on a hiking pilgrimage in Spain.When Tubby at last finds Maureen, her recollections of their teenage romance minimize his guilt, and his troubles seem trivial in comparison with her losing a son and surviving breast cancer. At the end, Tubby is planning a trip (a pilgrimage) to Kierkegaard’s home with Maureen and her husband. Tubby’s real therapy has been self-discovery through writing in his journal; other therapies and journeys have failed. Intertwined with existential angst, Tubby’s physical and psychological journeys are both comic and sad, with an underlying sense of the power of human goodness and the need to overcome repressions. Findings and discussion Conclusion References

A Study Of U.s. Oncologists Recommends That Backing For...

Rough Draft A study of U.S. oncologists recommends that backing for assisted suicide in this time has declined significantly. A study surveyed 3299 individuals from the American Culture of Clinical Oncology in 1998. It discovered 22.5% in support for doctor assisted suicide for a patient in critical condition with unremitting agony, contrasted with 45.5% support for in 1994. Assisted suicide in this circumstance was upheld by 6.5%, contrasted with 22.7% in 1994. Surgical oncologists will probably uphold these practices; Catholics, or those who view themselves as religious, and the individuals who say they have significant time to converse near death patients about end-of-life consideration were not as likely to do so. The individuals who reject killing and assisted suicide are likewise less likely to increase the amount of morphine drips a patient in pain can use for relief. This reticence, they note, probably reflects fear that increasing opioid dose increases the risks for respiratory depression and death and might be construed as a form of euthanasia. This view may be encouraged by proponents of euthanasia who have argued that there is no difference between increasing morphine for pain relief and euthanasia. The authors urge increased efforts to educate physicians on the ethical and legal acceptability of increasing narcotics for pain control, even at the risk of respiratory depression and death (E. Emanuel ., Attitudes and Practices of U.S. Oncologists