A Person Who Was Nearly Killed After a Heart Attack Research Paper

A Person Who Was Nearly Killed After a Heart Attack - Research Paper Example This essay discusses that many years ago, the patient was already warned by the doctors to watch his diet and maintain a regular exercise. He was advised to be â€Å"careful about his health† and watch his weight because he was already hypertensive and his family (both on the father and mother side) had a long history of having cardiovascular disease and hypertension. The patient was already overweight which indicated that he really had to watch his health. Even his wife which is also a family friend already advised him to at least scale down on his drinking habit and have a change of diet. Still, it was to no avail. The patient was encouraged to do sport or go to the gym or do a leisure swim as a substitute for drinking but it still did not work. Even if he already reached his 40s and had a history of cardiovascular diseases on both sides of his family, he still carried the lifestyle that he had when he was still college. He likes to indulge in fatty foods like pork and high cholesterol beef in addition to junk foods and soda. Even his wife already reminded him to â€Å"slow down† with his eating and drinking habits to no avail. He does not get enough sleep due to his beer binges rendering his immune system weak. Until one day while eating, he suffered a heart attack and it was obviously bad. He just fell from his seat. It was accompanied by a stroke due to his hypertension. It nearly killed him only that he was rushed to the hospital in time. But he was not able to recover from that single heart attack and stroke.... ho attended him explained that the stroke which paralyzed his brain was caused by high blood pressure and heart attack which deprived the brain of oxygen during the attack. Due to the spontaneous heart attacks and stroke that deprived the brain oxygen (caused by heart attack), several blood vessels or nerves in his brain burst. The bursting of the blood vessels left a blood clot lodged within the nerves of his brain that blocked the oxygen from reaching his brain tissues. As a result, his brain tissues deteriorated that instead of recovering, his situation is just getting bad. To date, his physical movement is seriously limited that he has to be on a wheel chair and his speech is now impaired because he can no longer speak clearly. His hearing also deteriorated because we have to yell before he can hear us. But what hurts more than his physical condition is the effect of his sudden paralysis on his family. It was also as if his family was paralyzed. The very first thing that was affe cted was their finances. He was the sole breadwinner in their family and his paralysis rendered him unfit to work and removed the source of income for their family. The only consolation they have is that they were done amortizing their house that they were not thrown out to the streets even if the husband is no longer working. Their savings were literally wiped out with his hospitalization that rendered them bankrupt. They also had to spend for his expensive maintenance medicines. What hurt more is that the wife was forced to work doing some menial jobs that she was not used to. Two of his children has to stopped going to college (the eldest was sophomore in college while the second is a freshman and the youngest was in junior high). They went through turbulent times after that becasue

Analysis of the Book Bless Me, Ultima by Rudolfo Anaya Essay

Analysis of the Book Bless Me, Ultima by Rudolfo Anaya - Essay Example The essay "Analysis of the Book Bless Me, Ultima by Rudolfo Anaya" analyses the actions of the main character Antonio of the book "Bless Me, Ultima" by Rudolfo Anaya. In his search for identity, Antonio struggles to find his personal belief and value system. The paper investigates Antonio’s religious quest and discusses the juxtaposition of Catholicism, paganism, magic, mythology, and superstition in the novel. Antonio has a somewhat conflicting childhood, with his mother belonging to the Luna family who are mostly farmers and priests and who wants him to become a priest as well. Whereas his father belongs to the MÃ ¡rez clan, a family where roaming the earth and the freedom it gives are encouraged. Antonio is raised as a Catholic, which he adapts to so unquestioningly that at the small age of six he already decides to become a priest when he grows up. However, despite being Catholic, both his parents not only love but also reverse the curandera Ultima. Thus, she is someone w ho holds fast to the traditions of the people and is a healer, though not a witch, albeit she is accused of being so. Most of the people do not know how to react to her, as she has really good healing powers, almost to the point of people suspecting witchcraft. The first time doubts are raised in Antonio’s mind about his Catholic faith is when his friend tells him about the golden carp, a pagan god. The first thought that comes to his mind is if the God the Catholics pray to is the true God or not.

A Farewell to Arms an Ironic Metaphor to Explore Physical and Literature review

A Farewell to Arms an Ironic Metaphor to Explore Physical and Emotional Death - Literature review Example   Ã¢â‚¬Å"A Farewell to Arms† is a novel set during World War I. It is filled with human despair, loneliness, and confusion (Bloom 17). It is told in the first person, using the character of Lt. Frederic Henry, who is an American serving in the Italian army as an ambulance driver. He falls in love with an English nurse, Catherine Barkley, and the whole story revolves around how each character tries to survive life, conquer death, and placate their loneliness and misery (Burden and Hemingway 9). If one is familiar with the life of the author, Ernest Hemingway, one could easily see several allusions to the events that occurred in the author's life, particularly in the relationship between the main characters Frederic and Catherine. Hemingway served in the Red Cross in Italy during the war (Hewson 53). Not surprisingly, he was an ambulance driver, much like the main character in the story, Frederic. Hemingway got wounded and during his hospitalization, met and developed a relatio nship with nurse Agnes von Kurowsky (Hewson 56). A large part of the story is based on the realities that Hemingway encountered during the war, and to explore this in the novel, he utilizes several metaphors (Harrington 60) mainly using rain or the weather to forecast major events in the characters' lives (Bloom 19). Rain, or water for that matter, is usually seen as something that supports life, yet Hemingway effectively utilizes this as an ironic representation of gloom, pain, and destruction (Harrington 60-1). From start to finish, rain symbolizes the many emotions associated with death. At the beginning of the novel, one can see the immediate turning of summer into autumn. Summer is â€Å"rich with crops,† while autumn is where â€Å" the branches were bare and the trunks black with rain† (Hemingway 7). This alone forecasts the turning of events from happy to desolate. This is because, in that same chapter, death is foreshadowed. â€Å"In the fall when the rains c ame, the leaves all fell from the chestnut trees and the branches were bare and the trunks black with rain† and â€Å"The vineyards were thin and bare-branched too and all the country wet and brown and dead with autumn† (Hemingway 7). This is followed by the line â€Å"At the start of the winter came the permanent rain and with the rain came cholera. But it was checked and in the end, only seven thousand died of it in the army† (Hemingway 8). Here, the link between death and the pouring of the rain is stated clearly. However, there is no reference to emotions usually associated with death.  

Intelligence Analysis Assignment Example | Topics and Well Written Essays - 250 words - 1

Intelligence Analysis - Assignment Example Revelations have been put forward by experts amidst the lack of evidence to prove it. They have only been major suspicions with no supportive evidence. In the midst of these allegations, the western media has built up pressure by its view on Iran. A mock US aircraft carrier has been the source of media frenzy in the West with claims that its purpose was to initiate â€Å"black propaganda† and a means to signify mistrust. On the other hand, Iranian media clarified what it was stating that it was just a movie prop. In the continuing face of the ongoing negotiation over Iran’s contentious nuclear program, allegations that have long been running under have come into the limelight. The allegations are that Iran is a major player in the acts of terrorism targeting Western nations. However, analysts say that it has never gotten much of the U.S. government’s attention at all. The issue is quite intriguing as the two, Iran and terrorists are deemed enemies, but on the other hand, in the eyes of the West, terrorism provides a platform for the two to work in association. These allegations have been put forward by the 9/11 investigating commission, Canadian investigators with the commission recommending that the U.S. government investigates further the ties between Iran and al –Qaida and the investigators alleging that two men involved with plans to derail a train had been receiving guidance for al – Qaida members in Iran. All these have been allegations. However, the only U. S. government to present a concrete case linking Iran to terrorism is the Treasury Department that connected an Iran – based terrorist as a main al – Qaida facilitator (Seldin, Iran’s Ties To Terror Shadow Nuclear Talks). As for the manner in which Western media views Iran, Iran is portrayed in a negative manner. CNN claimed that the mock carrier been built Iran is been done intentionally at a time when negotiations are ongoing over

The Tempest and William Shakespeare Essay Example for Free

The Tempest and William Shakespeare Essay In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and  other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that. In the Tempest, written by William Shakespeare in 1611, Prospero the sorcerer was the Duke of Milan until Antonio usurped his power. Prospero is banished to an isolated island with his daughter Miranda. Here he practiced his sorcery and controlled every aspect of Miranda’s life. Prospero used his sorcery to create a magnificent tempest to bring all his enemies to the island, including Antonio, for revenge. Caliban was a native to the island Prospero lives on. Prospero catches Caliban trying to rape Miranda so he makes him his slave. Prospero makes Caliban carry firewood and other hard labor. Prospero frees Ariel from a tree and then makes him his personal servant. Both of these men are Prospero’s slaves but they are much more than just that.

Arousal Theories Essay Example for Free

Arousal Theories Essay During the rallies, you could see that their arousal levels were increasing because he kept hitting the shuttle harder and harder each time and because he is in the autonomous stage of learning, as arousal levels increased, so did their performance as they won most rallies. Theory: Drive theory – this theory states that as arousal levels increase, so does performance/dominant response. With cognitive learners, their dominant response is usually incorrect, so low arousal levels work best as their dominant response is decreased. With athletes in the autonomous stage, their dominant response is usually correct, so high arousal levels work best as their performance increases. Inverted U theory At low levels of arousal, performance will be below par, the athlete is not psyched up. As arousal increases so does performance, up to an optimal point. After this point, further increases in arousal lead to declines in performance. Each athlete has their own optimal level of arousal. Optimal arousal is higher for more simple tasks and lower for more complex tasks. An increase in arousal causes improvement in performance up to an optimal point (moderate arousal level). After this point, increased arousal leads to deteriorated performance. Catastrophe theory – like the inverted U theory, catastrophe theory claims that as somatic arousal increases then the quality of performance improves. Performance will reach maximum potential at the optimum level only if cognitive arousal anxiety is kept low. If high cognitive anxiety coincides with high somatic arousal the athlete will go beyond the optimum level of arousal and is thought to have gone over the edge, where performance drops shown by a vertical line on the graph. After this, the performer can rejoin the upward curve of arousal and gain the optimal threshold again, to do this they have to lower cognitive anxiety.

British Muslims: Mental Health Stigma and Counselling

British Muslims: Mental Health Stigma and Counselling Explore mental health stigma and perception of counselling amongst British Muslims. Introduction: Mental health stigma is an ongoing issue that needs to be addressed especially amongst minority groups. Statistics show that one in four people will experience a mental health problem in the course of a year (mental health foundation 2015). The government has initiated to tackle mental health stigma that prevents people from accessing psychological services (Burstow 2011).Over the past decade the Muslim community has been portrayed negatively especially through the media, and this has had a profound affect on Muslims mental health. The purpose of this research is to explore mental health stigma and perception of counselling amongst Muslims in the UK, My interest in this research emerged from my own personal experience of living in a Muslim family where mental health is seen as an alien concept and counselling is seen waste of time. After experiencing a close family member suffering from depression and when given the choice of counselling chose to decline this, as they would rather ta ke medication then be labelled as crazy. A growing population of 2.7 million Muslims in the UK (Census 2011) I feel that it is imperative to explore what types of mental health stigma exists in the Muslim community and their views on counselling in order to address them. Search strategy To search for articles I used SOLAR, selecting databases, which included Academic Search Premier, CINAHL and MEDLINE (Ovid). I did this so that the article that filtered through were relating to counselling, psychology, psychotherapy and mental health. The key terms that I used firstly was counselling, and this was grouped into four subgroups using the OR which contained counseling, OR psychotherapy, OR therapy, OR psychological services. This brought up a result of 874.207, which was a very large result, but I felt this was needed to be done as counselling maybe worded different in research articles. I used key terms such as mental health, stigma, Muslims and perception all with sub groups (see appendix 1) Finally, I joined all the key terms and sub groups together using AND which brought the number of articles generated down to 604. I mixed some of the sub groups together to find variety of results because when I added all 6 categories together my results became very limited so therefore to broadened my research I took out two categories and I felt this gave me access to variety of research articles. Limitations also included all my articles needed to be peer reviewed, this was to ensure standard and quality of the articles were examined by other people in the same field to ensure the publication has a meets certain level of excellence. I also limited the publication dates from 2005 up to 2014 to generate current articles I found that lots of articles that had very close link to my question had to be excluded due to the publication date being before 2005. This process finally reduced the articles to 91 from which four articles were selected (see appendix two). I found some articles th at related directly to my question but were mostly conducted outside the UK so only one article was selected because it felt necessary to look at research done in the UK considering my title involved British Muslims. The article selected from the USA was chosen because there did not seem to be any research conducted in the UK therefore was a gap to explore. In relation to my question I felt my 5th article Rethink (2007), Our voice : The Pakistani communities view on mental health and mental services in Birmingham, was very relevant to utilize in my review as it provided an insight to what I was searching for. However the only down side to finding this articles was that it was not found using the above research strategy, as I read a mention of this study through another article and I could not find it on EBSCO, therefore I used Google to find it. Summery The articles will be judged the on the methodology used to conduct the research and focus on the findings relating to perception of counselling and mental health stigma. A study conducted by Weatherhead and Daiches (2010) looked at Muslims view on mental health and psychotherapy. The aim of the research was to look at the Muslim populations perception of mental health and their understanding of how mental distress experienced by an individual can be addressed. This was a qualitative study where 14 Muslim participants were interviewed using semi structured interviews and data was analysed thematically. Lancaster Institute of Health Research ethics committee ethically approved this study. There were seven women and seven male aged between 28-77 who were recruited through local Muslim organisations and electronic mailing. One of the main benefits of this study was that it provided a good insight to Muslims understanding on mental health by using open questions allowing the participants to express their views on mental health in-depth. The finding that related to my question was that there was a fear of stereotyping, feeling stigmatised, embarrassed and ashamed, they found that mental distress was a punishment from god, cause of witchcraft/jinn and drug taking. Participants there was no need for a therapist as you could talk to your family or friends. Mental illness was seen as a test from Allah and it was managed through praying to god and if you had a strong faith then therapy was not needed. For a question, looking at Muslim populations views the sample was very small even though it provided rich data it was limited as it was not enough to represent Muslim populations view. The sample also included two students and two staff members and a couple who were interviewed together, this makes the sample less representative and biased. Data check would have been useful as both researchers were non- Muslims therefore this may have had an affect on how they interpreted the Reponses and by data checking they could have validated their findings. The researchers recommendation for further research was a very useful, as by exploring the views of Muslims who have accessed mental health services would have gave the study a bigger picture, as the focus on therapeutic help was neglected in the study as only three participants had a view on this. Another similar study conducted by Rethink (2007) Our Voice: the Pakistani communitys view on mental health and mental health services in Birmingham commissioned by UCLAN (University of Central Lancashire) and CSIP (Care Services Improvement Partnership). This aim was to investigate the view of the Pakistani communities on mental health issues and how they would want support in regards to their mental health needs. This study was a qualitative study conducted by 11 community researchers who conducted focus groups and interviews with a very large sample of 152 service users, this study utilized quantitative approach by distributing 30 postal surveys to mental health service providers in Birmingham and receiving seven responses. Rethinks research department and UCLAN ethically approved the study. This study found similar findings to Weatherhead and Daiches (2010) they found that 83% wanted to keep any mental health illnesses a secret, and 76% were ashamed of it, 58% fear of stigma. They also found religious beliefs affected their perception on mental health as they felt it was caused by jinns, voices from god and found that culture and language barriers can get in the way people from accessing mental health services. One of the benefits to this study compared to above is that this study was conduced in different languages so therefore this was accessible to people who could not participate because of language barrier. Another benefit of this study compared to the Weatherhead and Daiches (2010) study was the sample size as they had a larger sample 152 compared to 14 participants in Weatherhead Daiches (2010) study. However, Rethink (2007) even with a big sample it could be argued that it was a limited study which only focused on Pakistani Muslims in Birmingham whereas Weatherhead and Daiches (2010) study had a small sample of participants but from different nationalities . However, both studies failed to consider demographic area such as different ethnicities and different locations that could have provided a more in-depth representation of British Muslims perception. The one of the recommendations from the study that stood out and was missed in the first study was the suggestion of working closely with religious leaders such as imams, it felt in both studies religious influence was a huge factor yet both studies failed to get the perception of imams on mental health. It was also relevant to my research as this project highlighted the mental health stigma issues that are current in the Pakistani Muslim community in Britain however, I felt that no emphasis was given on perception of counselling and I feel this was a gap in the research. Another similar study to Rethink (2007) was a study conducted by Shoaib and Peel (2006) which looks at Kashmiri womens perception of their emotional and psychological needs, and access to counselling. This like Rethink (2007) study used both qualitative and quantitative method to analyse data, the sample was of 45 Kashmiri women aged between 18- 45 living in Oldham, from whom 19 were born in the UK. A questionnaire was administrated and data was collected in an interview by a researcher that was also Kashmiri and spoke the same language as the participants, this was one of the strength of the study as this eliminated language barriers. This study explored six areas in 21 questions: understanding of mental illness, issues that cause distress, coping mechanism, awareness of support, expression and description of feeling (Shoaib and Peel, (2006). The reason this article was selected because the 6th area looked at perceptions and understanding of counselling that was relevant to my quest ion. The findings were very similar to the above studies, the study found that women feared of shame (izzat) affecting their family and being stigmatised. It was found that talking to a specialist was an option but fears of confidentiality breaking, lack of cultural awareness from the professional and that it will not improve the situation was a barrier therefore they referred to their faith for healing. This study like the other two provided a good insight to views of mental health stigma but also provided a glimpse into the perceptions of counselling which the other two studies failed to do. There are few limitations, the potential source of bias would be the use of the snowball method in recruiting 35 participants, who were recommended through previous interviewees, and therefore there is a possibility that subjects shared the same traits and character. Another limitation is the research may be flawed by the inexperience of the researcher who at the time of the research worked as a welfare officer. Changes need to be made to the recruitment process in order to get a more representative sample. Two others studies which explored factors influencing attitudes towards seeking help within the mental health services where reviewed. The first study I looked at was by Soorkia et al (2011) which explored Factors influencing attitudes towards seeking professional psychological help among South Asian students in Britain. This study looked at the link attitudes towards psychological help seeking, following cultural values, salience of ethnic identity and cultural mistrust (Soorkia et al, 2011) .this study was relevant because it looked at attitudes towards seeking help and this relates to my question of perception of counseling and mental health stigma. A quantitative approach utilized where 148 participants completed a survey of which 81 were women and 67 men all participants were British. The sample covered Pakistani, Indian, Bangladeshi and 30% were other. Participants were recruited though public spaces directly and sign up sheets were posted in campuses in different locations. Qu estionnaires where given out on paper and participants returned the questionnaire in a sealed envelope to researcher (Soorkia et al, 2011). Priory power analysis, SPSS and ANOVAs was used for statistical analysis, as these were the most affective to see the difference between gender, ethnicity and also to compare similarities (Soorkia et al, 2011). It was found that the ethnic minorities had a negative attitude towards seeking psychological health, and factors such as cultural values and mistrust as this was related to stigma and shame associated mental illnesses. it found that people that were mistrustful of whites held a greater negative attitudes to help seeking. Asian values played a significant part in peoples attitudes towards seeking professional psychological help (ATSPPH), (Soorkia et al, 2011). The more significant the values were the more it played a negative part in ATSPPH. The study also found that women were more open to getting help than men and this maybe due masculinity being dominant there negatively affecting the way men see health related issues. It seems that this could be explored in more depth to see what the underlying issues are that prevent men in seeking help compared to women. However the limitation to the comparison between genders was that this could not be representative as there was not an equal number between both genders. Sample size was small therefore, it did not represent south Asian students across the country. It feels that even though participants religion was noted that the study failed to explore if religion played a part in help seeking. It seemed like the study could have looked at what the cultural factors were or the Asian values in order to understand the barriers to combat. It seems like this study was s stepping stone to see what the factors where but a qualitative approach will give this study more depth. The second study I looked at was very similar to the first study and it was by Hamid, Furnham (2013) which looked Factors affecting attitude towards seeking professional help for mental illness: a UK Arab perspective. This research like the above was also quantitative where online questionnaires were used; the sample size was 204 participants from which 104 were British Caucasians and 100 Arab. This study looked at various factors affecting attitudes towards seeking professional psychological help (ATSPPH). Some of the hypothesis was that Arabs compared to Caucasians will be less positive to ATSPPH and arabs sample will have higher score in supernatural causes, shame focused attitudes will be significant predictors of ATSPPH , females more positive than males in ATSPPH and Muslims will have less positive than other religion (Hamid, , Furnham 2013). To analyze the data a discriminative analysis was utilized with ethnicity being the dependant variable between British Caucasian and Arabs, using discriminative analysis was a benefit as it reduced mistake rates (Falkenberg, 2005). To examine differences between British Caucasians and Arabs same as the previous study ANOVA was used( Hamid, , Furnham 2013). The study found that Arabs were less positive to ATSPPH than British Caucasian as the study predict ed , it was also found that age, level of education and experience of metal played a positive role to ATSPPH (Hamid, Furnham 2013) . It also found that Arabs had strongest supernatural casual beliefs about mental illness than British Caucasians. Unlike the above study this research found that gender was not a significant predictor, however it was similar to the other study in the sense that there was also not an equal number of males and females as in this study 69% were females. Shame was not seen as a significant predictor to ATSPPH that is opposite to the finding in the above studies. This maybe connected to the fact that Arab participants had migrated to uk and therefore far from family so they did not have to protect their honour or family (Hamid, Furnham 2013). One of the limitations to this study was that the questionnaire was done in English and therefore only targeted an audie nce where participants had some form of education, therefore it does not represent the Arab community who do not speak or understand English making it bias and limiting its response rate. I then looked at a quantitative study by Pilkington et al (2010) which explore factors affecting intention to access psychological services amongst British Muslims of south Asian origin. Second study by Ali et al (2005) looking at the Imams role in meeting the counselling needs of Muslim communities in the United States. Both studies used self-report questionnaires. The study by Pilkington et al (2010) Hypothesised that the level of shame/izzat related with mental health would predict the intention to access psychological services, the barrier was already identified compared to the above studies. This study was relevant because it looked at British Muslims, which relates to my area of proposed research and explored mental health and barriers that related to stigma. The Identified factors that may affect intention to access psychological services were; religious beliefs, biological /social environment beliefs about mental health problems, the causes and shame/izzat. Another large sample of 94 participants recruited through seven Islamic communities centres. A self-report questionnaire was developed using measures that were already tested making this a strength as it was easy to correlate the findings and therefore strong statistic were produced. Psychological openness and help seeking prosperity was measured using Inventory of attitudes towards s eeking mental health services (IASMHS: Mackenzie et al 2004). Shame/izzat on intention influencing the access of psychological services was measured using the Attitudes Toward Mental Health Scale (ATMHP; Gilbert et al 2007). The study found that the higher level of shame/izzat experienced the less likely psychological service was accessed. The study like the other studies above found views were influenced by religious beliefs, mental illness was a punishment from god, shame to the individual and the family and less knowledge about mental illness because of lack of education(Pilkington et al, 2010). The limitation to this study was that there might have been a bias to the recruitment process, as the questionnaires designed was for people of higher education level therefore resulting in a low response (Pilkington et al 2010). Another limitation was that participants were recruited through Islamic communitys centres, therefore they may have been more religiously inclined then others who are Muslims but not as religious, this limits the experiences and results. I feel this was gap to where the level of religious commitment could have been measured to get effective results. I then looked at two studies that focused on the role of imams in regards to mental health. The first study by Ali et al (2005) explores what the role of imams and Islamic clergy is in meeting counselling needs, the reason I chose this was because I found that all the studies that I have reviewed failed to consider the views of Islamic clergy on mental health and counselling and how they support the Muslim community. A questionnaire was mailed to 730 mosques around USA however; the response rate was low as only 8% responses received. Data was analysis measured by Likert scale, demographic areas were considered such as ethinicty, age and region, and consent was gained. This study found that imams played a key role in supporting the Muslim community with mental health issues relating to stress, discrimination, anxiety and financial problems. It also found that imam has had little or none training in counselling to help people who came to them for mental health problems. The limitation to this study like the above study is that the questionnaire was in English and not all participants or imams are literate in English, therefore weakening the study. I found the recommendation from the researchers is valid that a further research is needed to explore the role of imams in assisting with mental health issues. The second study by Abu-Ras et al (2008) explored The Imams Role in Mental Health Promotion: A Study at 22 Mosques in New York Citys Muslim Community. the reason this study was chosen because this provided an insight to not only the imams role but also what the worshippers attitude towards mental health services before 9/11 and after 9/11 (Abu-Ras et al 2008). A survey of 22 imams and 102 worshippers from 22 mosques in New York city was conducted, researchers chose a face-to-face interview method with mostly close ended questions. The questionnaire for the imams explored what type of issues worshippers came with for guidance, and what method were used to assist worshippers resolve their issues. The questionnaires for worshipers looked at the role of the imam perceived by worshippers, types of counselling sought at mosque, if the imam was effectively addressing their issues. It also asked the affects of 9/11 to their personal lives and finally worshippers perception on attitudes towards western psychology, mental health and if they have any experience with the mental care system (Abu-Ras et al, 2008). For analysis, Univariate and bivariate analyses were used for descriptive statistics for both imams and worshippers. The t test and chi-square tests were applied to discover any large differences between gender, age, time in education, income, immigration status, marital status, and language skills (Abu-Ras et al, 2008). The study found that imams are usually the primary and sometimes the only contact for help with mental health issues. It was also found that the imams were foreign born and English was not their first language and they struggled with their English and No training was provided and they had little knowledge on mental health issues, which then prevented them from referring worshippers to mental health services (Abu-Ras et al, 2008). This was very similar to the finding of the above study were the imams had the same issues of language barrier and little or no knowledge on mental health. The study also found that 9/11 had a negative affect on worshippers lives this included their self as well their families. It also found that 84% of worshippers believed that people with mental illness were possessed by the devil and 95% believed that this was test from their faith (Abu-Ras et al, 2008). The limitation to this study was that data was only limited to New York so it did not represent other Muslims in the USA, same as the above study the questionnaire was conducted in English, and imams had difficulty with English so it brings up the issues of reliability . The benefit of this study was that it found that imams do play a vital role within the Muslim community in New York especially when it came to personal and mental health issues and that they were also welcomed support and training in regards to mental health. The researchers recommendation was very prompt that the mental health services need to do more to integrate within the Muslim community especially by providing support and training to imams because this research has shown that imams play a huge role in providing support. Conclusion It was found from the literature review that mental health stigma is very much alive in the Muslim community, in the form of misconceptions around the causes of mental illness, fear of being labelled and stigmatised, religious and cultural views influencing views on mental health e.g. punishment from god for committing a sin. The majority of the Muslim community would rather keep mental illness quite because of the fear shame, some seen mental illness caused by drug abuse or caused by witchcraft. In relation to my proposed question I found that there were number of gaps that were found that I could use in my research firstly their was a common theme of religion being a major factor in influencing views on mental health. However not one paper focused on measuring religiosity and its impacts on individuals perception, they focused more on ethnic backgrounds such as south Asian origins which is not religion. Findings showed Muslim community turned to religious leaders for support, yet no papers in the UK explored the role of Islamic clergy on mental health and their views on counselling. I feel this could provide a clear picture around what support is available and how much experience the imams have in supporting the Muslim community. I found that Papers do not specifically address the issue of counselling, I felt that this could have been explored in more depth also one of the recommendations was to look at participants that have accessed counselling and explore their perception on stigma and therapy which I found useful for my research. I feel that for the question I have proposed qualitative methodology would be more appropriate as it provides rich data and allows participants to expand on their responses. I also found that demographic factors need to be taken into consideration, such as age, gender and location, and to look at factor such as sample size and recruitment process. Word count: 2745 References Ali, O. M., Milstein, G., Marzuk, P. (2005). The Imams role in meeting the counselling needs of Muslim communities in the United States. Psychiatric Services, (2), 202-205. Burstow, P. (2011). Â £20 million to knock down mental health stigma, retrived from https://www.gov.uk/government/news/20-million-to-knock-down-mental-health-stigma Census, (2011) retrieved 19 January, 2015, from: http://www.ons.gov.uk/ons/rel/census/2011-census/key-statistics-for-local-authorities-in-england-and-wales/rpt-religion.html Mental health foundation, (2015), retrieved 19 january, 2015, from http://www.mentalhealth.org.uk/help-information/mental-health-statistics/ Pilkington, A.,Msetfi,R,.M,.Watson,R. (2012). Factors affecting intention to access psychological services amongst British Muslims of South Asian origin. Mental Health, Religion Culture, (1), 1-22. doi: 10.1080/13674676.2010.545947 Rethink (2007), Our voice: The Pakistani communitys view of mental health and mental health services in Birmingham. London: Islamic Human Rights Commission. ) Retrieved 29 December, 2014 from: http://www.rethink.org/media/853081/our%20voice.pdf Shoaib, K.,Peel, J. (2003). Kashmiri womens perceptions of their emotional and psychological needs, and access to counselling. Counselling and Psychotherapy Research, (2), 87-94. DOI: 10.1080/14733140312331384442 Weatherhead, S., Daiches, A. (2010). Muslim views on mental health and psychotherapy. Psychology and Psychotherapy: Theory, Research and Practice, (1), 75-89. http://people.eku.edu/falkenbergs/psy862/notes%20on%20discriminant%20analysis.html 2005 Steve Falkenberg Abu-Ras, Wahiba, Gheith, Ali and Cournos, Francine(2008)The Imams Role in Mental Health Promotion: A Study at 22 Mosques in New York Citys Muslim Community,Journal of Muslim Mental Health,3:2,155 176 Appendix 1 The next key term was mental health using two sub group using OR was Mental illness and mental health services, this generated 525,281 results. Another key term was stigma and the sub groups using OR was attitudes, stereotypes, prejudices and shame. The next key term I felt was important to my research was Muslims I tried this on its own but then realised that there can be other terms used in researches referring to Muslims and I used three sub groups which were Islam, ethnic minority, south Asian and this generated 89,716 results. Another key term was perception and I used three key terms view, understanding and intention and this generated 2,456,725 results which was huge but I felt that this was necessary as this bought my question together. my last key term that I used was Britain and I used two sub groups British and UK, this was to focus on the researched done on the British population as I felt it related to my question more. Appendix 2 Examples of articles found