Diagnosis of Adam Sandler “Reign over Me”

Reign Over Me Alex Chaput 0810758 The movie Reign Over Me is about a man named Charlie Fineman. Charlie used to be a practicing dentist. His whole life was turned upside down when he lost his wife and three daughters in the terrorist attacks on 9/11. One day while Charlie is on the street his old roommate from college, Allen Johnson, sees him and tries yelling for him, but Charlie does not stop. Allen then seems like he knows that something is wrong with Charlie and wants to help. In this movie it is clear to see that Charlie is suffering from Post Traumatic Stress Disorder (PTSD).This is what would go on Axis 1 of the multi-axial system. For this diagnosis he needs to have 6 or more symptoms from 3 different areas. These areas are re-experiencing, avoidance, and arousal. He has been suffering for over 1 month and is severely distressed and impaired. The traumatic event that Charlie was exposed to was his family dying in the plane crash of 9/11. This event has left him extremely help less and he has times of horror when he thinks about what has happened. While going about his daily life he acts as if he doesn’t remember any of the tragedy that occurred.This would be one of the avoidance symptoms. Another of these symptoms would be that he avoids his late wife’s parents as they remind him of his family. The third would be his loss of interest in activities. He used to be a practicing dentist, but now lives off of money from the government. At all times in this movie Charlie has his headphones in order to drown out any thought or mention of his family. Charlie has a breakdown at one point in the movie. It seems as if he has a flashback of his family in his house. These thoughts and memories are recurrent and intrusive which applies to his re-experiencing symptoms.Another of these is when he shows very intense distress in his court appearance when showed pictures of his family. He then has to be escorted from the courtroom. For his persistent symptoms of increased arousal he seems to have sleep problems as he stays up late into the night playing video games. He also is constantly irritable and has outbursts of anger. He refuses to get help and will not talk about his feelings or his family with anyone. This leads to what seems like him considering attempting suicide. He however then takes a gun out into the city. He gets into a standoff with a cop and it seems like he wants the cop to kill him.For axes 2 and 3 I didn’t think that Charlie would have anything. He didn’t seem to have a personality disorder, mental retardation, or any medical conditions. There were many psychosocial and environmental factors that Charlie faced for axis 4. One of these environmental factors would be that he still lives in the house that he lived in with his family. This is what caused the flashback of his family. Another factor is the loss of his career. He used to be a successful practicing dentist. He now has no career and lives off o f settlement money and money from the government. He has very little social interaction.He doesn’t confide any of his feelings in friends. All of these things cause distress and impairment in Charlie’s life. On axis 5 I would give Charlie a GAF score of 22. His life is not functional. He cannot control his emotions when memories and thoughts of his family come up. He seems to be a very dirty individual who doesn’t care about what he looks like. He says that he often sees his family’s faces in other people on the street. His life is dangerous to him as well as those around him. Charlie’s PTSD stems from a very specific, very obvious, event. This event is the loss of his family.He never received any treatment for his problem which did not help. If he had gone to see a grief counselor maybe the PTSD could have been avoided completely. Some more of the etiology factors for his PTSD would be that he had very low levels of social support. He did not have many friends and he lost his entire family. To treat Charlie’s PTSD he could have been prescribed an SSRI. He could have also used prolonged exposure treatment with relaxation training, cognitive restructuring to correct negative assumptions about the trauma, or he could have been trained to develop better coping skills.In the movie he was receiving some treatment. He was seeing the therapist that Allen had suggested. He quickly would end the sessions as he was uncomfortable talking to her about his past. The end of the movie seemed very abrupt to me. Charlie seems to be doing better, but it is unclear what will happen to him. He has moved out of his old apartment and into a different one. He also has started to communicate slightly more with other people. He also told the story about his family’s death to Allen. It is possible that his life could improve, but I’m not sure if his life could ever be as fulfilling as it was before the event. Diagnosis of Adam Sandler â€Å"Reign over Me† Reign Over Me Alex Chaput 0810758 The movie Reign Over Me is about a man named Charlie Fineman. Charlie used to be a practicing dentist. His whole life was turned upside down when he lost his wife and three daughters in the terrorist attacks on 9/11. One day while Charlie is on the street his old roommate from college, Allen Johnson, sees him and tries yelling for him, but Charlie does not stop. Allen then seems like he knows that something is wrong with Charlie and wants to help. In this movie it is clear to see that Charlie is suffering from Post Traumatic Stress Disorder (PTSD).This is what would go on Axis 1 of the multi-axial system. For this diagnosis he needs to have 6 or more symptoms from 3 different areas. These areas are re-experiencing, avoidance, and arousal. He has been suffering for over 1 month and is severely distressed and impaired. The traumatic event that Charlie was exposed to was his family dying in the plane crash of 9/11. This event has left him extremely help less and he has times of horror when he thinks about what has happened. While going about his daily life he acts as if he doesn’t remember any of the tragedy that occurred.This would be one of the avoidance symptoms. Another of these symptoms would be that he avoids his late wife’s parents as they remind him of his family. The third would be his loss of interest in activities. He used to be a practicing dentist, but now lives off of money from the government. At all times in this movie Charlie has his headphones in order to drown out any thought or mention of his family. Charlie has a breakdown at one point in the movie. It seems as if he has a flashback of his family in his house. These thoughts and memories are recurrent and intrusive which applies to his re-experiencing symptoms.Another of these is when he shows very intense distress in his court appearance when showed pictures of his family. He then has to be escorted from the courtroom. For his persistent symptoms of increased arousal he seems to have sleep problems as he stays up late into the night playing video games. He also is constantly irritable and has outbursts of anger. He refuses to get help and will not talk about his feelings or his family with anyone. This leads to what seems like him considering attempting suicide. He however then takes a gun out into the city. He gets into a standoff with a cop and it seems like he wants the cop to kill him.For axes 2 and 3 I didn’t think that Charlie would have anything. He didn’t seem to have a personality disorder, mental retardation, or any medical conditions. There were many psychosocial and environmental factors that Charlie faced for axis 4. One of these environmental factors would be that he still lives in the house that he lived in with his family. This is what caused the flashback of his family. Another factor is the loss of his career. He used to be a successful practicing dentist. He now has no career and lives off o f settlement money and money from the government. He has very little social interaction.He doesn’t confide any of his feelings in friends. All of these things cause distress and impairment in Charlie’s life. On axis 5 I would give Charlie a GAF score of 22. His life is not functional. He cannot control his emotions when memories and thoughts of his family come up. He seems to be a very dirty individual who doesn’t care about what he looks like. He says that he often sees his family’s faces in other people on the street. His life is dangerous to him as well as those around him. Charlie’s PTSD stems from a very specific, very obvious, event. This event is the loss of his family.He never received any treatment for his problem which did not help. If he had gone to see a grief counselor maybe the PTSD could have been avoided completely. Some more of the etiology factors for his PTSD would be that he had very low levels of social support. He did not have many friends and he lost his entire family. To treat Charlie’s PTSD he could have been prescribed an SSRI. He could have also used prolonged exposure treatment with relaxation training, cognitive restructuring to correct negative assumptions about the trauma, or he could have been trained to develop better coping skills.In the movie he was receiving some treatment. He was seeing the therapist that Allen had suggested. He quickly would end the sessions as he was uncomfortable talking to her about his past. The end of the movie seemed very abrupt to me. Charlie seems to be doing better, but it is unclear what will happen to him. He has moved out of his old apartment and into a different one. He also has started to communicate slightly more with other people. He also told the story about his family’s death to Allen. It is possible that his life could improve, but I’m not sure if his life could ever be as fulfilling as it was before the event.

Oedipus the Great Essays

Oedipus the Great Essays Oedipus the Great Essay Oedipus the Great Essay ? Sophocles once said, â€Å"The keenest sorrow is to recognize ourselves as the sole cause of all our adversities.† Everyone person has many defining qualities, both positive and negative. At times, seemingly positive characteristics can reveal to be both a blessing and a curse that leads to one’s downfall, qualities that the Greek’s called one’s hamartias or ‘tragic flaws’. Some of the first examples of tragic heroes can be found in Ancient Greek plays in which a character’s traits that led them to greatness will also cause their downfall. This concept is clearly illustrated in Sophocles’ Oedipus the King, a story about the king of Thebes, an admirable leader who possesses negative qualities that ultimately lead him to his own demise. King Oedipus is notably compassionate and determined, and known for his sense of justice, his honesty, and how swift he is to take action. Aside from his admirable qualitie s, he is also quite short-tempered, arrogant, and reactive. As the mystery unravels and the truth reveals itself, the combination of these positive and negative qualities will lead him to his eventual tragic fate. Oedipus’ determination is shown many times throughout the play and is fueled by his need for justice and his compassionate nature. An example of this is at beginning of the play when Oedipus is speaking with the priest about the problems Thebes is facing. Oedipus expresses his genuine grief for his suffering people, â€Å"my soul mourns/for me and for you, too, and for the city,† (Sophocles 63-64) conveying his genuine desire to be a good king to his people. The genuine empathy he has for his city and his people is also prominent during his conversation with Creon. Oedipus insists upon allowing all his subjects to hear what news the oracles had given his brother-in-law, despite Creon’s suggestion to speak in private: â€Å"Speak out to all! The grief that burdens me concerns these men more than it does my life.?

Advanced Word Formation Charts for ESL Learners - A

Advanced Word Formation Charts for ESL Learners - A Word formation is one of the keys to success for advanced level ESL learners. Advanced level English exams such as the TOEFL, First Certificate CAE and Proficiency use word formation as one of the key testing elements. These word formation charts provide the concept noun, personal noun, adjective and verb forms of key vocabulary listed in alphabetical order. Word Forms Concept noun Personal noun Adjective Verb absenteeismThe rate of absenteeism is rising in middle and high schools. absenteeWell send the absentees notes from the meeting. absent-mindedThe absent-minded professor wandered into the wrong classroom. to be absentUnfortunately, Ill be absent from class on Friday. accountingCan you take care of the accounting on this project? accountantIll need to ask my accountant for advice on this business deal. accountableDo you think we should hold everyone accountable for their mistakes? accountI think we should open a new bank account. accusationThe lawyer rebuffed the accusation and stated his case. accuser / accusedThe accuser should always try to understand the motivations of the accused. accusingHes an accusing figure in the company and needs to go! accuseDo you really want to accuse him of bribery? achievementThe victory was an amazing achievement. achieverAchievers tend to be outgoing people who dont mind making mistakes. achievedHis achieved status at the company was due to his work ethic. achieveShes achieved many things in very long career. addictionDrug addiction is a huge problem for many people around the world. addictThe addict struggled with drug abuse for many years. addictive/addictedYoull find that many addictive drugs are opiates. to become addictedA number of students have become addicted to so called study drugs administrationThe administration has made many mistakes over the past eight years. administratorThe head administrator will take your questions. administrativeAll administrative tasks are taken care of by human resources. administrateWe should use a third party to administrate our accounts. admirationShe showed a lot of admiration for her help. admirerHave you ever had a secret admirer? admired / admiringThe admiring young man stood and gazed. admireI enjoy going to the museum to admire fine art. advertisementThe advertisement was very entertaining. advertiserWe need to find an advertiser to help pay for expenses. advertisedThe advertised medicine didnt work as expected. advertiseHave you ever advertised your products online? adviceI think you should take his advice. adviserIm going to see my adviser next week on campus. advisoryThe advisory committee decided to postpone the decision. adviseWhat would you advise me to do? aggravationIve certainly had my fair share of aggravation. aggressorThe aggressor was caught and thrown into jail. aggravatingShe has an aggravating backache. aggravateI aggravated my brother with my remarks about his wife. agitationI felt a lot of agitation when I heard the news. agitatorThe agitator was taken to jail by the police. agitatedThe agitated citizen screamed at the reporter. agitateBe careful to not agitate the situation with your remarks. analysisThe analysis of the situation is very interesting. analystThe analyst was very expensive, but necessary for our case. analyticalHe cast an analytical eye on the situation. analyseDo you think you could analyse the evidence? antagonismShe felt his antagonism was misplaced. antagonistThe antagonist made a convincing case against the hero. antagonisticHer antagonistic attitude got her into trouble at work. antagonizeYoull be sorry if you antagonize them. arbitrationThe arbitration went on for three weeks. arbitratorThe arbitrator in the case made a decision. arbitraryI think he made an arbitrary decision that be ignored. arbitrateThe judge will arbitrate the case. assassinationThe assassination stunned the nation. assassinThe assassin was caught within three days. assassinatedThe country wept over the assassinated president. assassinateMost people could not assassinate anyone. authorizationI gave him complete authorization on the project. authorityHes an authority in his field. authoritarian / authoritativeHer authoritarian approach scared the students. authorizeCan you authorize this request?

Book Review on the Gospel according to Mattew Essay

Book Review on the Gospel according to Mattew - Essay Example Just like Paul who had a Hebrew name Shaoul, Matthew had Levi as his original name. Matthew, son of Alpheus (Mark 2:14) came from Galilee. However, he is thought to have lived in Antioch, Syria. He collected taxes for Herod Antipas, a Jewish leader, ruler of Galilee and Peraea between 4 BCE and 39 CE.1 Just after following Jesus, Matthew held a feast in his house where tax collectors and sinners recline at the table with the Christ and his disciples. This is where Jesus drew protest from the Pharisees. The author, however, had a great influence on the development of Christianity. It based most of his writing on Mark’s gospel.2 The Gospel of Matthew is the first book in the 27 books of the New Testament. In the New Testament, the following books are Matthew, Mark, Luke, John, The Acts, Romans, 1 Corinthians, 2 Corinthians, Galatians, Ephesians, Philippians, Colossians, 1 Thessalonians, 2 Thessalonians, 1 Timothy, 2 Timothy, Titus, Philemon, Hebrews, James, 1 Peter, 2 Peter, 1 John, 2 John , 3 John, Jude, Revelation. Aside from one of the first twelve disciples of Jesus (Matthew 9:1; 10:1-4) and an eye-witness, Matthew records more of Jesus teaching concerning Gods heavenly kingdom than the other writers, for example the entire Sermon on the Mount. Matthew, compared to the first few men (Peter, Andrew, James, and John) whom Jesus chose (who were fishermen), was skilled that he handled accounts of figures being a tax collector and obviously equipped with the pen. More so, he chose to leave his ludicrous post to be with Jesus and become an evangelist. It is to be recalled when a certain man holding many riches wants to be one of Christ’s disciples. Jesus told this man â€Å"If you want to be perfect, go sell your belongings and give to the poor and you will have treasure in heaven, and come be my follower.† However, the man refused to let go of his belongings and went away grieved. (Matthew: 19:21-22). Quoted on Papias, one

The Sexual Response Cycle Essay Example | Topics and Well Written Essays - 1000 words

The Sexual Response Cycle - Essay Example Additionally, sexual response is likewise largely a product of our society's values and traditions as well as personal and individual preferences. Religion, morality, folklore and also traditions intrude into how people view and engage in sex (Nevid & Rathus, 2007, p. 432). In most societies, there are incest taboos. Sex is a very natural act or function but often, religion imposes many restrictions on various sexual practices (Thelos, 2003, p. 9). Discussion People anywhere in the world have the same biological and anatomical features. In the society we live in today, people have different attitudes towards sex due to the various types of influences mentioned earlier. In this brief paper, discussion is focused on the human sexual response cycle and the many similarities between male and female human sexual responses. It might be a shocker to many people who generally believe that men and women have different types of responses to sex. This paper likewise discusses in detail the phas es of the human sex response cycle for both males and females. Finally, sexual dysfunctions are also discussed and the more common methods of dealing or treating these dysfunctions or ailments. This sections talks on the different phases of the human sexual response cycle for the male as well as the female. ... The erection is due to the flow of blood to the mainly erectile tissues in the penis. Plateau – this is the so-called stable phase in which excitement is further intensified and sexual interest is maintained further by physiological, physical and psychological stimuli (Heffner & Schust, 2010, p. 40). The breathing becomes rapid, the heartbeat increases and blood pressure continues to rise from all the excitement. Orgasm – this counterpart in the male orgasm phase is called ejaculation and consists of two distinct stages of muscular contractions. The first stage happens when the semen is pushed out from the testes towards the base of the penis and then the internal sphincter muscle of the urinary bladder will contract to prevent urine from being mixed with the semen. In the second stage, the semen (ejaculate) will be propelled out of the body by strong contractions. A pleasure sensation ensues, depending on the strength of the contractions (at 5 contractions for every 4 seconds or 0.8 contractions/second) and the amount of seminal fluid being expelled. Resolution – the male body returns to its normal or unaroused state in which blood pressure returns to normal levels, the erection disappears as blood flow to the penis is now reversed and the testes also return to their more normal sizes. Refractory Period – this is the phase in between the orgasm and resolution phases that is unique only to the males in which further erection is almost impossible. This means that any further stimulation will not produce an erection, orgasm or ejaculation. Female Human Sexual Response (4 Phases) Excitement – this phase is characterized by vaginal lubrication due to the

'Does Country Matter' - Summary and Critque Essay

'Does Country Matter' - Summary and Critque - Essay Example a) The question is, how much does country difference actually explain the variations in achievements of foreign affiliates To answer this, the elements they defined were as follows: Country effects, Industry effects, Multinational Corporation (MNC) effects, Affiliates effects and the Years observed, analyzing these to see how they all contributed to the average return or business success achieved by the foreign affiliates. They hypothesized that country had an important role to play and had not been explored fully in earlier research. b) Methodology The study is described as unique by the researchers because it uses performance of foreign affiliates as the primary unit of analysis, the country effects variables contained in it, and non-U.S. data, only Japanese MNCs. Data was taken from the Trend Survey of Overseas Business Activities (Trend Survey), annually conducted by the Japanese Ministry of Economy, Trade and Industry. The companies used were: either subsidiary (MNC has 10% capital invested),sub-subsidiary (MNC has 50% invested) or where a sub-subsidiary has 50% capital invested in the foreign affiliate company. 12,000 total, over 6 years were examined, using 616 c) Results and conclusions suggest that country effects are almost as great as industry effects, implying that the host country has great impact when determining performance, wi

TQM in Academic Environment Essay Example for Free

TQM in Academic Environment Essay Abstract Total Quality Management was originally a concept coined in the late 1800s and early 1900s. This concept sought continuous improvement in performance, laying a lot of emphasis on the customers. A lot of organizations and military institutes started implementing the principles and integrating them within their entirety. Very soon, people started debating on the effective use and implementation of TQM within academic circles. Irrespective of resistance by some circles, certain academic sectors integrated TQM and were surprisingly successful. Students, specializing in their respective fields were the focus of attention. It was decided that transformation will not take place through movements emphasizing greater specialization, grades, and standards of performance accountability or through training students to fit into existing academic environments. Rather, a change that would produce improvement not only the fundamental changes with which we manage and design our educational systems but also how we design them, keeping in view the needs of our clients/constituents. The paper focuses and throws light on the nature of total quality management. How it found way into the academic circles and its coherence as far as inculcating leaders in the society is concerned. It delves into the nature of change asked for and essential rethinking that follows post realization that TQM caters to the needs of the society and organizations at large. This involves budging out of the rules established, encouraging complex mental models, thinking out of the box, working on processes that improve grades rather than the grades themselves, eliminating prejudices with respective to normal and special cases, improving interaction between the departments, working towards a shared vision, increased commitment on the part of faculty and teachers, overcoming resistance to change and being adaptive. TQM in Academic Environment TQM or Total Quality Management marks certain philosophies and universally acknowledged notions to achieve organizational effectiveness. This is in essence an attempt to go beyond customer satisfaction and to ensure good will throughout the industry. Japanese firms have held their integrity and superiority over other firms for the past two decades, thanks to their successful implementation of total quality management. Today, TQM is considered as a key tool in ensuring that efficiency of the organization is sustained. It has been implemented, across the board in various corporate organizations and has produced desired results. They are customer driven, keep in perspective all the stake holders involved, inter-departmental communication is an important consideration, cross functional teams are operative, jobs are empowered and performance appraisal and feedback is regularly conducted. Thus, it was essentially through business organizations and militia that TQM entered the academic arena. In this context, we mould our definition of TQM as a means of achieving continuous unimpeded success, making use of certain tools and principles and producing effective leaders in the process. TQM has time and again proven to be an effective strategy for sustaining and improvising growth and development. Unfortunately, it is yet to bear its fruits in education, in particular primary and secondary education. The state of education in most nations around the globe has by far marked an average only. There is a lack of purpose, a focus, and most educational institutions in the world are not customer driven; a myriad of departments exist with no focus on cross-departmental interaction; conventional and old forms of imparting education continue being practiced and people outside the academic circles are given little or no regard; the notions are rigid and facts don’t count; excellence is rarely sought and no benchmarks are made. Keeping expectations from such institutes is hogwash. Most surprisingly the belief that these quality programs are expensive is false. The primary, secondary and higher sectors of our academic education will continue struggling unless a proper plan is chalked out to combat all the short comings, these sectors face. The aim of an educational system and its mission must be coherent with each other. The procedures, policies and tools applied in a department or a division should conform to the mission the academic institute caters to. Standards are set and a common understanding of the system at hand should prevail. Managers follow the aims targeted to devise the system proceedings and ensure that maximum quality is achieved. TQM in essence follows Deming’s 12 principles that were carved keeping the customers in perspective. On an academic scale, they are treated analogously. We begin by focusing on the major areas that TQM aims to improvise, what factors contribute its successful implementation and what goals are intended to achieve through it. The rules that govern our teachers, administration, students and support systems have been long standing and limit the ability to think and reason. Boundaries that are fenced around these rules are a comfortable resort not because they are easy to be taken care of but also because they stem for universally acknowledged practices. TQM, on the contrary advocates for the contrary. It aspires for change and thinking beyond the box. It does not believe in the conventional system of adjudging capabilities by marks but directs its focus towards the process that was put into practice to achieve the results. It is not possible to assess how the results changed, how the performance improved, unless the light is shed in the process that was used to produce the change. Continuous improvement should be sought for and educational systems should be continuously designed and redesigned unless goals stipulated are achieved. TQM, to this effect deliberates a framework that fosters continuous improvement. There is a marked difference between the traditional modes of achieving improvement and those set against TQM. Under TQM, education is dealt as a cafeteria which seeks to satisfy hunger pangs of its customers. Improvement efforts and traditional processes are laid down on a menu card and offered to its customers (educators, institutes, colleges, universities, students, schools, administration) who seek to satiate their hunger pangs. As a result, those customers, who are able to satisfy their hunger walk out content and satisfied while the others stay in, unless their hunger demands are not dealt with. The rules established, thus have to be pondered over again in all major genres. To this effect, quality principles have to be especially dealt with. Quality in this context means, that a shared vision guides the purpose of education; its is acceptable by everyone; it focuses on collaboration and interaction instead of competition; it realizes that every individual is unique and different in its own right and seeks to optimize the expectations met for each one of them; grades and other performance indicators are considered as the capability of the system or the process and not the difference between a good and an unsuccessful student; it is devoid of prejudice and bias against students on the basis of their grades; it seeks to nurture the needs of all them and support them in times of distress; practices that berate people for instance ranking of staff, faculty, students are avoided and their morale are boosted and it emphasizes on self evaluation through collaborative evaluation. The rule rethinking under TQM also seeks to rethink roles allocated in an educational system. The most important of all being the managerial roles, who now have to deal individuals on an individual basis, keeping in perspective the context of the situation. This means having complete control of the environment and forces that work against the nurturing and development of intrinsic motivation (Bryan, n.d.). This fosters an education system in which students actively take part in planning and evaluating their learning process. They are made to realize that they are responsible for their learning and this responsibility only increase as they grow and mature. This is implemented by effective management of the system. This involves complete understanding of the coherence and co-relation between the various departments of the system. The administration manages their system and the faculty manages their system. Students on the other hand as discussed take control of their lives. This nurtures and builds up an enjoyable environment of learning and development where individuals exercise authority over their roles and seek to improve it continuously. However, care must be taken that this reallocation of roles adheres to the quality standards. This involves using teams to improve effectiveness of the higher education environment and student learning; quality in education emphasizes managing the processes used to produce the results then the results themselves; it designs a curriculum such that students are able to adapt them in their lives and integrate the parts they are exposed to accordingly; a win-win situation is produced and there is no concept of win-lose; quality in education is managed as a system by educational leaders who seek to understand their role and commit themselves to its strict adherence; it provides freedom, and inculcates novelty across the board. However implementation of TQM in academic institutes has met with resistance by various circles. The most oft repeated argument against its favor is the belief that it’s a panacea of the 1900s and holds no value in today’s time and era. Many argue that is a fad and like Management by Objectives, its going to be wiped away very soon. For this reason any many others that there are few organizations in the US who have completely embraced the concept of TQM. When it was first introduced many chose to turn a blind eye to it. For those who did successful implement TQM had to bypass a lot of obstacles. Most notably being the resistance to adapt, mould and change, adamant claims by naysayers who believed that TQM won’t work, lack of trust and unwillingness to train and empower employees. To challenge the deeply embedded academia culture will and is a mountainous task. Limited marketing alternatives and rare cost cutting opportunities have added more fuel to the fire. Most of these institutes are run by political sectors whose demands vary frequently. (Total Quality, n.d.) While TQM aims at ridding the society where grades judge capabilities, the society at large remains grade conscious. Other problems include the lack of coherence between the academic institute’s managerial strata and its academic functions. The two run parallel to each other working towards their own goals. TQM approach, on the contrary requires that the groups work parallel to each other. Excess division over subjects pursued is another obstacle. Cultural beliefs and practices embedded within most of these schools gives way for resistance to change. Irrespective of these obstacles, TQM has found audience in the literature and the health sector. They have successfully implemented the principles associated with TQM. Not only has this improved the quality standard but reinforced customer trust in these sectors. Students are able to develop a complex model of problems and delve into analytical evaluation of their performance. Their comprehension skills have improved and they have built on their ability to adapt their learning to their life. This can be achieved by provided instructions that are clear and focused; students should be taught different strategies to remember what they have learnt and apply them accordingly; actions such as head nodding, maintaining consistent eye contact, smiling and being responsive can help develop a student’s interest; continuous desire and urge on the part of principal to seek improvement and meet quality standards; instructional effectiveness is sought for such that no one has issues when it comes to changing the mode of instruction directed and a staff that is involved in learning activities. (Kathleen, n.d.) Leaders in such schools would thus not only look out for ways to change but to manage and embed the change process throughout the institute. References Kathleen, C. (n.d.). Applying Total Quality Management Principles To Secondary Education. Retrieved March Friday, 2008, from file:///C:/Documents%20and%20Settings/M.Sajjad/My%20Documents/originals/research%20work/s035.html Bryan, R. Cole. (n.d.). TOTAL QUALITY MANAGEMENT AS A TOOL TO ENHANCE THE QUALITY OF HIGHER EDUCATION MANAGEMENT IN THE 21ST CENTURY. Retrieved March Friday, 2008, from file:///C:/Documents%20and%20Settings/M.Sajjad/My%20Documents/originals/research%20work/keynote1.htm Total Quality Management in Higher Education: Is It Working? Why Or Why. (n.d.). : Green wood Publishing group.