Data Collection Procedures Should Be Used For Measure One...

Data Collection Procedures In the proposed study, two tools will be utilized to measure one independent variable and one dependent variable outlined below. Independent Variable Adolescents’ with Borderline Personality Disorder exposure to the therapeutic group offering CBT is the independent variable of the study, and will be measured by assessing the client’s demographic and diagnoses in order to determine which clients are diagnosed with BPD. The independent variable will also be measured by the client’s history of treatments, goals, onset of diagnosis, and overall character while in the program. We will test our independent variable by simply reviewing their files and their ability to be a participant within the study. Dependent Variable The dependent variable in this study is the coping that adolescent group home members have been exposed to during treatment. The variable of coping is described as adolescent’s utilizing CBT in order to change their thoughts before following through with negative behaviors. Our hypothesis aims to measure the effectiveness of learning positive coping skills. For example, when an adolescent becomes stressed or begin to feel emotions such as anger or rage, they can reflect back on interventions covered within the group. Interventions discussed in the group can include meditation, keeping a record of how they are feeling emotionally and what they feel like doing at that moment, using a breathing method, or engaging in music therapy.Show MoreRelatedMethods Of Collecting Data For Nursing Research837 Words   |  4 Pagesseveral methods of collecting data for nursing research. The best techniques for collecting data should be well-defined, reliable, valid and don e so without interjecting person bias. 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To prove with confidence that changes in the dependent variable were caused by the independent variable rather than sampling error, the research design must meet three criteria (Nieswiadomy, 2012). The three criteria are: 1) the researcher manipulates the experimental variable; 2) at least one experimental and one comparison group are included; and 3) the subjects areRead MoreAn Explanatory Quantitative Methodology Utilizing A Multisite, Cluster Randomized Control Trial ( Rct )1539 Words   |  7 Pagesobjective approach to investigate, measure, and analyze the relationship between the variables (Langford Young, 2013). A RCT follows a true experiment design using a large sample and multiple sites permitting manipulation of an independent variable, the use of a cont rol group, and randomization of subjects (Langford Young, 2013). 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Pregnancy, Birth and the Newborn Focus on Fasd Free Essays

Running Head: FETAL ALCOHOL SPECTRUM DISORDER Pregnancy, Birth and the Newborn: Focus on Fetal Alcohol Spectrum Disorder SWHB 405: Human Behavior in the Social Environment 1 ABSTRACT From conception to birth, the mother’s role in bringing to life and nurturing a healthy baby is paramount. Factors such as the mother’s biological, psychological and social environment play important roles in determining the wellbeing of a child. Fetal Alcohol Spectrum Disorder, an irreversible condition in children caused by maternal alcohol consumption during pregnancy will be discussed. We will write a custom essay sample on Pregnancy, Birth and the Newborn: Focus on Fasd or any similar topic only for you Order Now Its biological, psychological and societal implications will be deliberated and recommendations of interventions by Social Workers in alleviating the problem will be suggested. Key words: Fetal Alcohol Syndrome, Fetal Alcohol Spectrum Disorder, Child Development Introduction All human life begins with a fertilized egg known as a zygote. By the eighth week, the zygote is transformed into a fetus which has most of its organs formed. After about 9 months (or 38 weeks) of going through transformation within the mother’s womb, the mother delivers a bouncing baby boy or girl into the world. During this time it is imperative that special care and attention is given to the mother and the child that she is carrying. Prenatal care ensures that the mother receives the much needed medical attention, nutritional advice and a positive life style tips. Particular attention is given unusual physiological and medical manifestations which could signal an array of life threatening situations for the mother and unborn child. The culmination of a successful pregnancy is the birth of a baby. Newborns weigh an average between 5. 5 and 9. pounds and they are awake and alert in first hours of life. Newborns begin learning their environment immediately and one of the things they internalize is developing a connection with the mother’s voice. The six states that a baby maintains are: quiet alert, active alert, crying state, drowsiness, quiet sleep, and active sleep (Ashford Lecroy, 2012). Babies oscillate from an awakening curious baby, peak at crying when uncomfortable, and dip thr ough to active sleep. These changes may occur slowly or rapidly throughout the course of any given day. Consequently, knowledge about this this critical life stage, helps parents to be better equipped to cope with and nurture the newborn. Risk factors during pregnancy and at birth Various physiological changes in a pregnant mother may cause or indicate a risk for both mother and child. A case in point is bleeding in the first trimester or late in the pregnancy which could mean possible loss of the child or neurological issues. In some instances, natural toxins could build in the mother’s bodies leading to high blood pressure and weight gain which may be fatal to the mother (Ashford Lecroy, 2012). Further, an increased weight of the mother could bring on diabetes in the child, while low weight of the child could be a precursor to mental retardation. Biological factors that may affect the fetus’ development during pregnancy include the mother’s age, the number of children prior and how far apart she has had each child (Boyce, 2010). Environmental factors, such as living conditions, diet deficiencies, and the emotional well-being of the mother can all affect the baby during its 38 week development. Pregnant women should be mindful of substances ingested during pregnancy as these are subsequently ingested by the fetus and affect its development. This is exemplified by studies demonstrating that women who drink caffeine tend to have a lower birth rate than women who avoid caffeine (Ashford Lecroy, 2012). Other substances that could affect fetal development by causing birth deformities, premature births and possible hyperactivity include tobacco, over the counter medications, hormones and alcohol. Prenatal care there has been shown to dramatically improve the chances of having a healthy baby. Nevertheless, there is a possibility of certain complications during birth can have lasting repercussions on a child’s life. An example is anoxia, a deficiency of oxygen during birth that could lead to the newborn developing cerebral palsy. Alcohol’s relevance in pregnancy, birth and the newborn Alcohol is a teratogen; an agent or factor that induces or increases the incidence of abnormal prenatal development (Shiel, 2010). Consumption of alcohol during pregnancy is manifested in a continuum of disabilities known as fetal alcohol spectrum disorders (FASD) (Warren Murray, in press). The most severe form of this spectrum referred to as fetal alcohol syndrome (FAS). An alarming statistic from the Center for Disease Control and Prevention (CDC) studies shows that 0. 2 to 2 cases per 1000 babies are born with Fetal Alcohol Syndrome (FAS). Since FASD presents a broad spectrum of symptoms some of which are â€Å"less severe†, it remains challenging to diagnose (Fleisher, 2010). As a result, FASD among children is either misdiagnosed or remains undetected. On the other hand, it is relatively easier to identify the key diagnostic features of FAS are they are better established. FASD is prevalent worldwide because alcohol is so widely accepted and used in so many cultures. The teratogenic effects of alcohol were not established until the second half of the 20th century when pediatrician, Paul Lemoine, in France in 1967 and two American pediatric dysmorphologists, Kenneth Lyons Jones and David Smith in 1973, independently documented the pattern of deficits resulting from heavy prenatal alcohol exposure (Warren Murray, in press). Alcohol was attributed because the children in both settings had common patterns of deficits and it was observed that all of the birth mothers had been diagnosed with alcohol use disorders Biological manifestations The teratogenic effects of alcohol adversely affect the physical development of the fetus and the child. Newborns and children with FAS generally exhibit stunted growth (CDC. Gov, 1983). A distinguishing feature of children with severe FASD and FAS is facial and limb dysmorphology. These children are generally shorter in stature and weigh less than their peers (Warren Murray, in press). The cardinal or discriminating features include short palpebral fissures (eye opening), an elongated and hypoplastic philtrum (groove between nose and upper lip), and a thin upper vermillion lip border or hypoplastic â€Å"cupid’s bow†. Other features include a low nasal bridge, epicanthal folds (skin folds covering inner corner of the eye), minor ear anomalies, and micrognathia (abnormal smallness of the jaws). Psychological consequences Facial and limb dysmorphology in children affected by FASD and FAS may cause the child is usually aware that something is â€Å"different† about him or her and thus affect their psychological wellbeing. Additionally, children with FASD have cognitive challenges leading to a myriad of problems such as the following: memory loss, impaired motor skills, neurosensory hearing loss, impaired visual and spatial skills, intellectual impairment, attention deficit disorder, hyperactivity, problems with reasoning and judgment and an inability to appreciate consequences of actions (Wacha Obrzut, 2007). Treatment and schooling can be very difficult for a child facing these challenges since their greatest challenge is learning and retaining information. Subsequently, the child may experience depression which can result in self-destructive behavior such as substance abuse, inappropriate sexual behavior, and suicide Societal implications Families are affected immensely when a child is born with FASD/FAS since he/she may exhibit anti-social behavior including an exaggerated startle response, poor wake and sleep patterns, impulsiveness, temper tantrums, lying and stealing (Fleisher, 2010). Moreover, schools, local health care systems, childcare and social services, and the justice system are usually ill-equipped to address the problems presented by FASD. As a result; a person with FASD may experience mental health problems, disrupted schooling, and involvement with crime, substance abuse, and dependent living and employment difficulties throughout their lifetime. As previously stated, the broad spectrum of manifestations of FASD makes it difficult to diagnose. Consequently, individuals suffering from FASD may not be properly diagnosed and are likely to be labeled social misfits and may spend a troubled life on the margins of society thus creating a monumental emotional burden on society (Wacha Obrzut, 2007). Interventions to aid those affected by FASD These physical, mental, social, learning and behavioral limitations experienced by individuals with FASD have possible lifelong implications. Fortunately, there is help for both the individuals and their families provided by Social Service agencies in form of resources and assistance needed to have a good quality of life. Under the Individuals with Disabilities Education Act (IDEA) (1975), school aged children with disabilities (including those diagnosed with FAS) are provided with reasonable accommodations including untimed tests, sitting in front of the class, modified homework and the provision of necessary services and often the implementation of an Individualized Education Plan (IEP). An IEP details services that will be provided to assist the child in learning and may include services like Occupational Therapy, Physical Therapy, Speech and Language Therapy, and/or the provision of a classroom aide. These individuals often have social workers or case managers working with them to ensure that the services documented in the IEP’s are being provided and working effectively. Implications of FASD on Social Work FASD provides opportunities for Social Workers to play an important role in impacting positive change. Social Workers could take the lead in screening for alcohol use among women of child-bearing age and educate them about the FASD (Boyce, 2010). Women who choose to continue drinking should be encouraged to use contraceptives to reduce the likelihood of giving birth to a child with FASD. Social Workers should also be actively involved in nutrition education to ensure that pregnant mothers are following balanced diet for optimum fetal development. Nutrition education should especially target participants of the Supplemental Nutritional Assistance Program (SNAP) and Women, Infants and Children (WIC) as these populations’ income may limit their food choices. FASD often have significant lifelong deficits in functional life skills that can lead to problems with day to day functioning. In adulthood, these deficits can be manifested in mental health difficulties, disrupted job experiences, trouble with the law, substance abuse and difficulties with independent living. Hence Social Workers play the important role of advocating for individuals affected by FASD, helping them to navigate their immediate environment and linking them with support services (Warren Murray, in press). Prevention of FASD is of great importance and this implies that Social Workers have the responsibility of mobilizing campaigns against drinking during pregnancy. This can be done through community education, incorporating medical personnel in research and preventive practice as well as holding alcohol producers accountable for posting health warning labels on publicity items. Conclusion Maternal alcohol use is a worldwide phenomenon that indiscriminately affects families and children of all ethnicities in all societies. Fortunately, it is possible to classify and tackle the treatment problems raised by individuals with FASD. The hope is that with continued research, education, and support from Social Service agencies, this problem can be prevented. While resources are available to help individuals and their families, it is important to know that the best treatment of FASD is prevention. It is not yet known the specific timing, frequency and quantity of alcohol use throughout the gestational period that are responsible FASD and FAS. Drinking early in the gestational period, before the woman even knows she is pregnant may present special risks for the developing embryo. Thus strategies to prevent alcohol use in pregnancy need to take into consideration that the prevalence of drinking by women of child-bearing age is on the rise in many parts of the world and most pregnancies are not planned. Bibliography CDC. Gov. (1983, January 13). Retrieved from Perspectives in Disease Prevention and Health Promotion Fetal Alcohol Syndrome: Public Awareness Week: http://www. dc. gov/mmwr/preview/mmwrhtml/00000257. htm Ashford, J. B. , Lecroy, C. W. (2012). Human Behavior in the Social Environment: A Multidimensional Approach. Belmont, CA: Cole Cengage. Boyce, M. (2010, June). A Better Future for Baby: Stemming the tide of Fetal Alcohol Syndrome. Journal of Family Practice, 59(6). Fleisher, S. (2010, May). Foetal Alcohol Syndrome: Raising Awareness about Alcohol in Pregnancy. British Journal of Midwifery, 18(5). Shiel, W. C. ( 2010, December 21). Fetal Alcohol Syndrome. Retrieved from Medicinenet. com: http://www. medicinenet. com/fetal_alcohol_syndrome/article. htm Wacha, V. , Obrzut, J. (2007, June). Effects of Fetal Alcohol Syndrome on Neuropsychological Function. Journal of Development and Physical Disabilities, 19(3). Warren, K. , Murray, M. (in press). Alcohol and Pregnancy: Fetal Alcohol Spectrum Disorders and the Fetal Alcohol Syndrome. Alcohol: Science, Policy and Public Health. ——————————————– [ 1 ]. The purpose of prenatal care is to monitor the development, health and nutritional status of both the mother and the baby during the pregnancy to ensure an uncomplicated pregnancy and the delivery of a live and healthy infant. [ 2 ]. Some pregnant women may develop gestational diabetes (or gestational diabetes mellitus, GDM), a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy (especially during third trimester). [ 3 ]. Cerebral palsy is a term encompassing a group of non-progressive, non-contagious motor conditions that cause physical disability in human development. How to cite Pregnancy, Birth and the Newborn: Focus on Fasd, Essay examples

Bess Myerson once wrote that to fall in love is awfully simple, but to fall out of love is simply awful Essay Example For Students

Bess Myerson once wrote that to fall in love is awfully simple, but to fall out of love is simply awful Essay Mending a broken heart is never easy. There is no quick way to stop your heart from hurting so much. To stop loving isnt an option. Author Henri Nouwen writes, When those you love deeply reject you, leave you, or die, your heart will be broken. But that should not hold you back from loving deeply. The pain that comes from deep love makes your love ever more fruitful. But how do we get beyond the pain Here are 10 tips Ive gathered from experts and from conversations with friends on how they patched up their heart and tried, ever so gradually, to move on. 1. Go through it, not around it. I realize the most difficult task for a person with a broken heart is to stand still and feel the crack. But that is exactly what she must do. Because no shortcut is without its share of obstructions. Heres a simple fact You have to grieve in order to move on. During the 18 months of my severe depression, my therapist repeated almost every visit Go through it. Not around it. Because if I went around some of the issues that were tearing me apart inside, then I would bump into them somewhere down the line, just like being caught in the center of a traffic circle. By going through the intense pain, I eventually surfaced as a stronger person ready to tackle problems head on. Soon the pain lost its stronghold over me. 2. Detach and revel in your independence again. Attempting to fill the void yourself without rushing to a new relationship or trying desperately to win your lover back is essentially what detaching is all about. The Buddha taught that attachment that leads to suffering. So the most direct path to happiness and peace is detachment. In his book, Eastern Wisdom for Western Minds, Victor M. Parachin tells a wonderful story about an old gardener who sought advice from a monk. Writes Parachin Great Monk, let me ask you How can I attain liberation The Great Monk replied Who tied you up This old gardener answered Nobody tied me up. The Great Monk said Then why do you seek liberation One of the most liberating thoughts I repeat to myself when Im immersed in grief and sadness is this I dont need anyone or anything to make me happy. When Im experiencing the intense pangs of grief, it is so difficult to trust that I can be whole without that person in my life. But I have learned over and over again that I can. I really can. It is my job to fill the emptiness, and I can do it creatively, and with the help of my higher power. 3. List your strengths. As I wrote in my 12 Ways to Keep Going post, a technique  that helps me when I feel raw and defeated to try anymore is to list my strengths. I say to myself, Self, you have been sober for 20 years Weaklings cant pull off that And here you are, alive, after those 18 months of intense suicidal thoughts. Plus you havent smoked a cigarette since that funeral back in December of last year I say all of that while listening to the Rocky soundtrack, and by the last line, Im ready to tackle my next challenge move on from this sadness and try to be a productive individual in this world. If you cant list your strengths, start a self-esteem file. Click here to learn how you build one. 4. Allow some fantasizing. .u70ffede1f6f580698eb42f72eda08411 , .u70ffede1f6f580698eb42f72eda08411 .postImageUrl , .u70ffede1f6f580698eb42f72eda08411 .centered-text-area { min-height: 80px; position: relative; } .u70ffede1f6f580698eb42f72eda08411 , .u70ffede1f6f580698eb42f72eda08411:hover , .u70ffede1f6f580698eb42f72eda08411:visited , .u70ffede1f6f580698eb42f72eda08411:active { border:0!important; } .u70ffede1f6f580698eb42f72eda08411 .clearfix:after { content: ""; display: table; clear: both; } .u70ffede1f6f580698eb42f72eda08411 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u70ffede1f6f580698eb42f72eda08411:active , .u70ffede1f6f580698eb42f72eda08411:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u70ffede1f6f580698eb42f72eda08411 .centered-text-area { width: 100%; position: relative ; } .u70ffede1f6f580698eb42f72eda08411 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u70ffede1f6f580698eb42f72eda08411 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u70ffede1f6f580698eb42f72eda08411 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u70ffede1f6f580698eb42f72eda08411:hover .ctaButton { background-color: #34495E!important; } .u70ffede1f6f580698eb42f72eda08411 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u70ffede1f6f580698eb42f72eda08411 .u70ffede1f6f580698eb42f72eda08411-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u70ffede1f6f580698eb42f72eda08411:after { content: ""; display: block; clear: both; } READ: In what ways could the hound of the baskervilles be described as a gothic novel? EssayGrief wouldnt be the natural process that it should be without some yearning for the person you just lost. Dr. Christine Whelan, who writes the Pure Sex, Pure Column on BustedHalo.com, explains the logic of allowing a bit of fantasy. She writes If you are trying to banish a sexual fantasy from your head, telling yourself Im not going to fantasize about her or I wont think about what it would be like to be intimate with him might make it worse In a famous psychological study from the 1980s, a group of subjects were told to think about anything but whatever they did, they were not supposed to think about a white bear. Guess what they all thought about A white bear. 5. Help someone else. When Im in pain, the only guaranteed antidote to my suffering is to box up all of my feelings, sort them, and then try to find a use for them. Thats why writing Beyond Blue contributes a big chunk to my recovery, why moderating Group Beyond Blue has me excited to wake up every day. When you turn your attention to another person especially someone who is struggling with the same kind of pain you forget about yourself for a split moment. And lets face it, that, on some days, feels like a miracle. 6. Laugh. And cry. Laughter heals on many levels as I explain in my 9 Ways Humor Heals post, and so does crying. You think its just a coincidence that you always feel better after a good cry Nope, there are many physiological reasons that contribute to the healing power of tears. Some of them have been documented by biochemist William Frey who has spent 15 years as head of a research team studying tears. Among their findings is that emotional tears (as compared to tears of irritation, like when you cut an onion) contain toxic biochemical byproducts, so that weeping removes these toxic substances and relieves emotional stress. So go grab a box of Kleenex and cry your afternoon away. 7. Make a good and bad list. You need to know which activities will make you feel good, and which ones will make you want to toilet paper your ex-lovers home (or apartment). You wont really know which activity  belongs on which list until you start trying things, but I suspect that things like checking out his wall on Facebook and seeing that he has just posted a photo of his gorgeous new girlfriend is not going to make you feel good, so put that on the dont attempt list, along with e-mails and phone calls to his buddies fishing for information about him. On the feels peachy list might be found such ventures as deleting all of his e-mails and voicemails, pawning off the jewelry he gave you (using the cash for a much-needed massage), laughing over coffee with a new friend who doesnt know him from Adam (to ensure his name wont come up). 8. Work it out. Working out your grief quite literally by running, swimming, exercising, walking, or kick-boxing is going to give you immediate relief. On a physiological level because exercise increases the activity of serotonin and/or norepinehrine and stimulates brain chemicals that foster growth of nerve cells but also on an emotional level, because you are taking charge and becoming the master of your mind and body. Plus you can visualize the fellow who is responsible for your pain and you can kick him in the face. Now doesnt that feel good 9. Create a new world. This is especially important if your world has collided with his, meaning that mutual friends who have seen him in the last week feel the need to tell you about it. Create your own safe world full of new friends who wouldnt recognize him in a crowd and dont know how to spell his name where he is not allowed to drop by for a figurative or literal surprise visit. Take this opportunity to try something new scuba diving lessons, an art class, a book club, a blog so to program your mind and body to expect a fresh beginning without him (or her). .u265f283f921dbe8184131a0bcf8ebcb3 , .u265f283f921dbe8184131a0bcf8ebcb3 .postImageUrl , .u265f283f921dbe8184131a0bcf8ebcb3 .centered-text-area { min-height: 80px; position: relative; } .u265f283f921dbe8184131a0bcf8ebcb3 , .u265f283f921dbe8184131a0bcf8ebcb3:hover , .u265f283f921dbe8184131a0bcf8ebcb3:visited , .u265f283f921dbe8184131a0bcf8ebcb3:active { border:0!important; } .u265f283f921dbe8184131a0bcf8ebcb3 .clearfix:after { content: ""; display: table; clear: both; } .u265f283f921dbe8184131a0bcf8ebcb3 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u265f283f921dbe8184131a0bcf8ebcb3:active , .u265f283f921dbe8184131a0bcf8ebcb3:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u265f283f921dbe8184131a0bcf8ebcb3 .centered-text-area { width: 100%; position: relative ; } .u265f283f921dbe8184131a0bcf8ebcb3 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u265f283f921dbe8184131a0bcf8ebcb3 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u265f283f921dbe8184131a0bcf8ebcb3 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u265f283f921dbe8184131a0bcf8ebcb3:hover .ctaButton { background-color: #34495E!important; } .u265f283f921dbe8184131a0bcf8ebcb3 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u265f283f921dbe8184131a0bcf8ebcb3 .u265f283f921dbe8184131a0bcf8ebcb3-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u265f283f921dbe8184131a0bcf8ebcb3:after { content: ""; display: block; clear: both; } READ: 'The Great Gatsby' by F Scott Fitzgerald Essay10. Find hope. Theres a powerful quote in the movie The Tale of Despereaux that Ive been thinking about ever since I heard it There is one emotion that is stronger than fear, and that is forgiveness. I suppose thats why, at my fathers deathbed, the moment of reconciliation between us made me less scared to lose him. But forgiveness requires hope believing that a better place exists, that the aching emptiness experienced in your every activity wont be with you forever, that one day youll be excited to make coffee in the morning or go to a movie with friends. Hope is believing that the sadness can evaporate, that if you try like hell to move on with your life, your smile wont always be forced. Therefore in order to forgive and to move past fear, you need to find hope. And remember to love again Once our hearts are bruised and burned from a relationship that ended, we have two options we can close off pieces of our heart so that one day no one will be able to get  inside. Or we can love again. Deeply, just as intensely as we did before. Henri Nouwen urges to love again because the heart only expands with the love we are able to pour forth. He writes The more you have loved and have allowed yourself to suffer because of your love, the more you will be able to let your heart grow wider and deeper. When your love is truly giving and receiving, those whom you love will not leave your heart even when they depart from you. The pain of rejection, absence, and death can become fruitful. Yes, as you love deeply the ground of your heart will be broken more and more, but you will rejoice in the abundance of the fruit it will bear.