The Perception Of Personality Disorders Essay - 994 Words

The human mind is a mysterious and complex enigma. Neurologists and psychiatrists are still on the verge of understanding behavioral patterns to the fullest extent. There are many behavior patterns that people are not fully aware of most of the time. However, some people have behavior patterns that affect their daily lives. These patterns are ingrained into their personality and can prevent them from reaching life goals. These traits are some of the fundamentals of personality disorders. Psychiatrist Alexander L. Chapman describes them as, â€Å"a long-lasting pattern of relating to the world that doesn’t work well.† (Chapman and Gratz) Personality disorders affect socializing and basic relationship skills that disrupt friendships and daily interactions; a better understanding of these disorders will help those who face similar problems to get diagnosed and further the research of these disorders; the top four most commonly diagnosed personality disorders in the U.S. a re Borderline Personality Disorder, Antisocial Personality Disorder, Narcissistic Personality Disorder, and Schizoid Personality Disorder. The first disorder, Borderline Personality Disorder, is the most commonly diagnosed personality disorder in the U.S. An estimated 1.6% of U.S. adults are diagnosed with the disorder, however studies suggest that it may be closer to 5.6%. (NAMI) The basis of Borderline Personality Disorder is emotional instability that creates difficulties in one s behaviors, relationships,Show MoreRelatedThe Perception Of Personality Disorders Essay1043 Words   |  5 Pagesingrained into their personality and may alienate others and may prevent them from achieving life goals. These traits are some of the fundamentals of personality disorders. Psychiatrist Alexander L. Chapman describes them as, â€Å"a long-lasting pattern of relating to the world that doesn’t work well.† (Chapman and Gratz). Personality disorders affect socializing and basic rela tionship skills that disrupt friendships and daily interactions; a more concrete understanding of these disorders will help thoseRead MoreAn Attachment Theoretical Framework For Personality Disorders1532 Words   |  7 PagesLiterature Review and Analysis In the article titled An Attachment Theoretical Framework for Personality Disorders explores how John Bowlby and Mary Ainsworth’s attachment theory provides a coherent perception of â€Å"intrapsychic and interpersonal† (2013) aspects of personality disorders, such as antisocial personality disorder. Adverse attachment is often at the root of most antisocial personality disorders. This theoretical groundwork pairs breadth and parsimony to the conceptualization of BowlbyRead MoreTypes Of Multiple Personality Disorder848 Words   |  4 PagesWhat is multiple personality disorder? Multiple personality disorder also known as Dissociative Identity Disorder is a severe condition in which two or more distinct identities, or personality states, are present in and interchangeably take control of an individual. DID is a disorder categorized by identity division rather than a creation of separate personalities. The disorder is not due to the direct psychological effects of a substance or of a general medical condition. DID was called MultipleRead MoreCase Study of Wage and Salary Administration1285 Words   |  6 PagesIncidence IV. Models to Explain Important Concepts Psychopathology Defined Medical Student’s Syndrome Abnormality Normality Classification Psychopathology Defined Means sickness of the mind. There are many synonyms: Emotional Disorder Craziness Lunacy Mental Illness Mental Deviation Nervous Disease Mental Abnormality Psychiatric Illness Psychopathology Etc. Medical Student’s Syndrome Medical student’s studying the heart became sensitive to the sounds ofRead MoreFreud s Theory Of Psychology1226 Words   |  5 Pagespsychology, a person’s personality is how the person feels, thinks, and behaves. Psychoanalysis was a theory Sigmund Freud discovered. It was his theory for treating psychological disorders and he did this by using a person’s unconscious mind. He suggested that there was three different stages of awareness in a person’s conscious mind. Level one is consciousness is anytime we’re alert. When we are conscious we are aware of our emotions, sensations, thoughts, and perception. Level two is preconsciousRead MoreBasic Concepts Of Personality Development1402 Words   |  6 PagesBasic Concepts of Personality Development According to Adlerian theory the personality develops in various means. One way we develop our personality is our lifestyle and how we perceive ourselves and the world around us. Expanding on our feelings of ourselves, Adler thought feelings of inferiority and superiority assisted the growth of personality. Furthering on this ideal, he deemed that when we feel inferior of ourselves we strive to superiority. Not only does our view of our life play a roleRead MoreBorderline Personality Disorder ( Bpd )1618 Words   |  7 PagesBorderline Personality Disorder (BPD) Borderline Personality Disorder Borderline personality disorder is defined in the DSM IV, a manual used by psychiatrists to diagnose all mental disorders, as an AXIS II disorder which has symptoms of impulsively and emotional dysregulation (Livesley 146). A person with BPD have feelings of abandonment and emptiness, and have frantic efforts to avoid abandonment, going to extremes to keep someone from leaving (Burger 300). He or she is emotionally unstableRead MoreInsanity Plea Essay example1098 Words   |  5 Pagespreviously while some believe it works just fine now, and others think it should be abolished all together. In his proposal â€Å"Severe Personality-Disordered Defendants and the Insanity Plea in the United States,† George Palermo, a forensic psychiatrist, presents his thesis for the insanity plea to be reversed back to its previous definition. People who had personality disorders that could cause them to become psychotic for even a brief moment used to be eligible to receive the verdict not guilty by reasonRead MoreEssay on Borderline Personality Disorder1604 Words   |  7 PagesBorderline personality disorder is defined in the DSM IV, a manual used by psychiatrists to diagnose all mental disorders, as an AXIS II disorder which has symptoms of impulsively and emotional dysregulation (Livesley 146). A person with BPD has feelings of abandonment and emptiness, and has frantic efforts to avoid abandonment, going to extremes to keep someone from leaving (Burger 300). He or she is emotionally unstable and forms intense but unstable interpersonal relationships. They show impulsiveRead MoreDissociative Identity Disorder Of The Paleolithic Era947 Words   |  4 Pages Dissociative Identity Disorder Jorge Marquez Abnormal Psychology Professor Mackenzie It is quite unfortunate that many psychological disorders are not known out there. Dissociative Identity Disorder (DID) being one of them. Of course, this disorder is said to have been discovered a long time ago. However, it was not seen as it is today. A few decades ago, most disorders were not even known how to be treated. Several before that, disorders weren’t even the first thing

Types Of Cosmetic Surgery And How They Are Affected By...

The Types of Cosmetic Surgery and How They Are Affected by Body Image Studies have shown that, 14.6 million cosmetic plastic surgery procedures were performed in 2012. â€Å"As cosmetic economic indicators such as auto, retail, and home sales saw gains in 2012 – so too did plastic surgery† (www.plasticsurgery.org). This statistic has proved that across the United States people are being affected with the opinion and views formed based off of Body Image. Throughout the years, the ideas of body image have changed based off of people’s personal desires on what they should look like or on â€Å"trend†. Women, children, and even men base their body image on what society believes is ideal. In some years, society might believe that a small waist and a thin frame might be the perfect body image. In others, the curvier frame would be the ideal body image. People have gone down the path of cosmetic surgery in order to meet their needs and desires for what they believe are the â€Å"perfect body†. The types of plastic surgery t hat are being performed correlate directly to the ideas of what body image is supposed to look like. The use of plastic surgery date back to 2,000 B.C. where Egyptians and Indians would practice on warriors injured from battle in order to fix their wounded faces. â€Å"In India and Egypt, ancient physicians practiced some of the most rudimentary forms of plastic surgery† (Janelle). With the knowledge obtained from these early surgeries, early doctors began to use their practicesShow MoreRelatedWhy Cosmetic Surgery Improves Mental Health1689 Words   |  7 PagesColvin A main motivator for getting cosmetic surgery is the desire of being more satisfied with one’s own appearance and improving self-esteem. However, research has shown that this is not always the case. There have been variable results showing whether cosmetic surgery will improve psychological variables such as body image, self-esteem, and mental health. Body image specifically has been suggested to be a crucial factor in the desire to undergo cosmetic surgery. This is based off two importantRead MorePlastic Surgery Is All Over The Media1453 Words   |  6 PagesThese days, plastic surgery is all over the media. Top stars and celebrities have touted it as the means of achieving physical perfection. Due to this influence, it has become accepted and indeed prevalent in the society today. Its rapid commonplace has been facilitated by the coming of non-invasive procedures such as Botox. In 2007 alone, the American Society of Aesthetic Surgery reported that approximately 13.3 bi llion dollars were spent on plastic surgery, which was a 17% increase over the previousRead MoreAnalysis Of Heidi Montag s Influence On Cosmetic Surgeries872 Words   |  4 Pagesdissatisfaction and the inability to achieve perfection has caused some individuals to become physiological obsessed with and dependent on cosmetic surgeries. At times obtaining dangerous measurements to achieve the desired perfect physique. Heidi Montag a celebrity who underwent ten cosmetic surgeries in a single day, as a means of achieving the perfect physique, is an example on how cultural ideals pressures individuals to conform to the current beauty norms (Ugrina 2014, p.100). Another example is the BrazilianRead MoreCosmetic Surgery And Its Effects On Society1462 Words   |  6 PagesIn the past few years cosmetic surgeries popularity has increased, with wanting to look a certain way, the way that the media perceives body image for women, usually they use Botox, aesthetic surgery, and a reconstructi ve surgery; to fix facial features and body parts after a horrible accident. However the controversy begins is, how it can be harmful to every ones body and minds. Most people do not realize the damaging side effects with what is being injected into their bodies. Botox is one of theRead MoreTeenagers and the Plastic Surgery Epidemic Essay1090 Words   |  5 Pagesnumber of American teenagers choose to alter their body in order to fit the unrealistic standard of physical attractiveness created by our beauty-obsessed culture. Teens feel an immense amount of pressure to look â€Å"beautiful† from the media, peers and even parents. Teenagers are going to extreme lengths to reach this physical perfection, but when it comes down to it, just how far is too far? The numbers of teens going through with plastic surgery is startling and will continue to rise as America fallsRead MoreEssay Cosmetic Surgery - No Longer Only For the Rich and Famous1393 Words   |  6 PagesCosmetic surgery companies offer many options in which to finance cosmetic procedures for individual of all income levels. There were over 10 million surgical and nonsurgical cosmetic procedures performed in the United States in 2008, as reported by the American Society for Aes thetic Plastic Surgery (ASAPS). (Surgery, 2009) The statistic mentioned, clearly shows how many of us now would be willing to undergo cosmetic surgery. But, have you asked why? In today’s society, plastic surgery is theRead MorePlastic Surgery: Why Is so Popular? Essay1307 Words   |  6 PagesPlastic surgery is medical process through which people can make their physical aspect look better. There are two major kinds of plastic surgeries: cosmetic and reconstructive. People are and have always concern about their body image and the perspective that other could have about it. Therefore, people are always looking for the solution, which most of the time end up being the plastic surgery. Where these procedures originated? Moreover, how do we get to the actual point of plastic surgery? ClearlyRead MoreCosmetic Surgery : An Accidental Of Popularity1422 Words   |  6 Pagesthe appearance of one’s body has been one of the most concerning features a person may have in l ife. Mainly because being attractive can help with almost anything. People look more highly at you and even respect you more than a person who isn’t attractive. One of the main emphases on a person’s attractiveness is their face. â€Å"Facial attractiveness provides honest cues to health and mate value† (Barber, 1994). This is a major reason as to why many are turning to cosmetic surgery for assistance with theirRead MoreThe Pitfalls of Cosmetic Surgery Essay1569 Words   |  7 PagesCosmetic surgery has become increasingly more popular. However, many are unsatisfied with their results. Debra Dunn decided to have cosmetic surgery to fix a bump she had on her nose as a result of a childhood injury. After having two nose jobs and spending thousands of dollars, she was so dissatisfied with her results that she was embarrassed when she left the house and avoided mirrors. When she ventured out in public, she hid behind her hair. Although doctors tried convincing her that her noseRead MoreShould We Undergo Plastic Surgery?1489 Words   |  6 Pageseven taken more drastic measures by turning to plastic surgery to alter their appearance. However, unlike makeup, plastic surgery is definitely something that can be taken too far since it is permanent. Women should not have to feel the need to undergo plastic surgery at all: unless it is for reconstructive purposes. Sadly, last year alone, facial plastic surgeons recorded 64% of their patients under the age of 30 had undergone cosmetic surgery or injectable treatments (Matthews, 2016, para. 8). Some

New Zealand Healthcare System-Free-Samples-Myassignmenthelp.com

Question: Outline the Causes of Ethical Issues experienced by Students and Health professionals in the New Zealand Healthcare System. Discuss the Sustainability of Providing Healthcare Services under the Current level of funding by the Ministry of Health. Answer: Introduction While dealing with the health care services, ethical issues are very common in the industry. Around every decision that are made in the health care and nursing services can have implications regarding ethical concerns. These implications definitely have effects on the health care providers, leaders and mostly the patients. Ethical queries associated with the health care, health and public health care concerns as very diverse as the issues regarding morality around state obligations in the provision of services associated with health care and suitable measures for controlling infectious disease. Scholars and professionals in health care have argument ethical questions associated with health and health care right from the early years of medicine (Barker Pistrang, 2015). Under the circumstances of competing priorities and limited resources, the providers of health care service, public health and biomedical investigators, and the makers of policy are mostly forced to take difficult choices regarding how best securing of optimal health outcomes for population and individuals can be done. Demands for fast actions may not leave much time for sufficient consideration of the ethical issues. However, any failure to present explicit attention to the ethics may lead in various negativity, such as injustice and harm, the implications of which mostly resulted disproportionately by the vulnerable groups. Hence, it is very important to centralize the ethics in orientation to the decision making in the health care and nursing industry. The students and practitioners of health care and nursing services happen to experience various kinds of ethical issues and challenges throughout their clinical practice in various ways (Black, 2016). It is very important for the educators in the nursing and health care industry to understand the need for recognizing the unique issues that are faced by these professionals and students. The causes that result in various kind so ethical issues during the practice of health and nursing services mostly associate with compromise of safety of patients, unsafe practices of health care, unsafe and unhygienic conditions of work and suspected neglect or abuse (Jacob, Decker Lugg, 2016). The lack of assistance and supervision, bullying concerns and even end of life issues are also included as some of the causes that associated with the resulting ethical issues in the health care system and industry in New Zealand. The idea of sustainability of providing health care services under the current level of funding by the Ministry of Health of New Zealand can be very well conceived form the comparison and contrast between the New Zealand Social Security Act which was passed in 1938 and the claims regarding funding of healthcare in New Zealand. It has been found that the claims of funding in the health care in the country are at an excessive status and increasing further at a very alarming rate (Issel Wells, 2017). The New Zealand Social Security Act was intended for ensuring the presence of universal access for all sorts of comprehensive services of health care and nursing through a taxation system. The sustainability of the provision of healthcare services under the current level of funding by the Ministry of Health is significant as the costs of health care with the advancement of time are increasing as a result of various factors. These include the increase in the availability of new and advanced treatments which are mostly expensive treatments, a widening gap in income, increase in the ageing and total population (Purtilo Doherty, 2015). These factors have left a significant and increased percentage of the population in poverty. Simultaneously, there have been many repeated claim by various agencies and governments that the cost of funding in the public services of health care in New Zealand has turned out to be unsustainable. These claims do not possess scrutiny. But the scenarios definitely need urgent attention regarding how much has to be spend in the system of public health. Thesis statement The healthcare environment has scopes for causing ethical issues regarding unsafe work environment, breach in the privacy, dignity, respect and confidentiality, changing of attitudes; autonomy issues are very much prevalent in the nursing and healthcare industry in New Zealand. Scope of the essay The concerns regarding the ethical issues and there causes encompass the students and professionals in the nursing and health care system in the country of New Zealand. Causes of ethical issues experienced by students and health professionals Although the students and professionals in the nursing and health care system in New Zealand have a significant role in the establishment of the environments and programs that have direct impact on the delivery of patient care, the dilemmas and issues regarding unsafe work environment, feeling of powerlessness, validation and acceptance of decisions of others, and the requirement to compromise which has affected the ability of the students and professional in the health care and nursing service to uphold the standards of ethics. It was observed that around 10 percent of the participants in a research which was conducted in the research study conducted in Nursing students experiences of ethical studies in clinical practice: A New Zealand study, around 4.3 score regarding distress as found among the students and professional in the nursing and healthcare service system in New Zealand. This issue was also found that most of the issues resulted in the students and professionals to prefer to work in safe environment of work and safety of patients (Parahoo, 2014). The research study also provided the facts that presented the fact that 11 out of 15 ethical issues arose when the students and professional in the nursing and health care system in New Zealand experienced unsafe conditions of work and the unsafe practices of health care towards their patients which placed the health and life of patients at risk. It was also found that many participants reported that the lack of veracity or truthfulness which is displayed by the healthcare staff. These issues were found to be at the highest rank in the list of ethical issues and dilemmas in the research study (Pozgar, 2014). Values that are invoked very commonly include fairness, autonomy, honesty, compassion, trust, solidarity, respect and freedom. The students and professionals in the health care and nursing system in New Zealand confront the ethical issues regarding difference in values, culture and autonomy among individuals, groups levels. In the research study, higher scores of distress were found in the majority of issues which resulted due to the difference in the cultural values, conflicts regarding honesty, trust, and freedom in the way of work (Sinclair, Papps Marshall, 2016). The validation of the implications of theses aspects in the distressing of the students and professionals in the nursing and healthcare system in New Zealand could be obtained by the high level of distress scores. This was also supported by the fact that the nursing and health care practitioners and students in New Zealand related there increasing concern regarding the structure and function of their environment of work towards the end of their training and associated the their own high levels of stress (Whitehead et al., 2015). They also were observed to analyze their own coping abilities along with the deficits in the care of patients which are found to be very much pronounced in the health care and nursing environment which is unsafe. The net scores for overall distress were found to have significant increase in a year. The ethical issues regarding the commitment of the authorities to the workforce was one of the leading issues according to the research. The change in the commitment of the institution to its human resource which included the students and professional in the nursing and health care department led to many ethical issues in the nursing and healthcare system of New Zealand. The ethical concerns do not necessarily revolve around the loyalty, instead regarding the commitment of the organization to its workforce which when not materialize enables the latter to leave the organization and learn new and innovative skills. Supervision and support are very crucial for the development of clinical skills along with ethical competence according to the research studies on nursing students (Savery, 2015). The participant in the research study reviewed that there was a lack of support from the authorities of the nursing and health care students and professionals in the health system of New Zealand. It was also observed that the nursing staff was not much interested in working with the students and professionals in the nursing and health care system in New Zealand. Regarding the scenario of bullying or abuse of any kind also resulted in ethical issues and concerns in the nursing and healthcare system of New Zealand. According to the research paper, bullying was considered to be more suitable for assessing eh unsolicited reports regarding abuse and bullying by the NZNO National Nursing Student Survey. Form the research it was obtained that the participants did not find bullying to be considered as an ethical issue. On the other hand, 10 percent of the participants review that there have been significant instances of experiences regarding bullying and abuse (Ventola, 2014). Thus, the frequency score in this regard was 4.2 and it was found to be reported as extremely distressing with a very mean score of distress of 4.5. The other aspects that led to arising of ethical issues associated with veracity and end of life care. The concerns and issues that were associated with the end of life care were not exactly found on the questionnaire as this issue is much more complex in nature and more challenging in the nursing and health care (Webb, Bain Page, 2016). The issues associated with the end of life care include the issues of ethics where care was imparted either to avoid the measures taken for saving life or to prolong the life of the participants by the students and professionals in the nursing and health care experienced that it contradicted the wishes of the patients. There were ethical issues associated with dishonesty in the nursing and healthcare system in New Zealand. It was also found that the students and the professional in the health care and nursing sector had low frequency rates regarding the high levels of distress when the experience was felt (Whitehead et al., 2015). Other various issues that were obtained from analysis of the research study included the involvement of other staff in the nursing and health care system in New Zealand and concentrated on the lack of guidance and supervision afforded to the students and professionals. The breach of privacy and confidential aspects indiscriminately and distressing regarding the practices also placed both the students and professionals of health care and nursing practices along with the patients at risk (Purtilo Doherty, 2015). Conclusion The New Zealanders of have high status of health but a significant level of inequalities regarding health and ethical status regarding health. The students and practitioners of nursing and healthcare are very prone to face ethical issues and dilemma during their work experience in the health care industry in New Zealand. Managing to perform efficiently in the midst of ethical issues in the circumstances where there will be breach in the privacy and confidential information, dominance of higher authority, on-cooperation and no support from the senior officials, unsafe environment of work, change of attitudes and behavior of the people associated with both the authorities and patients along with high stakes of respect, dignity and security has proved to be a daunting task for the students and practitioners of nursing and healthcare system in New Zealand. The health care environment is leading to a huge space for growth of distress among the students and practitioners of nursing as well as health care. It is due to the increase in the ethically complex and highly challenging nature of work. The outcome of this distress one the students and practitioners is comparatively unexplored territory. The health care institutions need to provide ethics education to all its employees and practitioners in order to prevent the ethical issues form arising in the work place. Moreover, due to ethical education the students will also be able to prepare themselves for facing varying situations which are ethically challenging by nature. The students and practitioners in this industry need to be educated and empowered for enabling to be intelligently and actively raise their voices and take appropriate measures to make their voices heard and settle their challenges with dignity. References Barker, C., Pistrang, N. (2015). Research methods in clinical psychology: An introduction for students and practitioners. John Wiley Sons. Black, B. (2016). Professional Nursing-E-Book: Concepts Challenges. Elsevier Health Sciences. Jacob, S., Decker, D. M., Lugg, E. T. (2016). Ethics and law for school psychologists. John Wiley Sons. Issel, L. M., Wells, R. (2017). Health program planning and evaluation. Jones Bartlett Learning. Purtilo, R. B., Doherty, R. F. (2015). Ethical dimensions in the health professions. Elsevier Health Sciences. Parahoo, K. (2014). Nursing research: principles, process and issues. Palgrave Macmillan. Pozgar, G. D. (2014). Legal and ethical issues for health professionals. Jones Bartlett Publishers. Sinclair, J., Papps, E., Marshall, B. (2016). Nursing students' experiences of ethical issues in clinical practice: A New Zealand study. Nurse education in practice, 17, 1-7. Savery, J. R. (2015). Overview of problem-based learning: Definitions and distinctions. Essential readings in problem-based learning: Exploring and extending the legacy of Howard S. Barrows, 9, 5-15. Ventola, C. L. (2014). Social media and health care professionals: benefits, risks, and best practices. Pharmacy and Therapeutics, 39(7), 491. Webb, P., Bain, C., Page, A. (2016). Essential epidemiology: an introduction for students and health professionals. Cambridge University Press. Whitehead, P. B., Herbertson, R. K., Hamric, A. B., Epstein, E. G., Fisher, J. M. (2015). Moral Distress Among Healthcare Professionals: Report of an Institution?Wide Survey. Journal of Nursing Scholarship, 47(2), 117-125.

The difference Essays - English-language Films, Lost Films

The difference Rachel Wilson Treasure Island, written by Robert Louis Steverson, is an adventure fable of a young boy, Jim Hawkins in his search for treasure. Jim, the main character and narrator of the fable, is a typical little boy who somehow manages to get himself involved in an action packed adventure. Throughout the story, Jim remodels himself from a scared little boy from Bristol, England to a brave, compassionate, and clever young man. Although, in the story Jim makes many mistakes, he quickly learns from them. Although, Jim is an easily frightened young boy in the beginning of the novel. He eventually starts to show some maturing with the death of the seaman, Billy Bones. The death experience is a traumatic one for such a young boy as Jim. His feelings are read when he says: It was the second death I had known, and the sorrow of the first was still fresh in my heart (21) When Jim states the sorrow of the first he is talking about his father. This marks the beginning of Jim maturing into a young man and the point where he has to start making decisions for both his mother and him. The death of Billy Bones left Jim and his mother in difficult position. Billy Bones had ran up a tab for the time he stayed at the Admiral Benbow Inn. Jim's mother declared she would not loose money that belonged to her fatherless boy. After seeking help in hamlet, and finding no one to return with them to the Admiral Benbow Inn, Jim and his mother set off back to the inn to collect what was rightfully theirs from the chest of Billy Bones. Although, Jim and his mother were scared at the time, this is a point where Jim shows he is maturing as he sets off back to the inn with her. While at the inn collecting what is theirs they hear the sound of footsteps and see a light approaching the inn; this scares Jim's mother and she announces take the money and run on. I am going to faint.(28); but instead of doing as she asks he manages to drag her down the bank and a little under the bridge where they remain hidden until help arrived. By this part in the novel Jim is starting to become more responsible, and begins to show maturity. As the story continues to unfold, Jim shows more and more maturity and attempts to take on more responsibility. While aboard the Hispaniola Jim finds himself in an apple barrel ease dropping on a conversation that could help save the lives of the honest men aboard the ship. Jim shows that he understands the importance of what he has heard while in the apple barrel and waits patiently for a time to speak where he will not to be overheard. When Dr. Livesey calls Jim to bring his tobacco Jim not only breaks his silence, but also speaks with authority by saying: Doctor, let me speak. Get the captain and squire down to the cabin, and then make some pretense to send for me. I have terrible news. (74) The doctor understands and dismisses Jim loudly. When called below ship Jim tells Dr. Livesey, Squire, and Captain Smollett what he had heard while hiding in the barrel. The men try and decide which of the crew are of the honest men aboard and come up with the idea of sending them ashore for the afternoon. As the crew heads for land Jim decides that it is a good idea to hide in one of the boats that is headed ashore, No one took notice to him, only the bow oar saying: Is that you, Jim? Keep your head down. Once ashore Jim wastes no time by getting out of site of the others. Even though, Jim made a hastily decision by jumping into the boat he did so thinking it was the right thing to do. While ashore there is a short period where Jim slips back into the scared little boy he once was. However, he quickly moves back toward manhood when he