Presented With The Complaints Of Depression Psychology Essay

Presented With The Complaints Of Depression Psychology Essay The purpose of this case study is to describe the case of a patient known as Ellen Farber. Ms. Farber, an insurance company executive, arrived at a psychiatric emergency room at a university hospital with numerous complaints in regard to her overall well-being. It is apparent that Ms. Farber has been affected by her symptoms to a large degree. This case study will discuss the complaints provided by Ms. Farber and will provide a detailed discussion of how her symptoms fit the criteria provided in the DSM-IV-TR for several disorders such as Major Depressive Disorder, Single Episode; Eating Disorder Not Otherwise Specified; and Impulse-Control Disorder Not Otherwise Specified. This paper will also discuss differential diagnoses as well as co-occurring disorders that may be present. The final portion of this paper will discuss a possible treatment plan as well as an indication of the patients prognosis based on known information about her diagnosis. Ellen Farber is a 35 year old woman who presented with complaints of depression, the thought of driving her car off of a cliff, and numerous other symptoms. Upon closer evaluation of Ms. Farbers symptoms it appears that she is suffering from a Major Depressive Episode. The symptoms that she has exhibited that allow for this conclusion are a lack of energy for the past six months; a lack of pleasure for the past six months; increasingly persistent depressed mood for the past six months; oversleeping in amounts of 15-20 hours per day; overeating to the extent that she has gained 20 pounds over the past few months; and thoughts of suicide with a specific plan (Barlow Durand, 2012, p. 206). According to the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR; American Psychiatric Association, 2000), the presence of a single manic depressive episode in the absence of another disorder, such as schizophrenia, indicates that Ms. Farber can be diagnosed with Major Depressive Disorder, Single Episode. It is also clear that Ms. Farber has never experienced a prior Major Depressive Episode indicating even further that Major Depressive Disorder, Single Episode is the proper diagnosis for her (DSM-IV-TR, 2000, p. 375). It is essential to point out that Ms. Farber is also a candidate for other diagnoses because she has engaged in binge eating and impulsive spending. Ms. Farber has reported that she has engaged in eating binges since she was an adolescent. During these binges she reports that she eats anything that she can find. Although she has engaged in intermittent binge eating since adolescence she has done so without using compensatory methods to rid her body of the excess calories. According to the DSM-IV-TR (2000), Ms. Farber should be diagnosed with Eating Disorder Not Otherwise Specified (Binge-Eating Disorder) because she does not engage in the compensatory behaviors that are typically characteristic of Bulimia Nervosa (p. 595). Fin ally, Ms. Farber has engaged in shopping sprees that she refers to as buying binges. This excessive and impulsive spending has resulted in a large amount of debt, about $250,000, that has arisen from illegal practices such as unauthorized use of her employers credit cards and over drafting bank accounts to open new accounts, a process she calls check kiting. Since the money was used on impulsive purchases and cannot be accounted for by another disorder, such as substance dependence or a paraphilia, it appears likely that Ms. Farber is also a candidate for a diagnosis of Impulse-Control Disorder Not Otherwise Specified (DSM-IV-TR, 2000, p. 677). According to the DSM-IV-TR (2000), the following diagnoses are relevant for Ellen Farber: Axis I: Major Depressive Disorder, Single Episode Eating Disorder Not Otherwise Specified (Binge-Eating Disorder) Impulse-Control Disorder Not Otherwise Specified Axis II: Borderline Personality Disorder Axis III: Moderately Overweight Axis IV: Unemployed, financial difficulties Axis V: GAF = 35 (current) On Axis II, Ellen received a diagnosis of Borderline Personality Disorder for several reasons. First, she has reported that she has experienced lifelong feelings of emptiness, chronic feelings of loneliness, chronic feelings of sadness, and chronic feelings of isolation. In order to satisfy her feelings of emptiness she has engaged in weekly buying binges which established her current level of debt. Ellen has also engaged in daily episodes of binge eating without compensatory behaviors. She has also experienced chronic uncertainty with whom she wants to be friends and about what she wants to do in life. We also know that she has been in numerous brief and intense relationships with both men and women. In these relationships, Ellen exhibits a quick temper that has frequently led to arguments and physical fights. Based on a comparison of Ellens symptoms and the diagnostic criteria for Borderline Personality Disorder provided in the DSM-IV-TR it is clear that Ellen suffers from Borderli ne Personality Disorder (DSM-IV-TR, 2000, p. 710). Ellen has not presented with any other medical conditions other than the fact that she is moderately overweight. Since this is the only condition of concern it was listed on Axis III. Axis IV includes relevant information about psychosocial and environmental problems that may be affecting Ellen. Since Ellen is unemployed and is experiencing a large amount of debt as a result of her spending binges this information is listed under Axis IV (DSM-IV-TR, 2000, p. 33). On Axis V I have included a GAF score of 35. After evaluating the information provided in the DSM-IV-TR it seemed apparent that Ellen fell within the 40-31 range on the GAF scale. She fell into this range as a result of her suicidal thoughts with a specific plan and because she is currently unemployed but unable to work as a result of her depression. Within the scale it appeared that Ellens level of functioning was not severe enough to receive a GAF score of 31 but her func tioning was not well enough to receive a GAF score of 40. Based on this scale, it seems that Ellen fits in the middle of the 40-31 scale so I assigned a GAF score of 35 (DSM-IV-TR, 2000, p. 34). According to the DSM-IV-TR (2000), there are several common differential diagnoses present for Major Depressive Disorder, Single Episode. These disorders include Bipolar I Disorder; Bipolar II Disorder; Mood Disorder Due To a General Medical Condition; Substance-Induced Mood Disorder; Dysthymic Disorder; and Schizoaffective Disorder (DSM-IV-TR, 2000, p. 373). In the process of diagnosing Ellen, I made a differential diagnosis between Dysthymic Disorder and Major Depressive Disorder, Single Episode. The primary way that this differential diagnosis was made was comparing the length of time that Ellen reported experiencing her symptoms and comparing them to the length provided in the DSM-IV-TR. For Dysthymic Disorder, a period of at least two years must be met for depressed mood (Barlow Durand, 2012, p. 209). Symptoms for Major Depressive Disorder, Single Episode are only required to be present for a period longer than two weeks (Barlow Durand, 2012, p. 206). From the information that is known about Ellen, it only appears that Ellens symptoms have differed from her normal level of functioning for six months. Since Ellen did not meet the minimum two year requirement for depressed mood it seemed apparent that her symptoms only met the criteria for Major Depressive Disorder, Single Episode. Eating Disorder Not Otherwise Specified also presented with a differential diagnosis, Bulimia Nervosa. This was easily distinguished because Ellen did not engage in compensatory behaviors in order to control her caloric intake, and a diagnosis of Bulimia Nervosa requires that a person engage in inappropriate compensatory methods to prevent weight gain (DSM-IV-TR, 2000, p. 589). It is not uncommon for other mental disorders to co-occur with Major Depressive Disorder, Single Episode. These common mental disorders include Substance-Related Disorders, Panic Disorder, Obsessive-Compulsive Disorder, Anorexia Nervosa, Bulimia Nervosa, and Borderline Personality Disorder. Axis II presents the personality disorders that Ellen has presented with and Borderline Personality Disorder is listed. Ellen has presented with chronic feelings of loneliness, emptiness, sadness, and isolation. She has also experienced chronic uncertainty about what she wants to do in life and with whom she wants to be friends. She has engaged in numerous intense relationships with both men and women that have often resulted in arguments and physical fights as a result of Ellens quick temper. In order to cope with her chronic symptoms she has engaged in weekly buying binges and daily episodes of binge-eating. Based on this information, as stated previously, Ellen meets the criteria for Borderline Personality Disorder (DSM-IV-TR, 2000, p. 710). There are no conditions listed in the DSM-IV-TR that co-occur with Eating Disorder Not Otherwise Specified (Binge-Eating Disorder) or Impulse-Control Disorder Not Otherwise Specified. The treatment of Ms. Farber is complicated by her thought of driving her car off a cliff. This indicates that she possesses suicidal desire, capability, and intent. As a result, she should be asked to agree to, or sign, a no-suicide contract. This contract is essentially a promise that she will not attempt suicide without contacting the mental health professional overseeing her case first. If she declines to agree to the terms, or if there is doubt about her sincerity, hospitalization may be required (Barlow Durand, 2012, p. 251). Considering that Ms. Farber has presented with several co-occurring conditions, treatment for her Major Depressive Disorder would be most effective if she undergoes combined treatment. The first aspect of her treatment should be a medication based treatment, particularly treatment with a selective-serotonin reuptake inhibitor (SSRI). This medication functions by blocking the presynaptic reuptake of serotonin causing a temporary increase in the levels of se rotonin at the receptor site. All antidepressant therapies provide some form of benefit to about fifty percent of the patients who receive them (Barlow Durand, 2012, p. 236). In combination with the prescription for SSRIs, I would also recommend cognitive-behavioral therapy. A cognitive-behavioral approach, such as Lynn Rehms self-control therapy, could assist Ellen in gaining control over her moods and daily activities while incorporating cognitive therapy to assist her in identifying and correcting errors of thought, shifting her thought pattern from a depressive thinking pattern to a more realistic thinking pattern (Barlow Durand, 2012, p. 240). Ms. Farber should also undergo treatment for her diagnosis of Eating Disorder Not Otherwise Specified (Binge-Eating Disorder). The most appropriate treatment for Ms. Farber would be a technique that involves therapist led treatment. It seems appropriate that she should undergo guided self-help therapy in which she would meet with a ther apist periodically to review a self-help manual. This approach would be the most effective for her because she presented with several diagnoses (Barlow Durand, 2012, p. 375). The prognosis for Ms. Farber appears to be relatively positive in regards to the alleviation of her Major Depressive Episode; however, there are some risks within the first two years following her diagnosis of Major Depressive Disorder, Single Episode that may alter her prognosis level to fair. Approximately 67%, or two-thirds, of patients experiencing a Major Depressive Episode may experience complete remission of their symptoms. One-third, or 33% of individuals suffering from a Major Depressive Episode may only experience partial remission of their symptoms or may not experience any alleviation of their symptoms at all. At least 60% of individuals with Major Depressive Disorder, Single Episode will experience a second episode and 5%-10% will subsequently develop a manic episode, meeting the criteria for Bipolar I Disorder (DSM-IV-TR, 2000, p. 372). In the first year following an episode there is a 20% risk of reoccurrence. In the second year the risk of reoccurrence increases as hi gh as 40% which would qualify Ms. Farber for a diagnosis of Major Depressive Disorder, Recurrent (Barlow Durand, 2012, p. 208). By undergoing combined treatment for her depression her chances for remission may increase slightly over receiving medicinal treatment alone (Barlow Durand, 2012, p. 243). At this point it is impossible to determine the exact course of Ms. Farbers symptoms. At best we can expect a more positive prognosis with treatment than without any treatment at all. Ellen Farber presented with several co-occurring conditions and psychosocial and environmental problems that have potentially affected the onset and severity of her symptoms. The purpose of this paper was to discuss Ms. Farbers symptoms, provide diagnoses based on the DSM-IV-TR, and discuss the appropriate means of treatment for her conditions. Ms. Farber has been affected immensely by her symptoms and requires appropriate treatment immediately in order to prevent her condition from worsening. In the end, her prognosis ranges between fair and relatively positive based on the available knowledge about her diagnosis. It appears that if Ms. Farber receives the appropriate treatment she is at a greater likelihood for remission of her symptoms and continuing treatment may reduce the risk of a reoccurrence of her symptoms. Only time can definitively show how Ms. Farber will be affected by the course of her co-occurring disorders.

Gay male culture Essay

American culture has focused much more heavily on gay men than on other members of the LGBT community. This may be due to larger numbers of men than women and it may also be due to gay men having more resources available to them to justify, explore and perform their sexuality. The western culture as a whole still sees men and male experience as the central experience in culture, even if the men in question are transgressing established gender norms. Gay culture relies upon secret symbols and codes woven into an overall straight context. The association of gay men with opera, ballet, professional sports, , musical theater, the Golden Age of Hollywood, and interior design began with wealthy homosexual men using the straight themes of these media to send their own signals. In the Marilyn Monroe film Gentlemen Prefer Blondes, a musical [filmfreakcentral. net] number features a woman singing while muscled men in revealing costumes dance around her. The men’s costumes were designed by a man, the dance was choreographed by a man, and the dancers seem more interested in each other than in the female star, but her reassuring presence gets the sequence past the censors and fits it into an overall heterocentric theme. Today gay male culture is publicly acknowledged. Celebrities such as Liza Minnelli spent [topix. net] a significant amount of their social time with urban gay men, who were now popularly viewed as sophisticated and stylish by the jet set. Celebrities themselves were open about their relationships. Gay men can’t be identified by the way they look or what kind of music they like. There are gay men in every field and all sorts of fashions and music. Lesbian culture A lesbian is a woman who is romantically and sexually attracted only to other women. The history of lesbian culture over the last half-century has been linked to the evolution of feminism. Older stereotypes of lesbian women stressed a dichotomy between women who adhered to stereotypical male gender stereotypes (â€Å"butch†) and stereotypical female gender stereotypes (â€Å"femme†), and that typical lesbian couples consisted of butch/femme couples. Today, some lesbian women adhere to being either â€Å"butch† or â€Å"femme,† but these categories are much less rigid and there is no express expectation that a lesbian couple be butch/femme. There is a sub-culture within the lesbian community called Aristasia, where lesbians in the community adhere to exaggerated levels of femininity. In this culture, there are two genders, blonde and brunette, although they are unrelated to actual hair color. Brunettes are femme, yet blondes are even more so. Also notable are diesel dykes, extremely butch women who use male forms of dress and behavior, and who often work as truck drivers. Lipstick lesbian refers to feminine women who are attracted only to other feminine women. Bisexual culture In modern western culture Bisexual people are in the peculiar situation of receiving hatred or distrust [Lunde 1990] or even outright denial of their existence from some elements of both the straight and lesbian and gay populations. There is of course some element of general anti-LGBT feeling, but some people insist that bisexual people are unsure of their true feelings, that they are experimenting or going through a phase and that they eventually will or should decide or discover which (singular) sex they are sexually attracted to. One popular misconception is that [Lunde 1990] bisexuals find all humans sexually attractive. That is no truer than the idea that, say, all straight men would find all women sexually attractive. More people of all kinds are becoming aware that there are some people who find attractive sexual partners among both men and women – sometimes equally, sometimes favoring one sex in particular . Distinctions exist between sexual orientation (attraction, inclination, preference, or desire), gender identity (self-identification or self-concept) and sexual behavior (the sex of one’s actual sexual partners). For example, someone who may find people of either sex attractive might in practice have relationships only with people of one particular sex. Many bisexual people consider themselves to be part of the LGBT or Queer community [Barris, 2007]. In an effort to create both more visibility, and a symbol for the bisexual community to gather behind, Michael Page created the bisexual pride flag. The bisexual flag, which has a pink or red stripe at the top for homosexuality, a blue one on the bottom for heterosexuality and a purple one in the middle to represent bisexuality, as purple is from the combination of red and blue [Lunde 1990]. Transgender culture The study of transgender culture is complicated by the many and various ways in which cultures deal with gender [hrc. org]. For example, in many cultures, people who are attracted to people of the same sex — that is those who in contemporary Western culture would identify as gay, lesbian, or bisexual — are classed as a third gender, together with people who would in the West be classified as transgender or transsexual. Also in the contemporary West, there are usually [hrc.org] several different groups of transgender and transsexual people, some of which are extremely exclusive, like groups only for transsexual women who explicitly want sex reassignment surgery or male, heterosexual only cross-dressers. Transmen’s groups are often, but not always, more inclusive. Groups aiming at all transgender people, both transmen and transwomen, have in most cases appeared only in the last few years. Some transgender or transsexual women and men however do not classify as being part of any specific â€Å"trans† culture. However there is a distinction between transgender and transsexual people who make their past known to others . Some wish to live according to their gender identity and not reveal this past, stating that they should be able to live in their true gender role in a normal way, and be in control of whom they choose to tell their past to. Epistemology of the closet. The expression â€Å"being in the closet† is used to describe keeping secret one’s sexual behavior or orientation, most commonly homosexuality or bisexuality, but also including the gender identity of transgender and transsexual people [branconolilas.no. sapo. pt]. Being â€Å"in the closet† is more than being private, it is a â€Å"life-shaping pattern of concealment† where gay, lesbian, bisexual, or transgender individuals hide their sexuality/gender-identity in the most important areas of life, with family, friends, and at work. Individuals may marry or avoid certain jobs in order to avoid suspicion and exposure. Some will even claim to be heterosexual when asked directly. â€Å"It is the power of the closet to shape the core of an individual’s life that has made homosexuality into a significant personal, social, and political drama in twentieth-century America†. (Seidman 2003, p. 25). Eve Kosofsky Sedgwick, in her book Epistemology of the closet, majorly focuses on male homosexuality. She is also an intellectual who is interested in gay and lesbian studies, queer studies, gender studies, and feminism. Sedgwick (Seidman 2003, p. 25) â€Å"proposes that many of the major thoughts and knowledge in twentieth-century Western culture as a whole are structured—indeed fractured—by the now endemic crisis of homo/heterosexual definition, indicatively male, dating from the end of the nineteenth century†. Incoherent ideas about homosexuality inform the way men are acculturated in the modern West, and (Seidman 2003, p. 25) since this is so, this incoherence has come to mark society generally. Incoherence characterizes the attitude toward homosexuality in the West and is beyond debate. examples, are gay men ridiculous figures of fun or are they sexual monsters who prey on young children? ; is the homosexual a limp-wrested effeminate unsuited for the armed forces, or the lothario of the showers who will gaze upon and/or rape his fellow servicemen? ; Is sexuality an orientation or is it a choice?; are homosexuals born or are they made? ; essentialism or social constructionism? ; nature/nurture?. These are all part of the effect of this crisis in modern sexual definition. Sedgwick believes that it is impossible to adjudicate between these (Seidman 2003, p. 25). In describing in general terms the mass of contradictions that adhere to homosexuality, she proposes that one consider it in terms of an opposition between a minoritizing view and a universalizing one. A minoritizing view takes the position that homosexuality is of primary importance to a relatively small group of actual homosexuals. A universalizing view takes the position that homosexuality is of importance to persons across a wide range of sexualities. Under the universalizing view, one can put nurture, social-construction, choice and a warrant for social â€Å"engineering† to eradicate homosexuality(Seidman 2003, p. 25). Sedgwick says that the current debate in queer theory, between â€Å"constructivist† and â€Å"essentialist† understandings of homosexuality is the most recent link(Seidman 2003, p. 25). She goes on to conclude that the continuation of this debate is itself the most important feature of recent understandings of sex. The aim of the book is to explore the incoherent dispensation under which we now live. Through an examination of a number of mostly late nineteenth century literary and philosophical works, including (Seidman 2003, p. 25). Melville’s BILLY BUDD, Wilde’s THE PICTURE OF DORIAN GRAY, various works of Nietzsche, James’ THE BEAST IN THE JUNGLE, Thackeray’s LOVEL THE WIDOWER, and Proust’s REMEMBRANCE OF THINGS PAST, Sedgwick discovers a number of pairs of opposing terms (binarisms) which she then shows to be inconsistent with and dependent upon each other. I found it fascinating to follow her explication of the ways in which these terms were related. Among the pairings that she assembles and dissects for our consideration are secrecy/disclosure, private/public, masculine/feminine, majority/minority, innocence/initiation, natural/artificial, new/old, growth/decadence, urbane/provincial, health/illness, same/different, cognition/paranoia, art/kitsch, sincerity/sentimentality, and voluntarity/addiction (Seidman 2003, p.25). She asserts that a true understanding of the force of the opposition of these terms must be grounded in the realization and acceptance that the content of all of these terms was determined around the turn of the century amid and through anxious questioning over who and what was homosexual. These opposing terms, all of which operate today, therefore have a residue of the homo/hetero definitional crisis(Seidman 2003, p. 25). In addition, Sedgwick perhaps delivers the coup de grace(Seidman 2003, p. 25), if such was needed, to sleek, masculine, modernist objective criticism. She demonstrates that modernist criticism finds its genesis in the homo/hetero definitional crisis and both its flight into and prizing of abstraction is a direct reflection of its homophobia.

What to Expect From Global History Regents Thematic Essay Topics?

What to Expect From Global History Regents Thematic Essay Topics? Vital Pieces of Global History Regents Thematic Essay Topics Thematic essays are usually somewhat long, so it's not unusual to get many distinctive paragraphs to talk about lots of distinct points. The essay body is the principal part. You are able to find out here more details on what you could escape from your thematic essay structure when using a topic you're able to become behind. The format of essay can't be decided in the air with no good base like what is the duration of essay in accordance with the instructions of the professors. It's possible to use this kind of essay to discover themes concerning a specific subject of interest to you. You ought to be quite careful when selecting your themes. You may pick a subject that appears to be relevant. It is imperative to identify and disclose the principal subject of the studied work. There is a superb selection of topics which can be utilised to compose impressive parts of academic writing. As a way to compose a masterpiece, it is crucial to follow along with a particular workflow with numerous stages. You need to be laconic but precise and the identical moment. Now it's time to hit the net and the library. Though many of you might not have heard about the thematic essay, it's likely that you will acquire this kind of assignment pretty soon. It is crucial to have the idea about ways to write a great conclusion for your essay to obtain the very best score in your assignments. You won't have the ability to use everything as soon as you commence narrowing the focus of your essay. Compose extra paragraphs if necessary to be able to completely answer the essay question. As an example, compare and contrast essay is quite popular and it's tough to compose it. A normal essay is created of 5 paragraphs. For example, you are requested to write 500 words essay in the shape of the thematic essay then it's going to be different when compared to a very long essay. The very first paragraph of your writing ought to be a quick introduction. Now you know how to ease your work in regards to writing a thematic essay, it's time to understand how it is possible to write one fast. A great essay is always based on its conclusion and if you aren't able to compose the exact same for your thematic essay all of your hard work will be in the rubbish bin. Whether or not you're writing a long essay or summary essay you can readily set them in correct pattern and format with minimal comprehension of the things. Again, the best method to find exceptional worldwide regents thematic essay topics is to ask for fast assistance from an academic writing company. Being an intricate job, essay writing is related to many mistakes students have a tendency to make. A thematic essay is a significant portion of the education practice. As the principal aim of a thematic essay prompt is to produce the student respond to the particular questions, so give your solution a t the end! Global History Regents Thematic Essay Topics Fundamentals Explained If you're writing a thematic essay for your college assignments then you've got to be quite much careful regarding the structure and layout of essay initially stage. It's important that students understand just what they are predicted to write about in the essay. Nonetheless, you should learn various other necessities if you wish to create a suitable project. Thus, you've got to examine requirements before writing of an essay. There are 3 usual pieces of a thematic essay. To learn to compose a thematic essay, it's crucial to look closely at the grading rubric. Naturally, it is extremely important to discover some excellent US history thematic essay topics. Start looking for a thematic essay example that you can come across online. Now it's important to reread your essay. Your essay should begin with the introduction. It should go short and concise. Global History Regents Thematic Essay Topics: No Longer a Mystery It is simple for the writer to become lost in the huge sea of distinct subjects which is why finding the most meaningful and impactful one can be challenging. You should have your reasons, and our primary concern is that you wind up getting a great grade. There are a number of things that could be done in order to find a topic ready. To begin however, one has to begin with finding a fantastic topic. The Lost Secret of Global History Regents Thematic Essay Topics An essay is mostly directed at activating educational and cognitive activity. Creating such a literary work is no simple feat. Instructions together with a discussion on theme is found by following the hyperlink. Make certain that the central theme you ana lyzed is really the one which you have decided on from the beginning.

Essay on Watchful Government in George Orwells 1984

Watchful Government in George Orwells 1984 No one likes being overly supervised and watched. Whether it is a teenager with protective parents or an adult in the workplace with an ever-watching boss the feeling of continuously being watched is unnerving. Throughout history the levels of government supervision have fluctuated from lows to extremes but sometimes the future seems to hold even more watchful governments. These were the feelings when George Orwell wrote the novel 1984. George Orwell showed a world without the freedoms that citizens in the United States live with every day. From looking at the text of 1984 it is obvious how scary a world it is, however this would never be possible in the United States, where inhabitants are†¦show more content†¦It was one of those pictures which are so contrived that the eyes follow you about when you move. BIG BROTHER IS WATCHING YOU, the caption beneath it ran (Orwell, 3). The possibly of a leader such as Big Brother is very scary. Just after this excerpt the reader realizes what big brother really means. It means that a resident of this place will always be watched, night and day, and can be brought up on just about anything. No one wants to live a life like this. In the United States we are lucky to not be forced to live a life like this. However, the loss of the freedoms we have would be immeasurable. In 1984 Big Brother watched over the press. Much like some countries today, inhabitants of the world portrayed in 1984 did not know if they could trust their paper. They knew it was controlled by the government, and while most of it was propaganda they felt like they could trust some of it. Unlike citizens of the United States they could not trust their daily newspaper. Living in a society like we do in the U.S. we have come to trust what our press says because it is free. Unless something could affect national security the press can say whatever they want, whenever they want, about whomever they want. Without governmental control we can learn the truth. This freedom relates to other freedoms, such as freedom of expression. Freedom of expression is not something we have to worry about in the United States. Within reason we can do what we want. We can layShow MoreRelatedGeorge Orwell s Dangers Of Power Through A Totalitarian Government1186 Words   |  5 PagesWhile writing 1984, George Orwell strongly displayed the theme of the dangers of power through a totalitarian government. Not only were Orwell’s ideas of corruption in an all-powerful government portrayed in his novel, 1984, but comparisons can be made with the story’s points of a spying authority, keeping the lower class ignorant, and an unscrupulous corporate influence with America’s power-heads today. Big Brother could be considered the main antagonist of George Orwell’s 1984. 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