Thursday, October 31, 2019

A survey of student attitudes to university fees Essay

A survey of student attitudes to university fees - Essay Example Example include Market Research Surveys Government Surveys Public Health Surveys Public Opinion Polls Censuses may be another example of quantative research. Although a census does not include a sample/portion of the community, it surely does include many others modern survey methodological aspects such as interviewers and questionnaires. Surveys are an important tool for research. With the help of surveys we may be able to gather precious information not only for research purposes but also for public information. Surveys are not restricted to one field or line of information. Information may be gathered for marketing, sociological, psychological and many other aspects and fields of study (Advanced Research Seminar On Cognitive Aspects Of Survey Methodology & Jabine, 1984). A survey was conducted regarding tuition fees and related issues. Most of the respondents were international which were paying a comparatively high tuition fees. As expected, all of them were of the idea that the tuition fees were high and should be cut down. A few students were happy with their fees but it is believed this was due to the fact that they were either UK home students or EU students. Furthermore, it was highlighted that most of the international students relied on their parents to pay their tuitions fees while a few were dependent on student loans. 80% of the respondents believed that the tuitions fees of UK was considerably higher than their home countries. This may have been said to be due to different economic conditions and foreign exchange risk between the two countries but with 65% respondents claiming the tuitions fees to be considerably more, is a matter to be looked into. Respondents also claimed that such huge tuitions fees is a cause of distress for their parents back home. Few even went on saying that their family could not afford the tuition fees but still managed sending them abroad to study and obtain a degree. The students responding were usually from developing nations which have a bad economic condition as compared to that of UK. They also higlighted that if a parent is to spend so much on one siblings the rest may have to suffer and sacrifice their standard of education. The main reason cited for getting a degree was for the purposes of a job with some respondents thought to be confused of their basis of studying at a university. Nearly all of the students were of the view that the government should be paying for their tuitions fees and ensure that no financial stress and constraint should take place while studying. Respondents also were of the idea that at least some part of the fees if not all should be paid by the government. The recent floating idea of an increase in tuition fees is a prime ongoing debate. It was believed that tuition fees shall be increase further (BBC News, 2012.) After the previous tuition fees rise Parents believe that supporting one of the children had been financially tough and an increase shall only and only increase their burden. Furthermore, parents feared that their children shall be facing huge debts if they plan to obtain a degree. Many students were also of the view that they shall be put off with higher tuition fees (BBC News, 2010). Ttihe increase in tuition fees also witnessed many protests and strikes with students even been arrested (the Guardian,

Tuesday, October 29, 2019

Answer the questions in Bold Essay Example | Topics and Well Written Essays - 500 words

Answer the questions in Bold - Essay Example My earliest memory of visiting a hospital as a patient was after hurting my thumb during a game of football as a pre-adolescent. It predictably turned out to be a sprain, but the pain and parental concern called for a doctors evaluation. I remember a brief exchange with the doctor, who eventually wrapped my thumb and suggested some type of over-the-counter pain medication before disappearing into the hallway. Later, in my teens, I contracted a mild form of strep throat. This time I ended up at a doctors office rather than the emergency room since it first presented as a potential flu. After an excruciating examination of my throat, the doctor prescribed antibiotics to counter the infection that was present. As I further contemplate the aspects of my healthcare memories, the contributions of various organizations become apparent. The hospital is the earliest interaction with a primary healthcare provider that I can recall, which is fitting since hospitals serve as the foundation of all healthcare delivery services (Weinberg et al., 2012). It was very evident that the place served a massive amount of people, based on the number of patients I noticed and the concise, turn style type of diagnosis and treatment I received. My other stated experience with a direct healthcare provider (at the doctors office for strep throat) was slightly less machine-like. This was probably a result of the scaled-down nature of an office compared to a hospital. However, the process still felt rushed, and I remember feeling that the doctor was more concerned with dazzling my parents via jargon than trying to make me feel comfortable. Spraining my thumb and catching strep throat also resulted in some experience gained with indirect care organizations. As with any professional healthcare delivery situations, my parents, being responsible for me as a patient, had to deal with the consequences imposed by the dreaded insurance

Sunday, October 27, 2019

United States Agency for International Development Africa

United States Agency for International Development Africa William H Goss As the process of globalization inexorably ties nations, regions, and continents into a greater interconnected web of interaction, the recognition emerges that the condition of a particular geopolitical location is bound to the condition of the world as a whole. Conflict, poverty, and disease in one country may have negative consequences for another despite great spatial distance. Conversely, improvements in governance, economics, and public health in even a single city or town may have positive reverberating effects across distant continents. In regions such as sub-Saharan Africa, the United States Agency for International Development (USAID) defines specific sectors such as Agriculture and Food Security, Education, Water and Sanitation, Crises and Conflict, and Global Health, and applies specific goals to each one. As a global actor, USAID approaches sub-Saharan African countries in west, east, and south sub-regions as individual cases in need of both immediate and long-term soluti ons for relief and development. USAID’s mission is shaped by the belief that improvements to a broad range of development sectors in Sub-Saharan Africa will enhance the national security of the United States. USAID operates through public-private collaborative efforts that provide financial and technical assistance in distinct but synergistic sectors. USAID is a relatively young governmental agency that has periodically shifted its organization and strategies to achieve evolving goals worldwide. USAID was created by the Foreign Assistance Act of 1961, which consolidated existing foreign aid organizations under one agency (Ballantyne Dugan, 2012). From the onset, USAID leaders recognized the connection between international well-being and the well-being of the United States. In 1962 President John F. Kennedy addressed Congress, stating â€Å"Our efforts to help [other nations] help themselves, to demonstrate and strengthen the vitality of free institutions, are small in cost compared to our military outlays for the defense of freedom† (Ballantyne Dugan, 2012). Countries in sub-Saharan Africa have been a focus of USAID since its inception, and have become increasingly emphasized in recent times. In the 1960’s, USAID offered assistance in thirty-one sub-Saharan African countries in order to improve levels of education , agricultural productivity, and rural road development (Ballantyne Dugan, 2012). Today, there is a multifaceted USAID plan for forty-two countries in the region (U.S. Agency for International Development, 2015). The region of Sub-Saharan Africa, massive in terms of size and environmental, ethnic, and cultural diversity, possesses a complex series of human issues that are influenced by history, geography, and global interactions. Of all the countries in the world, the twenty-two lowest ranking on the Human Development Index a measure of an average citizen’s health, knowledge, and standard of living are all located in Africa (Marston et. al, 2014). European colonialism has left a legacy that continues to challenge African nations. During the 1884-1885 Berlin Conference, European powers created arbitrary boundaries on the African continent that grouped distinct and sometimes hostile ethnic, cultural, and religious populations together (Marston et. al, 2014). The transitions from colonial territories to independent nations were not uniform; instead, some countries developed stable, effective democracies while others are still marred with military dictatorships, corruption, and violence. Changes to infrastructure during Africa’s colonial period are still evidenced by the exportation of cash crops introduced by Europeans, such as tea plantations in Kenya and peanuts in Nigeria and Senegal (Marston et. al, 2014). Dependence upon a small group of agricultural exports, it can be argued, have made many African nations vulnerable to fluctuations in global prices and demand and have likely contributed to low levels economic development. The essence of USAID’s motivation for its actions around the world and in sub-Saharan Africa rests on the premise that U.S. national security is bound to the stability of regions experiencing poverty, conflict, or other social issues. USAID defines itself as â€Å"[..] the lead government agency that works to end extreme global poverty and enable resilient, democratic societies to realize their potential† (U.S. Agency for International Development, 2015). This mission statement is compatible with larger U.S. strategic imperatives in Africa. AFRICOM, a agency of the U.S. Defense department focused on military and strategic objectives in Africa, is one such partner. Sharon Cromer, the Senior Deputy Assistant Administer in USAID’s Bureau for Africa, stated to the Subcommittee on Africa, Global Health and Human Rights that â€Å"[†¦] USAID and AFRICOM engagement is mutually supportive of U.S. foreign policy objectives. [†¦] Instability, poverty, and diseas e travel with ease across oceans and borders† (U.S Congress, 2011). Despite the overarching goal of ensured U.S. security, however, USAID is unique from other U.S. governmental bodies in its focus on humanitarian aid in a wide range of categories. The ability to provide reliable sustenance is one of the most primeval combinations of skills and knowledge that enable a population to thrive and develop. But when geographical, ecological and historical factors impede a population’s ability to feed itself, the overall productivity and well-being of society deteriorates. With less than 30% of sub-Saharan African soil able to be cultivated in addition to the devastation that pests like locusts and the Quela bird can wreak on crops African populations have necessarily developed adaptations appropriate for their respective ecological area (Marston .et all, 2014). However, the impacts of colonialism’s emphasis on export crops, as well as the effects of global climate change, have reduced the capacity of agriculture to provide food within the region. One approach USAID has taken in the pursuit of greater food security has been to provide education and technical assistance in the field of agriculture. For example, since th e 1960’s USAID has supported institutions of higher learning such as Egerton College, a Kenyan university that leads the country’s study of agriculture and biotech (Toh, 2012). Another example of USAID’s effort to boost agricultural diversity can be found in developing dairy production in Kenya. Through the 1990’s and 2000’s, financial, technical, and training assistance were provided to the Siongiroi dairy plant, the success of which spurred economic growth in farming, transportation, and exchange (Toh, 2012). Even more immediate in necessity than nutritious food is safe, reliable water for drinking and sanitation. In the midst of violent conflict, access to water can become tenuous at best. Sudan experienced civil war from 1955 to 1972 and 1983 to 1995, killing and displacing millions of people in and around the country (Marston et. al, 2014). Furthermore, the conflict destroyed physical infrastructure and social cohesiveness essential to maintaining utilities. In the recently-independent country of South Sudan, for example, USAID estimates that at least 30% of the population lacks access to safe drinking water and only 13% has the opportunity to use sanitation facilities (U.S. Agency for International Development, 2015). To increase the availability of clean water, USAID has made partnerships with private corporations. In Wau, South Sudan, USAID teams repaired the defunct water-treatment facility and expanded its operations under the Wau Urban Water Corp (U.S. Agency for International De velopment, 2015). Public Health is a particularly salient developmental sector that has profound impacts on individuals, families, and communities in countries and around the world. The current Ebola epidemic in west sub-Saharan Africa has garnered widespread media attention and international responses. Ebola Virus Disease (EVD) is caused by four of the five strains of the Ebola virus, which is transmitted through the contact of bodily fluids and is fatal in up to 50% of cases (CDC, 2015). USAID sent a Disaster Assistance Relief Team (DART) to West Africa in August 2014 (U.S. Agency for International Development, 2015). In that month, the number of suspected, probable, and confirmed EVD cases was 1600, with 900 deaths. In April 2015, the total number of EVD cases was 26,277, with 10,884 deaths in the countries of Liberia, Sierra Leon, Guinea, and Mali (U.S. Agency for International Development, 2015). This epidemic constitutes the largest Ebola outbreak in history (CDC, 2015). With such tragically hig h death rates, the fear that the Ebola virus will continue to spread has infected the minds of many citizens and leaders in far away nations, including the United States. In order to combat the threat of a continuing Ebola virus epidemic and to provide relief and stabilization in affected countries, USAID has adopted a multifaceted approach that involves collaboration between other U.S. medical and military agencies, non-governmental organizations, and local people. USAID’s DART to West Africa â€Å"includes staff from [†¦] USAID’s Office of U.S. Foreign Disaster Assistance (OFDA), the U.S. Centers for Disease Control and Prevention (CDC), and the Departments of Defense and Health and Human Services† (U.S. Agency for International Development, 2015). Possessing a large budget and hierarchical structure overseeing specialized task forces, USAID is able to organize the distribution of funding, logistical transport of goods and people, and communication with other groups to achieve a particular goal. A major strength of USAID is its resource base and ability to deliver goods with flexibility, as well as communicate with other supportive organizations. Due to the highly contagious nature of EVD, health care practitioners in affected areas need specialized protective wear such as facemasks, gloves, and aprons to protect themselves from infection. In addition, sanitizing chemicals that can neutralize the virus from the equipment are of paramount necessity. One such chemical is High Test Hypochlorite (HTH), which due to its unstable chemical nature can cause explosions if handled incorrectly. To address this safety hazard, USAID organized the delivery via cargo ship of 53 metric tons of HTH to Guinea and 38 tons to Sierra Leone, which was then distributed by truck to necessary areas (Han, 2015). Logistical assistance such as this contributes to the overall goals of containment and treatment of EVD. In the countries of Sierra Leon, Guinea, and Liberia –which have been the most heavily infected during the Ebola crisis – the dissemination of factual information to the public helps dispel myths that have inadvertently help the disease spread. Such myths held by some Liberians include the belief that the Ebola Virus is a hoax, or that patients who go to treatment clinics are experimented on (Mobula 2014). Such myths can dissuade people who are infected or at risk of infection from seeking treatment and spread the disease to others. In a country with fractured communication systems, it can be difficult to reach the ears of the larger community with clarifying information. USAID has partnered with a NGO called Internews that supports Guinean Journalists to cover stories about Ebola (Han, 2015). Some of the most effective reporting has come from within Ebola treatment centers, where interviews with health care providers, patients, and survivors transmitted via radio help to gain the trust and respect of listening native audiences. One contributing factor to the proliferation of EVD in West African countries has been the overall lack or underdevelopment of health care facilities, trained practitioners, and infrastructure. In Liberia for example, one of USAID’s focuses is to continue to develop public health services even as the number of Ebola patients continues to fall. This action is taken in the belief that future outbreaks of infectious diseases will be better able to be contained. In Liberia, USAID funded a training program that worked with a Johns-Hopkins affiliated organization called Jhpiego to instruct health care workers on proper techniques for treating EVD infected patients while remaining safe themselves (Dale, 2015). The medical knowledge specific to the Ebola virus that has been acquired and spread will also be valuable in a broader public health context. It is difficult to assess completely the complex interactions of agriculture and education, humanitarian conflicts and drinking water access, and public health in a global context. That being said, global actors such as USAID theorize that positive developments in distinct but synergistic sectors will amplify to reach the greater good of all. In sub-Saharan African countries facing social or environmental problems, USAID works to implement immediate and long-term solutions for relief and development. Through public-private collaborative efforts, USAID funds and supplies progressive actions in mutually-supportive sectors of development. Works Cited Ballantyne, J., Dugan, M. (Eds.). (2012). Fifty Years in USAID: Stories From the Front Lines. Arlington Hall Press. Coordinating Africa Policy on Security, Counterterrorism, Humanitarian Operations and Development, House of Representatives, 112th Congress. (2011). Dale, K. (2015, April 6). Moving Beyond Ebola: Rebuilding Liberias Health Care System. Retrieved May 6, 2015, from http://blog.usaid.gov/2015/04/moving-beyond-ebola- rebuilding-liberias-health-care-system/ Ebola Hemorrhagic Fever. (2015, April 14). Retrieved April 18, 2015, from http://www.cdc.gov/vhf/ebola/ Han, C. (2015, April 10). How Guinea’s Journalists Are Fighting to Win the War Against Ebola. Retrieved April 26, 2015, from http://blog.usaid.gov/2015/04/how-guineas-journalists- are-fighting-to-win-the-war-against-ebola/ Han, C. (2015, March 10). USAID Takes to the High Seas to Bring Reinforcements to Guinea’s Ebola Fight. Retrieved April 26, 2015, from http://blog.usaid.gov/2015/03/usaid-takes-to- the-high-seas-to-bring-reinforcements-to-guineas-ebola-fight-2/ Mobula, L.M. (2014). Courage is not the absence of fear: responding to the Ebola outbreak in Liberia. Glob Health Sci Pract. 487-489. from:http://www.researchgate.net/publication/271331527_Courage_is_not_the_absence_ of_fear_responding_to_the_Ebola_outbreak_in_Liberia Marston, S., Knox, P., Liverman, D., Del Casino, V., Robbins, P. (2014). World Regions in Global Context (5th ed.). Pearson Education. Onishi, N. (2015, April 11). Empty Ebola Clinics in Liberia Are Seen as Misstep in U.S. Relief Effort. Retrieved April 7, 2015, from http://www.nytimes.com/2015/04/12/world/africa/idle-ebola-clinics-in-liberia-are-seen- as-misstep-in-us-relief-effort.html?_r=0 Toh, K. (2012). Long-Term Perspectives on Aid and Development in Africa. Fifty Years in USAID: Stories From the Front Lines. Arlington Hall Press. U.S. Agency for International Development. (2015, May 4). Retrieved May 5, 2015, from http://www.usaid.gov/ United States Africa Command. (n.d.). Retrieved May 2, 2015, from http://www.africom.mil/ Urban, A. (2015, April 15). Working to Beat Ebola Along the Border. Retrieved April 27, 2015, from http://blog.usaid.gov/2015/04/working-to-beat-ebola-along-the-border/

Friday, October 25, 2019

Charles Darwins On the Origin of Species Essay -- Evolution Charles D

Charles Darwin in his book, On the Origin of Species, presents us with a theory of natural selection. This theory is his attempt at an explanation on how the world and its' species came to be the way that we know them now. Darwin writes on how through a process of millions of years, through the effects of man and the effects of nature, species have had an ongoing trial and error experiment. It is through these trials that the natural world has developed beneficial anomalies that at times seem too great to be the work of chance. Darwin writes on how a species will adapt to its environment given enough time. When an animal gains a genetic edge over its competitors, be they of the same species or of another genus altogether, the animal has increased its chance of either procreation or adaptation. When this animal has this beneficial variance, the advantage becomes his and because of this, the trait is then passed on to the animals offspring. The theory of natural selection is not limited to inheritable and beneficial variations of a species. It also relies a great deal on the population growth and death of a species. For a species to continue to exist it must make sure of a few things. It must first produce more offspring that survive. If this is not done then the species is obviously going to die off. It is also important for the species to propagate at such a rate as to allow for variance, for it is variance that will ultimately allow the animal to exist comfortably in his surroundings. In his studies, Darwin was led to understand that â€Å"†¦the species of the larger genera in each country would oftener present varieties, than the species of the smaller genera;† (p. 55). Thus the larger species would adapt while the smaller one would not. And to quote Darwin again, â€Å"†¦if any one species does not become modified and improved in a corresponding degree with its competitors, it will soon be ex terminated.† (p. 102) Extinction, although not as pleasant a concept as the idea of adapting to ones surroundings, plays just as large a role in natural selection as anything else. As one adaptation of a species proves beneficial, and as that variation begins to propagate, the original, less advantageous variant will die off. It is the unchanged species that are in immediate conflict with the species undergoing the natural adaptation that stand to suffer... ...was one hundred percent. Sometimes his arguments fell a little flat and at other times he sounded a bit trite as if he were challenging others to come up with a better answer. And in some ways I hope he was. In the meantime, however, I think he could have done a better job. I am an evolutionist. I have always been an evolutionist. For years now I have known the premise of Darwin’s theory of natural selection. And for years now I have blindly believed it. Having read his book, I can still say that I believe in evolution, and I believe in Darwin’s work. But if there was ever a doubt in my mind it was only because Darwin put it there. It is because of this that I truly think Darwin was fair in the utmost sense of the word. Had he not been fair, which he could have been, he could have made a most convincing argument. But he stated every question in his theories and did his best to rebut. And I feel that in his rebuttal, he was convincing indeed. Work Cited Darwin, C. On the Origin of Species. Harvard University Press. Cambridge. 2003. Work Consulted Desmond, A. & Moore, J. Darwin: The Life of a Tormented Evolutionist. W.W. Norton & Company. New York. 1994

Thursday, October 24, 2019

European History Essay

When questioned in regards to the Enlightenment, an individual may give the general description that it was a time period ranging from the mid seventeenth to late eighteenth century that stressed the cultivation of philosophical, intellectual and cultural movements. However, they may not be aware of specific implications it had on former central powers such as the church. Although the scientific revolution was a stepping stone to the destabilization of the church, it was the enlightenment that ultimately removed the church from the central control of cultural and intellectual life. The scientific revolution is a time period in history roughly from 1500 to 1700 that is known as one where advances in European mathematical, political and scientific thought occurred. A â€Å"founding father† of the scientific revolution was a polish scientist by the name of Nicholas Copernicus, whose conclusion that it was the sun, not the earth that lies at the center of the solar system, was a d irect contradiction to the church, which strongly believed the vice-versa or the Geo-Centric theory. (Merriman,290) It was this initiating step that led other scientists to further question and test traditional church beliefs. An example of this is Galileo Galilee and his creation of a telescope that would confirm the geocentric theory, although for which he was decreed a heretic and put under house arrest. (Merriman 296) In the â€Å"Crime of Galileo: Indictment and Abjuration of 1633† we can directly see Galilee’s theories being refuted by the church in the following quote: â€Å"The proposition that the sun is in the center of the world and immovable from its place is absurd, philosophically false, and formally heretical; because it is expressly contrary to Holy Scriptures†¦ The proposition that the earth is not the center of the world, nor immovable, but that it moves, and also with a diurnal action, is also absurd, philosophically false, and, theologically considered, at least erroneous in faith†¦.Therefore: We pronounce, judge, and declare, that you, the said Galileo . . . have rendered yourself vehemently suspected by this Holy Office of heresy.† (2) Here we can see the church counter-arguing Galilee’s theory by stating that it contradicts the Holy Scriptures, the biblical text that virtually controlled how individuals interpreted the world. Through Galileo’s thought’s individual’s became encouraged to see the world through measurable means such as experiments and evidence, as oppose to biblical texts that told otherwise. It was only after scientific discoveries such as the one above that philosophers started questioning the natural world. It was discoveries such as the one above that influenced great thinkers such as Isaac Newton, whose discoveries altered not only scientific thought but views about religion for decades to come. (Merriman,300) A Prussian philosopher by the name of Immanuel Kant, who lived from the mid seventeen hundreds to the early eighteen hundreds, was influenced by these ideas of empiricism and reason. In his 1784 publication â€Å"What is Enlightenment† Immanuel Kant write s: â€Å"Sapere aude! (Dare to know) Have courage to use your own reason. If I have a book which understands for me, a pastor who has a conscience for me†¦I need not trouble myself. I need not think, if I can only pay – others will easily undertake the irksome work for me.† (1-2) This can be interpreted that Kant is advising individuals to use their own sense of logic and to understand the natural world. Here, we can see that traditional church ideas are being pushed away for ones of a logical nature, hence a church that is surely losing its grip on the people of Europe. This idea of tradition church ideas being replaced can be further seen in Kant’s writing when he states: â€Å"The escape of men from their self-incurred tutelage – chiefly in matters of religion because our rulers have no interest in playing guardian with respect to the arts and sciences and also because religious incompetence is not only the most harmful but also the most degrading of all.† (12) The interpretation that can be derived from this is that Kant believes that church officials have no concern for the development of man and wish for them to remain uneducated about the world in which they reside. Moreover, the argument can be made is that because the church’s negligence in accepting evolving scientific theories, people came to understand that the need to stray from church beliefs in order to grasp their own sense of understanding was unmistakable, therefore ultimately decreasing the churches once high standing in the lives of early Europeans. The scientific revolution, a corner stone for mankind, whose implications are being felt to this very day, was in addition responsible for the development of a time period known as the enlightenment. Characterized as a movement of philosophical, cultural, and intellectual gains, in addition the enlightenment was responsible for the decentralization of church power in Europe during the seventeenth and eighteenth centuries. Scientist such as Nicholas Copernicus, Galileo Galilee, and Isaac Newton influenced individuals through their theories which stressed using empirical evidence and reasoning to define the world they dwell in. It was through these ideas that Europeans came to understand the Church’s denial to accept reason and empiricism, decentralizing the churches one’s great grasp over society. Works-Cited Kant, Immanuel. â€Å"What is Enlightenment?† Internet Modern History Sourcebook. 15 November 2012. http://www.fordham.edu/halsall/mod/kant-whatis.html. Merriman, John. A history of Modern Europe: From the Renaissance to the age of Napoleon. 3rd ed. Vol. 1. London: W.W.Norton and Company Inc., 2010. N. pag. Print. â€Å"The Crime of Galileo: Indictment and Abjuration of 1633.† . Web. 15 Nov. 2012. .

Wednesday, October 23, 2019

Effects of Early Marriage Essay

Mark and Jane got married eight years ago. They have two young children. Their initial love and attraction has turned into constant bickering and argument. They now realize how different they are from each other. Every interchange seems to be a battle and is affecting every aspect of their lives. They wonder what happened to the love and affection they felt towards each other at the beginning of their relationship. They have been arguing about money, and how to spend it. Mark thinks his hard work is not appreciated. Jane feels overburdened with taking care of the children, her part-time work and taking care of the most of household duties. They each feel the other is not contributing enough. They do not want to give up on their marriage, and have heard that mediation can be effective in working through the practical problems they face. They hope by learning to appreciate each other’s efforts their love for each other will start to grow again. They have tried individual therapy, marital counseling, and group therapy, without results. The first few years of a marriage are a very intense period of adjustment. It’s very common for the couple to learn differences about each other and encounter extreme bouts of negativity that they never imagined possible. A newly married couple (and any married couple, for that matter) should try anything at their disposal. Sometimes marriage counseling does not work. It does not mean that the marriage is over or that the counseling was insufficient or even that marriage counseling may not work at a future time. Couples need to try different things at different times in order to break the log jam of disillusionment. Marital Mediation or other professional support may help break the impasse. The mediator will explain to Mark and Jane that, just like a new hobby, learning how to be married is a learnable skill. The mediator will teach them conflict resolution skills that they can begin to practice at home. Things can improve at home, and Mark and Jane can continue to work on (and enjoy) their marriage. They might even try counseling again (perhaps with a different therapist), and may find that they are ready to gain insight from it.