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The methodology of the Meditations: tradition and innovation.

christia mercer
1 The methodology of the
Meditations: tradition
and innovation
Descartes intended to revolutionize seventeenth-century philosophy
and science. But first he had to persuade his contemporaries of the
truth of his ideas. Of all his publications, Meditations on First
Philosophy is methodologically the most ingenuous. Its goal is to
provoke readers, even recalcitrant ones, to discover the principles of
“first philosophy.” The means to its goal is a reconfiguration of traditional
methodological strategies. The aim of this chapter is to display
the methodological stratagem of the Meditations. The text’s method
is more subtle and more philosophically significant than has generally
been appreciated.
Descartes’ most famous work is best understood as a response to
four somewhat separate philosophical concerns extant in the seventeenth
century. The first section describes these. The second section
discusses how Descartes uses and transforms them. A clearer sense of
theMeditations’methodological strategy provides a better understanding
of exactly how Descartes intended to revolutionize seventeenth century
thought.1
early modern methodology: tradition
and innovation
In order to understand the methodological brilliance of the Meditations,
we need to recognize both its continuity and discontinuity
with earlier philosophical traditions and its clear-headed response to
difficulties of the period. Scholars have long noted Descartes’
Augustinianism, skepticism, anti-Aristotelianism, Platonism, and
interest in the tradition of religious meditation. For each of these
traditions, a strong argument has been made that it was a main
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inspiration for his thought.2 In fact, Descartes borrowed heavily from
all of them. This should not come as a surprise. The early seventeenth
century is teeming with philosophical options from which philosophers
casually borrowed and whose boundaries were porous. Like so
many of his contemporaries, Descartes picked and chose ideas that
suited his purpose at the moment, blending them together to solve
the problem at hand.
In this section, I survey the traditions that formed Descartes’
intellectual milieu and from which he drew. They help us see the
Meditations as traditional and innovative. They are as follows.
The Search for Stability
The Europe of Descartes’ youth was a period of religious, political,
and philosophical instability. It contained a startling array of philosophical
options and eager zealots passionately arguing against one
another. The Protestant reformers had splintered into warring factions,
and the Counter-Reformation was in full swing. The period is
packed with people bemoaning the falsities and misunderstandings
around them while claiming the power of truth.3 The English philosopher
and statesman Francis Bacon exemplifies this attitude. In an
essay published in 1597, entitled “Of Truth,” he discusses “the
Difficultie, and Labour, which Men take in finding out of Truth.”
He warns that falsities and lies corrupt the mind when they “sinketh”
and “setleth in it.” But he avers that despite the human capacity for
“depraved Judgments, and Affections, yet Truth which onely doth
judge it self, teacheth, that the Inquirie of Truth, which is the Lovemaking,
or Wooing of it” and the understanding “of Truth, which is
the Presence of it, . . . is the Sovereign Good of human Nature.”
Indeed, “no pleasure is comparable, to the standing, upon the vantage
ground of Truth.”4
Platonism
Descartes was willing to use any material at hand to create, in Bacon’s
words, a “vantage ground” for truth. Fifteenth- and sixteenth-century
humanists had often woven together quotations and ideas explicitly
drawn from ancient philosophical schools and many believed that,
whatever their apparent differences, these traditions could be made
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to cohere.5 It is no wonder that, by the early seventeenth century, the
boundaries of philosophical schools had become porous and sectarian
categories unclear.
Descartes insists that he does not intend to build his system
explicitly out of the ideas of Plato or Aristotle. He makes this point
in The Search for Truth: “I hope too that the truths I set forth will not
be less well received for their not being derived from Aristotle or
Plato” (AT 10: 498). But this attitude toward the explicit use of
ancient ideas is consistent with drawing heavily from the rich philosophical
traditions available to him. Descartes suggests as much
when he explains,
everything in my philosophy is old. For as far as principles are concerned,
I only accept those which in the past have always been common ground
among all philosophers without exception, and which are therefore the
most ancient of all. Moreover, the conclusions I go on to deduce are already
contained and implicit in these principles, and I show this so clearly as to
make it apparent that they too are very ancient, in so far as they are naturally
implanted in the human mind. (Letter to Father Dinet, AT 7: 580)6
The main point I want to make here in relation to Descartes is that
Platonism was ubiquitous in the early modern period. Because
Platonist doctrines were interpreted in radically different ways in
the fifteenth, sixteenth, and seventeenth centuries and because
early modern thinkers were happy to combine ideas from diverse
sources, the task of identifying and then tracing the divergent paths
of Platonism through the period is virtually impossible. The designation
‘Platonism’ is frustratingly vague although various strands and
loosely connected doctrines can be associated with the term.7 With
this vagueness in mind,we can turn to the “Platonisms” of Descartes’
intellectual milieu. They derive from three main sources.
First, when the Aristotelian Latin texts and ideas were imported to
Europe from the Arab world in the thirteenth century, they were
steeped in Platonism. Scholasticism resulted from the blending of
Platonized Aristotelianism and medieval Christianity, which itself
had Platonist roots. Thus, despite the philosophical subtlety of scholastic
thinkers and despite their commitment to the Philosopher,
they unknowingly promulgated a wide range of Platonist ideas,
about the soul, the intellect, and the relation between the divinity
and the world.8
The methodology of the Meditations 25
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Asecondmajor source of earlymodern Platonismis Augustinianism.
The philosophy of Augustine laid the groundwork for medieval
Christianity in the fifth century and set the stage for the reformations
of Christianity that occurred a thousand years later.9 Luther himself
emphasized the importance and profundity of Augustine’s thought, as
did Counter-Reformation theologians. For example, the important
French Catholic Antoine Arnaud wrote to Descartes that “the divine
Augustine” is a “man of the most acute intellect, and entirely admirable
not only in theology but also in philosophical matters.”10 When early
modern reformers and Catholic counter-reformers turned to Augustine
for inspiration, they were absorbing Platonist ideas.
Italian Renaissance thinkers who translated and interpreted Plato’s
works constitute the third source for early modern Platonism. At the
beginning of the fifteenth century, few thinkers in the Latin west had
access to more than a couple of Plato’s dialogues;11 by the end of the
century, thanks to Marsilio Ficino’s translations and editions, all of
“the divine Plato’s” workswere in print.12 Not only did Ficino produce
the first Latin translation of Plato, his commentaries and interpretations
form the materials for all of early modern Platonism. And the
awkward truth about Ficino’s Platonism is that it owes as much to
the thought of Plotinus, whose works he also translated, as to Plato
himself.13
Search for a New Philosophy
In the decades leading up to Descartes’ Meditations, Europe was full
of philosophers trying to replace Aristotelianism. Whether the ideas
were based on the ancient philosophies of thinkers like Democritus,
Lucretius, and Epicurus or were newly formed, the goal was to forge a
new account of the world. Each of these competing philosophies had
to find a way to convince readers of its truth. The rhetoric was often
flamboyant. To cite one such prominent example, Galileo provokes
his readers to accept his proposals as follows:
Philosophy is written in this grand book, the universe, which stands continually
open to our gaze. But the book cannot be understood unless one first
learns to comprehend the language and read the letters in which it is composed.
It is written in the language of mathematics, and its characters are
triangles, circles, and other geometric figures without which it is humanly
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impossible to understand a single word of it; without these, one wanders
about in a dark labyrinth.14
This passage from The Assayer is so often quoted that it is easy to
overlook Galileo’s threat: either the reader will follow him and learn
to read the language of “the book of nature” or be forever lost in a dark
labyrinth.15
Medieval Meditations
When Descartes chose to present his first philosophy in the form of a
meditation, he was doing something provocative: he was placing
himself and his proposals in a tradition going back to Augustine’s
Confessions of 397–98 CE and announcing as much to his early
modern readers. In order to recognize the fascinating ways in which
Descartes uses and transforms the meditative discourse, we need to
know more about it. In this subsection, I summarize the meditative
tradition that began with Augustine and developed in important ways
in the late medieval and early modern period, and that formed a
crucial part of Descartes’ education.16
In Cotgrave’s French–English dictionary published in 1611, the
English given for the French meditation is: “a deep consideration,
careful examination, studious casting, or devising of things in the
mind.”17 The history of Christianity contains an evolving set of
spiritual exercises where the point is to acknowledge the divinity
deep within oneself and devise a mental process to find it.18 For
many Christians, the underlying assumption is that we must learn
how to turn our attention away from ourselves and on to God. In a
striking passage, the Gospel of Mark has Jesus claim: “If any want to
become my followers, let them deny themselves and take up their
cross and follow me.”19 For Paul and many other early Christians, our
sinful nature makes this turning to God impossible without the
direct help of Jesus Christ. Paul summarizes the point succinctly:
“just as sin came into the world through one man,” so “through the
one man, Jesus Christ,” we “receive the abundance of grace” so that
we might be “set free” from sin (Romans 5: 12–17; 6: 7).
Augustine of Hippo (354–430) is the single most influential meditator
in the history of philosophy. Deeply moved by the epistemological
pessimism of Paul, the Confessions contains the remarkable
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story of his decades-long effort to find ultimate truth and attain
enlightenment. After years of struggle, Augustine realized that his
corrupt nature could not find enlightenment on its own: “But from
the disappointment I suffered I perceived that the darknesses of my
soul would not allow me to contemplate these sublimities.”20
Rather, “wretched humanity” will remain in darkness without the
direct help of Jesus Christ. As this radical epistemological claim is
put in the Gospel of Matthew, “no one knows the Father except the
Son and anyone to whom the Son chooses to reveal him” (Matthew,
11: 27). For hundreds of years after Augustine, the direct help of
Jesus was considered a requisite for knowledge of the most significant
truths about God and the human soul. Only when such divine help
was conferred on the believer could there be the right “turning
around” or conversion. Spiritual exercises developed to encourage
self-improvement and increase the chances of attaining divine help.
Their point was to teach meditators how to “take up the cross” and
ready themselves for illumination. For the vast majority of medieval
Christians, the final step in self-improvement required the intervention
of Jesus Christ.
After generations of meditative practices based loosely on
Augustinian ideas, the twelfth century witnessed a flourishing of
systematic meditative treatises. Written from the first-person perspective,
these spiritual exercises contain detailed steps about how to
prepare to receive divine help.21 The author of such a meditation
counsels the creation of a receptive state of mind through prayer
and/or attention to one’s unworthy soul and then makes precise
recommendations on how, when, and where to meditate. The main
point is usually to learn to identify with Christ, especially with his
sufferings, and to avoid temptations, demonic and otherwise. The
striking thing about these “affective meditations” is that, as a recent
study shows, they “ask their readers to imagine themselves present
at scenes of Christ’s suffering and to perform compassion for that
suffering victim in a private drama of the heart.” These writings “had
serious, practical work to do: to teach their readers, through iterative
affective performance, how to feel.”22
This tradition of spiritual meditation developed in close proximity
with the rise of scholasticism. Meditative exercises absorbed philosophical
terms and nuance. Authors came to explicate meditative
steps in terms of the faculties of memory, imagination, intellect, and
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will. The faculty of imagination became particularly important in
affective meditations, where the goal was to imagine the emotional
reality ofChrist’s sufferings as vividly as possible so as to elicit the right
affect. Somemeditations contain instructions for howtomeditate over
a short period of time; others would be used throughout a year.
Early Modern Meditations
The Reformation changed the course of meditative practices. After
the reformers rejected the sanctity of saints and demanded a reconsideration
of their role in spiritual life, there was a general reconsideration
of meditative practices. The Catholic theologians at the Council
of Trent (1545–1564), in the words of one scholar, “shaped new models
of spiritual accomplishment.”23 Before the Reformation, saints
were considered to be direct interveners in the lives of believers.
Believers prayed to saints for help. After Trent, saints became paragons
of spirituality, offering lessons on how to live a proper life.
Against the Protestant reformers who took Biblical study to be a
sufficient means to salvation, Catholic meditations used saints as
inspirational.24
In this context, it is not surprising that sixteenth-century spiritual
leaders offered imaginative reformulations of spiritual exercises.
The Catholic church moved quickly to canonize post-Reformation
spiritual advisers like Ignatius of Loyola (1491–1556) and Teresa
of Ávila (also called ‘Teresa of Jesus’ (1515–1582)). Ignatius himself
grounded the proper religious life in an education that included a
rigorous pedagogy mixed with meditative exercises. The Jesuits
founded schools and universities around the world including
the one Descartes attended in La Flèche. During Descartes’ youth,
Teresa of Ávila was enormously popular for her humble and
poignant reflections on the proper Christian life and the means to
illumination.25
As this brief history of post-Augustinian meditations suggests, it
has dramatic phases and moving parts. The popularity of new spiritual
exercises and the Catholic commitment to the role of saints in
spiritual development inspired hundreds of early modern meditative
manuals. To be sure, the traditional spiritual exercise persisted, but
there quickly developed variations on that tradition and many new
meditative modes, including many written by Protestants. In order to
The methodology of the Meditations 29
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discern the rhetorical subtlety in Descartes’ Meditations on First
Philosophy, it is important to see it as a clever negotiation of this
diverse literary landscape.26
I would like to offer a few brief examples of that diversity. The
meditations summarized here represent the heterogeneity of early
seventeenth-century meditative options. For our purposes, the most
important differences among early modern meditations are in the
goal of the exercise, the faculties and other elements that contribute
to that goal, the power of demons to distract from it, and the role of
the author in relation to the reader and to God.
I begin with an early seventeenth-century commentary on a canonical
medieval meditation on the passions of Christ. The English title
of the work expresses a good deal about its goal: Saint Bernard, his
Meditations: or Sighes, Sobbes, and Teares, upon our Saviours [sic]
Passion. The text contains a translation of major parts of Bernard of
Clairvaux’s (1090–1153) twelfth-century meditation, but it doesmore
than that. “To the Reader” explains: “these divine and comfortable
Meditations on the Lords Passion, and Motives to Mortification . . .
[are] selected out of the workes of S. Bernard, and other ancient
Writers, not verbally turned into English, but augmented with such
other Meditations, as it pleased God to infuse into my minde.”27 As a
divinely inspired commentary on Biblical passages about the passions,
relying on earlier Christian canonical writings, the work is
full of direct proclamations to God and to the soul: “Learn therefore
(oh my soule) to imitate the blessed Savior.”28 The book’s goal is to
engage the reader to meditate on the sacrifice and sufferings of Christ
in order that the reader’s soul might learn to imitate him.
In 1607, Antonius Dulcken published a book entitled A Golden
Book, On Meditation and Prayer, which is an edition and translation
(into Latin) of an important Spanish work by Pedro de Alcántara (1515–
82). The latter had become famous in the late sixteenth century partly
because he had been the spiritual adviser to Teresa of Ávila and partly
because hewas frequently seen to levitate in his cell. He was canonized
in 1669. Pedro de Alcántara’s Meditations nicely captures the point of
many affective meditations: “Meditation is nothing other than the
means to use our imagination to make ourselves present. . . in the life
and passion of Christ.”29 But Pedro de Alcántara also emphasizes the
role of the intellect, acknowledging that some “meditations require
the intellect more.”30 The Dedicatory Letter that Dulcken wrote for
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his edition exemplifies the Tridentine emphasis on saintly lives and an
underlying epistemological optimism based on them. He explains that
all people contain “the seeds of virtue in our souls,” which only need to
be properly nourished. Because saints have “supernatural affections,”
they encourage human hearts “to grow” in the right way.31
Carlo Scribani, a Jesuit, published a book in 1616, entitled Divine
Love. Although it has the structure and focus of a traditional meditation,
this very long and very odd work asks the reader to focus
on the passions of Christ with the goal of immortality. Scribani
concedes in his nearly 600-page work that one of the main difficulties
in igniting “the flame of divine love” is that humans are weak and
that demons provoke that weakness.32 He asks: “Where are you my
love? . . . You are not in the bread, or in the virgin milk . . . or in the
cross or the sword.”33 He insists that by focusing on the nature of
divine love, we can overcome all difficulties. He speaks erotically of
the love between Mary and Christ and between Christ and his followers.
According to Scribani, this love “inebriates us,” causes “a
stream of tears,” and “creates torrents of love.”34
A huge two-volume Meditations on the Mysteries of our Holy
Faith, published in 1636, marks a shift in the power of the intellect
and the role of education in meditative exercise. This work, by
the Spanish Jesuit, Luis de la Puente (1554–1624), is a grand and
thoroughly scholastic treatment of topics common to meditations.
For example, the second treats the “mysteries of the passions”
and the resurrection, before moving to the trinity and then to “the
most perfect attributes” of God. The text cites Aquinas and other
“Scholastic Doctors” in an attempt to give “a rational account” of
conflicting views about the mysteries. The hope here is to create a
“fount of spiritual science [scientia].”35 The frontispiece of the book
summarizes its approach: the author sits in his priestly robes with a
crucifix on one side and a pile of books on the other.
Earlymodern spiritual meditations differed significantly in terms of
points of emphasis and modes of presentation. Consider, for example,
Philipp Camerarius’ Historical Meditations of 1603. The point of this
huge, two-volume work in French, is to show that the history of
philosophy is full of diverse ways to purify “the heart” and approach
God. Camerarius’ work does not fit any of themodels usually offered of
earlymodernmeditations. It is not itself ameditation, in the sense that
it does not ask the reader to meditate, and it appears to suppose that
The methodology of the Meditations 31
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we do not require God’s direct assistance in accessing fundamental
truths. Rather, it begins with the assumption that there are different
ways of coming to God and different ways of purifying one’s heart;36 it
then sets about discussing those historical figures who presented “vain
and useless efforts” and those who offered help in attaining a “true
heart.”37 Although Camerarius is critical of many philosophers, he
compliments many others, including non-Christians. From “Greek
sages” to Cicero and beyond, he acknowledges that “pagan” thinkers
were able to understand the right approach to virtue. Within a few
pages, he quotes Homer, Augustine, and the Emperor Justinian in
evaluating their views.38 There is a chapter on the “virtues and vices
of the ancient Romans.”39 For our purposes, it is important that he
offers a thorough analysis of Plato’s cave allegory. Camerarius is particularly
concerned to note that this famous story from Book VII of the
Republic proves how easily people remain in “false opinion and vain
ignorance.”40
The books described here represent only a small sample of the
range of meditations published between 1603 and 1639.41 My intention
is to show that, although the tradition of spiritual mediation
persisted well into the seventeenth century, there was a great variation
among them and that post-Reformation Europe developed new
meditative modes.
When Descartes entered the Jesuit school La Flèche in 1606, at the
age of ten, his Jesuit teachers (and the professorswho had trained those
teachers) were thoroughly educated in this diverse meditative culture.
As part of his education, Descartes would have studied Jesuit classics
like Ignatius’ Spiritual Exercises and very likely the works of Teresa of
Ávila, which were extremely popular in the period. When Descartes
was composing his Meditations in the final years of the 1630s, he was
fully aware of this complicated context. It is noteworthy that the
French translation of the Meditations that appeared in 1647 had the
title Les méditations métaphysiques de René Descartes. Subsequent
French editions also gave it the title Metaphysical Meditations.42
descartes
Descartes’ Meditations was written to revolutionize seventeenthcentury
philosophy and science. Section 1 described four methodological
traditions extant in the early seventeenth century. In order to
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forge his revolution, Descartes needed to respond to each of these. Some
he used; others he transformed. It is time to consider how.
The Search for Stability: Meditation and Reorientation
We have noted the religious, political, and philosophical instability
of the early seventeenth century. Philosophers were eager to cast
aside the lies that “corrupt” the mind in order to find, in Bacon’s
words, “the vantage ground of Truth.” But as Bacon also admits
such “finding out of the Truth” requires “Difficultie, and Labour.”
In his Meditations, Descartes encourages his readers to do this
labor. The traditional spiritual meditation demanded that readers
shift attention from themselves to a greater and greater identification
with Christ. To return to the Gospel of Mark, the meditators
learn to “deny themselves and take up their cross” so that they shed
“the world” and gain “their soul” (Mark 8: 34, 36). This reorientation
of the self requires practice and a willingness to reconsider
one’s world.
As we have seen, beginning with Augustine’s Confessions and
persisting through the early seventeenth century, the main goal of
spiritual meditation is a reorientation of the self so that the exercitant
is prepared for illumination. The means to this goal is a series of
intensive meditative exercises. The assumption is that, if the meditator
becomes properly reoriented, then the chances of divine illumination
are greatly increased. As we have also seen, there are
differences in the roles and significance assigned to the meditator’s
memory, intellect, will, and imagination, but the assumption
remains that only by identifying with Christ and experiencing his
love will illumination occur.
One of the most rhetorically stunning features of Meditations on
First Philosophy is that it frames the search for metaphysical truths in
meditative terms. For his seventeenth-century readers, Descartes’ title
itself would imply three things about their task: they would have to
struggle to reorient their relation to themselves as experiencers of the
world; they should expect such reorientation to be difficult and require
rest along theway; and they could hope for illumination if they properly
applied themselves. The meditative framework for the “first philosophy”
prepares readers to be thoroughly changed. It is a brilliant way to
prepare them for a revolution.
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The Meditations as a meditation: steps in reorientation
Descartes’ Meditations both uses the meditative tradition and transforms
it in important ways. It is now time to explain how. In hermost
important work, Interior Castle, Teresa of Ávila describes one of the
main elements in spiritual illumination in terms roughly similar to
those of the Meditations. She explains that although we begin with “a
distracted idea of our own nature,” the goal is “a notably intellectual
vision, in which it is revealed to the soul how all things are seen in
God.”43 Descartes’ Meditation One creates “a distracted idea” of
one’s self, which the meditator confronts in Meditation Two. In
Meditations Three through Five, the meditator is lead to more and
more notable instances of “intellectual vision.”
It will be helpful to list the standard elements of meditative exercises
and note how Descartes used, rejected, and transformed them.
Here are the main steps in reorientation.
step 1: desire to change. The authors of spiritual meditations
begin with the assumption that readers want to find the way to truth
and enlightenment. There is no reason to read a spiritual meditation
unless one is seeking help. Descartes can assume no such thing.
Unlike his spiritual cohorts, he has to convince his readers of
the need to meditate on “first principles” and to reorient themselves
metaphysically. In the first paragraph of Meditation One, he
famously attempts to engage his readers in the need, once in life,
“to demolish everything completely and start again right from the
foundations” (AT 7: 17). Given the familiarity of his readers with the
meditative tradition, Descartes’ rhetorical strategy here is clever.
His meditator takes a step that virtually all meditations ask their
readers to make, namely, to admit their past mistakes and in that
sense reject the foundations of their past lives.44 Like the authors of
spiritual manuals, Descartes believes that all his readers need complete
reorientation. And like them, he assumes that, although his
readers might be confused in different ways and to different degrees,
they all need to “start again.”45
step 2: doubt and demons. As we have seen, many meditations
discuss the dangers of demons. In his two-part Lives of the Saints of
1583, Alonso de Villegas writes about the ease with which demons
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lead people astray. For many authors, the only way to avoid the power
of demons is to learn to meditate properly. It is clear that Descartes
intended the skeptical arguments of Meditation One to force his
readers to doubt all of their beliefs. Scholars have long debated the
strategy of the arguments and debated their cogency. But the rhetorical
subtlety of the Meditation has not been sufficiently noticed.
Given the religious and philosophical turmoil of the period and
given the common warnings about demons, his early modern readers
must have found the deceiver argument particularly poignant.
Whether they were Catholic or Protestant, they wanted to avoid
demonic power and find a secure foundation for true beliefs. When
Descartes framed the presentation of his philosophy as a meditation
and then introduced a deceiving demon, he was both forcing his
readers into the philosophical equivalent of sinfulness and signaling
to them that he was doing so. Whatever the soundness of the demondeceiver
argument, its rhetorical force must have added to its power,
especially given recent warnings of thought-controlling demons.46
Echoing the language of Alonso de Villegas and others in the tradition,
he writes: “I will suppose therefore that . . . some malicious
demon of the utmost power and cunning has employed all his energies
in order to deceive me” (AT 7: 22). For some readers, this possibility
must have sent chills up their spine. Similarly to current
religious meditations, the warning is: struggle against demons or be
doomed.
step 3: the meditating subject and the authorial voice.
In his Confessions, Augustine describes the step that must be taken
to find God:
These books [of the Platonists] served to remind me to return to my own self.
Under Your guidance I entered into the depths of my soul. . . . I entered, and
with the eye of my soul, such as it was, I saw the Light that never changes
casting its rays over the same eye of my soul, over my mind. . . . What I saw
was something quite, quite different from any light we know on earth . . . It
was above me because it was itself the Light that made me, and I was below
because I was made by it.47
Following Augustine, meditators assumed that the “changeable”
mind could only reach the “unchangeable” truths “by turning
towards the Lord, as to the light which in some fashion had reached
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it even while it had been turned away from him.” Thanks to God’s
intimate presence in the humanmind, humans can attain knowledge,
though only “through the help of God.”48 But even with divine help,
as he explains in Confessions, “the power of my soul . . . belongs to
my nature” and “I cannot grasp all that I am. The mind is not large
enough to contain itself.”49 Because the mind ismutable and finite, it
can never grasp the whole of its contents; with the help of God,
however, it can grasp some part of it.
As these passages from Confessions suggest, the author of spiritual
exercises often speaks directly to God to praise the divinity and to ask
for help. The spiritual adviser has attained illumination and so can
speak with authority. In the Confessions Augustine speaks only to
God, and so the advice he offers the reader is indirect. Instead of
telling his readers what to do, he shows them his life. But it is clear
that the authorial voice is that of someone who has experienced
illumination.
Most late medieval and early modern spiritual meditations offer
explicit advice to their readers about how to reorient themselves. In
her Interior Castle, Teresa of Ávila constantly addresses “her sisters,”
offering them directions based on her own experience. She
frets about the obscurity of these “interior matters,” admitting to
her readers that “to explain to you what I should like is very difficult
unless you have had personal experience.”50 She asks God for help
and beseeches those who are struggling along with her: “But you
must be patient, for there is no other way in which I can explain to
you some ideas I have about certain interior matters.”51 In the end, if
her readers follow her advice, they may attain illumination.52 But
there is also a constant instability in the process of spiritual development.
Teresa is clear about the precariousness of the journey to
enlightenment because its success depends entirely on God’s support.
She writes: “whenever I say that the soul seems in security,
I must be understood to imply for as long as His Majesty thus holds it
in His care and it does not offend him.” Even after years of practice,
one must “avoid committing the least offence against God.”53 Teresa
insists in My Life that the soul can never trust in itself because as
soon as it is not “afraid for itself” it exposes “itself to dangers.” It
must always be fearful.54 For Teresa and for many other meditators,
there is never real spiritual security, and so there must be constant
meditation.
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Like Teresa, Descartes’ meditator has to have an intellectual
vision. Like Augustine and the spiritual exercises inspired by his
Confessions, Descartes’ truth-seeker must begin his journey to illumination
by learning “to return to my own self.” As he writes in
Meditation Two: “But I do not yet have a sufficient understanding of
what this ‘I’ is” (AT 7: 25). But the authorial voice of theMeditations
differs significantly fromthat of spiritual meditators. Descartes’ meditator
has no idea of where the journey will lead or how the demon
deceiver will be overcome. In an Augustinian mode, Descartes shows
his reader a process of struggling toward illumination. But unlike
the speaker of the Confessions, the speaker of the Meditations is not
yet enlightened. While Descartes himself has clearly devised his
first philosophy, the meditator does not let on that there is a clear
path to illumination. At the beginning of Meditation Two, he writes:
“It feels as if I have fallen unexpectedly into a deep whirlpool which
tumbles me around so that I can neither stand on the bottom now
swim to the top . . . I will proceed in this way [continuing to doubt my
beliefs] until I recognize something certain, or, if nothing else, until
I at least recognize that there is no certainty” (AT 7: 24). To the reader,
the authorial voice seems much more humble: it begins in confusion,
turns to despair, and then moves only slowly to clarity.55 And, in the
end, it is much more optimistic: the meditative journey implies
that any human being who takes the steps described will attain illumination.
Unlike Augustine and his followers who restrict human
knowledge to a mere part of the truth, and unlike Teresa and others
who suggest that illumination does not effect stability, Descartes’
meditator is able to grasp the entirety of “first philosophy” once
and for all. Compared to the instability of religious illumination,
Descartes’ promise of certainty must have seemed appealing. And
because his meditator moves from confusion to certainty, Descartes’
readers might have felt more optimistic about their own struggle.
step 4: the arduous journey. The reorientation of the self in
spiritual exercises takes time and effort. It is no wonder that the
meditative journey is slow and arduous. Many early modern spiritual
advisers preach the development of discipline, which they often
explicate in terms of the faculties of memory, intellect, and will.
The acquisition of such discipline requires brief periods of intense
attention and must be punctuated with periods of rest. Given the
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fickleness of human attention, one has to develop the capacity to
concentrate and then practice what was learned.
Descartes’ Meditations has all these features. Concerning discipline
and rest, each of the first three Meditations constitutes a breakthrough
that leaves the meditator discombobulated and in need of
rest.56 The end of Meditation One displays an attitude common in the
discourse of spiritual exercise, namely, the fear of backsliding and
inescapable darkness: “I happily slide back into my old opinions and
dread being shaken out of them, for fear that my peaceful sleep may
be followed by hard labour when I wake, and that I shall have to toil
not in the light, but amid the inextricable darkness of the problems
I have now raised” (AT 7: 23).
Like his early modern predecessors, Descartes’ meditation also
involves the redirection of the intellect, the proper application of
memory, and the strengthening of the will. For example, Meditation
Two concludes with a standard insistence: “But since the habit of
holding on to old opinions cannot be set aside so quickly, I should like
to stop here and meditate for some time on this new knowledge I have
gained, so as to fix it more deeply in my memory” (AT 7: 34). In
Meditation Four, the meditator realizes that in order “to avoid
error,” he must remember “to withhold judgement on any occasion
when the truth of the matter is not clear” (AT 7: 62). Then, echoing a
common sentiment about the weakness of will and the human propensity
to error, he acknowledges:
Admittedly, I am aware of a certain weakness in me, in that I am unable to
keep my attention fixed on one and the same item of knowledge at all times;
but by attentive and repeated meditation I am nevertheless able to make
myself remember it as often as the need arises, and thus get into the habit of
avoiding error. (Ibid.)
I have noted that earlymodernmeditations began to highlight the role
of the intellect. In the next section, I argue that the “pure” intellectualism
of the Meditations owes more to Platonism than do standard
spiritual meditations. But it is worth noting here that, by the end of
Meditation Five, Descartes is willing to state: “if there is anything
which is evident to my intellect, then it is wholly true” (AT 7: 71).
step 5: illumination. The main point of spiritual exercises is to
be illumined. The authors who talk about illumination differ in their
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accounts, but a common assumption is that the experience involves a
full recognition of the beauty and love of God. One is taken by that
love and changed accordingly. As we have seen, Francis Bacon avers:
“no pleasure is comparable, to the standing, upon the vantage ground
of Truth.” For many early modern philosophers, whether Protestant
or Catholic, there is a close relation between truth, love, and pleasure.
Teresa describes her experience of God as “absolutely irresistible . . .
It comes, in general, as a shock, quick and sharp . . . and you see and
feel it as a cloud, or a strong eagle rising upwards, and carrying you
away on its wings.”57 We will discuss the illumination that occurs in
the Meditations in the next section. For now, the relevant point is
that although Descartes appropriates much of the language and
imagery of Christian spirituality, he has dropped all talk of divine
love. He mentions the beauty of God at the end of Meditation Three,
but it does not function as a motivating force or even an attraction.
Descartes’ account of illumination differs significantly from the tradition
in that it is virtually devoid of affect.
But it is also easier to attain than the tradition allowed. Although
Descartes recognizes that the path to illumination will not always be
easy, he is committed to the view that proper meditation will lead to
insight. In Second Replies, he acknowledges that for those who have
“opinions which are obscure and false, albeit fixed in the mind by
long habit,” it may be hard to become accustomed “to believing in
the primary notions.” But he insists:
Those who give the matter their careful attention and spend time meditating
with me will clearly see that there is within us an idea of a supremely
powerful and perfect being . . . I cannot force this truth on my readers if they
are lazy, since it depends solely on their exercising their powers of thought.
(AT 7: 135–36)
In the end, however, those who are not lazy and who practice will be
properly illumined.
Transforming Platonism
Section 1 listed the three main sources of Platonism in early modern
thought: scholasticism, Augustinianism, and the Plotinian Platonism
promulgated by Ficino. Although there is no reason to believe
that Descartes ever made any thing like a thorough study of Plato’s
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philosophy, his education would have given him a familiarity
with Platonist ideas from these three sources. A Jesuit secondary
school education in the seventeenth century retained a pedagogy
structured around scholastic textbooks, with special attention paid
to the thought of Aquinas. Scholars have long noted the Platonist
ideas in the writings of Aquinas, whose popularity had increased
in the Counter-Reformation. He became a pillar of the new Jesuit
order after its formation in 1540 and was declared a “Doctor of the
Universal Church” by Pope Pius V in 1567.58 Descartes’ Jesuit education
also contained huge amounts of Augustinianism. As we
have seen, the medieval tradition of spiritual meditation grew out
of Augustine whose ideas inspired early modern Reformers and
Catholics alike.59 Concerning the Platonism promulgated by Ficino
and other humanists, it is unlikely that Descartes’ secondary education
required a study of Plato’s works, but his teachers were familiar
with Platonism, and their textbooks would have included Platonist
ideas.60
Given the ubiquity of Platonism in early modern Europe, it is not
surprising that Descartes appropriates Platonist ideas. Some of these
bear a close resemblance to Augustinian sources; others suggest non-
Augustinian Platonist roots. For example, elements in the epistemological
journey described in Meditations Two, Three, and Five bear a
striking similarity to Plato’s cave allegory. In Book VII of the
Republic, when the truth-seeker escapes his chains and turns from
the shadows, he looks with difficulty at the fire in the cave. Once he
accustoms himself to the fire’s illumination, he moves with difficulty
to the entrance of the cave, where he is nearly blinded by the sun’s
brightness. He slowly becomes accustomed to that light until he is
able to gaze upon the sun and see the realities it so beautifully
illuminates. In Plato’s words, once the truth-seeker “is able to
see . . . the sun itself,” he can “infer and conclude that the sun . . .
governs everything in the visible world, and is . . . the cause of all the
things that he sees” (516b). In The Republic, the epistemological
moral is that the truth-seeker is able to grasp the Good itself and see
how it is “the cause” of everything else.61
What makes the Meditations so clever is that it uses all of these
traditions to suit Descartes’ particular needs. On the one hand, as we
have seen, he explicitly models his work on Christian spiritual meditations.
On the other, he replaces an essential feature of those
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exercises with exercises that are devoted to “the pure deliverances of
the intellect.”62 As we have noted, Augustinian notions of sin make
divine intervention a requisite for illumination. Descartes ignores the
standard Christian need for intervention and relies instead on a purer
form of Platonist intellectualism, according to which the intellect
needs no such help. Similar to Augustine and the Augustinian spiritual
tradition, Descartes’ journey begins with a turning “inward.” But
unlike that tradition, his meditator is able to escape the shadowworld
without the aid of any divine or human source.
The narrative arc that begins with the first paragraphs of
Meditation Two and ends with the conclusion of Meditation Three
roughly parallels the steps that Plato’s cave-dweller takes: it begins
with disorientation and confusion, moves to a first glimpse into the
nature of things (the nature of mind and body), followed by the
dramatic moment when the ultimate reality is apprehended. Plato’s
truth-seeker sees the light of the sun at the edge of the cave;
Descartes’ has his first glimpse of God. Neither needs divine help.
At the end of Meditation Three, Descartes neatly combines elements
drawn from religious meditations with those of the Platonist
tradition to create a dramatic epistemological shift. Although the
argument for the existence of God occupies much of Meditation
Three, its conclusion strongly suggests that one of the main points
of this part of the meditative exercise is to reorient the intellect so as
to recognize its cognitive range and it relation to God: “I perceive . . .
the idea of God, by the same faculty which enables me to perceive
myself” (AT 7: 51). Although Descartes emphasizes the importance
of having turned his “mind’s eye” upon itself, the result is illumination.
The meditator perceives God. As a conclusion to Meditation
Three, he writes that, before “examining” this idea of God “more
carefully and investigating other truths which may be derived from it,
I would like to pause here and spend some time in contemplation of
God; . . . and to gaze with wonder and adoration on the beauty of this
immense light, so far as the eye of my darkened intellect can bear it”
(AT 7: 52).
The first paragraph of Meditation Four summarizes the lessons
drawn from the meditative enterprise: “During these past few days
I have accustomed myself to leadingmy mind away from the senses”
and recognized that “very little about corporeal things . . . is truly
perceived, whereas much more is known about the human mind, and
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still more about God” (AT 7: 52–53). As a consequence of this meditative
exercise, “I now have no difficulty in turning my mind . . .
towards things which are the objects of the intellect alone.”
Descartes is perfectly clear that it is “the human intellect” by itself
that knows these things. Looking forward toward the next phase of
meditation, he writes: “And now, from this contemplation of the true
God, in whom all treasures of wisdom and the sciences lie hidden,
I think I can see a way forward to the knowledge of other things” (AT
7: 52–53).
For seventeenth-century readers of the Meditations, this was
surely a dramatic moment. Descartes’ meditator had reached the
point of reorientation: he has escaped the shadows of doubt to attain
illumination, accomplished by his own intellectual endeavors. The
lesson is clear: the human intellect is able to make the arduous trek to
illumination entirely on its own. Descartes’ readers would have been
fully aware of the difference between this journey to illumination and
the Augustinian one. And many readers would be familiar with the
story of the cave, if not the details of Plato’s Republic.63 It seems
likely that Descartes is here cleverly engaging with these Platonist
traditions to suit his needs. By elegantly interweaving different
Platonist strands he creates something both old and revolutionary.
Reorientation and New Philosophy
The revolution that Descartes hoped to effect was primarily a scientific
one. Scholars have persuasively argued that his main concern
was to furnish the world with a science that would replace
Aristotelianism and explain “the whole of corporeal nature.”64
Descartes believes that the “establishment” of his new philosophy
would render the Aristotelian system “so absolutely and so clearly
destroyed . . . that no other refutation is needed” (“To Mersenne,
22 December 1641,” AT 3: 470). As I have noted, when he claimed
his system would replace Aristotle, he joined a chorus of early modern
voices announcing that a philosophical revolution was at hand.
But unlike most others, by the mid-seventeenth century, Descartes’
proposals had become one of the “new philosophies” that had to be
taken seriously.
The similarities between the “pure intellectualism” of Galileo in
The Assayer and that of Descartes are obvious. For both natural
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philosophers, the mind turns itself upon its concepts, reflects on
them, and discovers the truths therein contained. Also, like Galileo,
Descartes believes that if the mind does not attend to its concepts in
the right way, it will remain in a world of its own prejudices. But
Descartes goes well beyond Galileo in offering a first philosophy that
will ground his physics and doing so in a way that gradually prepares
his readers for a revolution. After the illuminations of Meditation
Five, Descartes concludes that meditative exercise by summarizing
what he has learned and preparing his readers for the science of nature
that will come:
Thus I see plainly that the certainty and truth of all knowledge depends
uniquely on my awareness of the true God, to such an extent that I was
incapable of perfect knowledge about anything else until I became aware of
him. And now it is possible for me to achieve full and certain knowledge of
countless matters, both concerning God himself and other things whose
nature is intellectual, and also concerning the whole of that corporeal nature
which is the subject-matter of pure mathematics. (AT 7: 71)
The success of Descartes’ proposals in natural philosophy is surely
due to their innovation and explanatory power. But we should not let
their success hide the power of the Meditations’ rhetorical arc. While
it is impossible to gauge the exact contribution that its meditative
rhetoric made to its philosophical success, the methodology of reorientation
must have cushioned the blow of its proposals. In grounding
his account of nature in first principles discoverable through a
reorientation of the mind, Descartes was preparing his readers to
accept radical change.
conclus ion
The goal of this chapter is to contextualize the methodology of
Descartes’ Meditations in order to reveal the subtlety of its rhetorical
strategy. Historians have long noted the work’s brilliance and originality.
The same has not been true of the richness and finesse of its
method. I have tried to show some of the complicated ways in which
Descartes uses, ignores, and transforms traditional philosophical and
religious elements to create a work of astonishing subtlety. He negotiated
a complex philosophical landscape to set a path that would
surprise, illumine, and change his contemporaries. The Meditations
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is much more than a series of arguments. It is an attempt to reorient
the minds of its readers and ultimately to forge a revolution.65
note s
1. On the relation between Descartes’ first philosophy and concern to argue
for his natural philosophy or physics, see especially Hatfield 2003 and
Garber 1992.
2. For example, Menn 1998, chapters three and four; Broughton 2002;
Curley 1978; Garber 1986; and Schmaltz 1991, Popkin 1979, chapters
nine and ten; Hatfield 1985 and 1986.
3. For some of these, see Cunning 2010, chapter 10.
4. Bacon 2000, 7–8.
5. Mercer, 2000, 2002; Kraye and Stone 2000.
6. In this letter, Descartes describes his reaction to the Seventh Set of
Objections, written by Pierre Bourdin. The letter is to Bourdin’s superior,
Father Dinet, who had taught Descartes at La Flèche. (See CSM 2: 64–65.)
Descartes is clear that he was very concerned that this one man’s views
did not represent “the balanced and careful assessment that your entire
Society had formed of my views” (AT 7: 564).
7. It is an awkward truth about prominent Platonists that they put forward
elaborate theories that are sometimes only remotely connected to the
texts of the Athenian philosopher himself. On the heterogeneity of early
modern Platonism, see Kristeller 1979 and Mercer 2002. On the question
of what Platonism is, see Gerson 2005.
8. As the Renaissance historians Copenhaver and Schmitt 1992 have written:
“Given the quantity of Platonic material transmitted” through
Arabic authorities “or generally in the air in medieval universities, it is
not surprising that parts of Thomist metaphysics owe more to
Augustine, Proclus, or Plotinus than to Aristotle” (133).
9. Augustine himself acknowledges his Platonist sources, noting the special
importance of the thought of Plotinus. See, e.g., Augustine’s
Confessions, VII. 10 (16).
10. For the importance of Augustinianism in seventeenth-century France
and for other examples of major figures proclaiming the importance of
the “divine Augustine,” see Menn 1998, esp. 21–25.
11. Twenty-first century scholars are often surprised to discover that, despite
the importance of Platonism in medieval Europe, very few of Plato’s texts
were available. Only the Timaeus was widely available. Dialogues as
important as the Republic and Symposium had been lost and had to be
“rediscovered” in the Renaissance. OnDescartes’ relation to the Timaeus,
seeWilson 2008.
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12. Formore on this history, see Copenhaver and Schmitt 1992, esp. chapters 1
and 3.
13. Much has been written about Ficino, his thought and influence. A fine
place to begin an exploration of these topics is Allen 2002 and Garfagnini
1986.
14. The Assayer, in Drake 1957, 237–38.
15. There has been important recent work done on the “emergence” of
science. For an overview and reference to other works, see Gaukroger
2006. It is noteworthy that few of these studies discuss the role of
Platonism in the period.
16. The standard treatment of the relation between Descartes and Augustine
is Rodis-Lewis 1954. Also see Janowski 2000, and esp. Menn 1998.
17. Cotgrave 1611.
18. For an interesting comparison between ancient and early Christian
notions of self, see Barnes 2009. For an important study of religious
meditations, see Stock 2011.
19. All Biblical quotations are from the New Revised Standard Version.
Mark 8: 34.
20. Augustine, Confessions, VII.20.26–27. Also see XIV.15.21.
21. Bennett 1982, 32.
22. McNamer 2010, 1–9. Since Bynum 1987, scholars have increasingly
discussed the gendered aspect of such meditations. For a summary, see
McNamer 2010, 3–9.
23. Leone 2010, 1.
24. Alonso de Villegas published his The Lives of Saints in 1583. On Alonso
de Villegas and the role of saints in the Counter-Reformation, see Leone
2010, 4 and passim.
25. Teresa of Ávila’s fame has hardly decreased. For the importance of her
writings to modern Spanish literature, see Du Pont 2012.
26. I agree with Rubidge that “Descartes’s Meditations do not resemble
Loyola’s Spiritual Exercises more than other devotional manuals” (28),
though I think the similarities between Descartes’ work and other early
meditations are more philosophically significant than Rubidge suggests.
For a helpful account of those manuals, the role in them of memory,
intellect, and will, and references to earlier studies, see Rubidge 1990.
27. Bernard of Clairvaux 1614, A 3r.
28. Ibid., 33.
29. Ibid, 2v.
30. Ibid, 136–37.
31. De Alcántara 1624, 2v–3r.
32. Scribani 1616, 582.
33. Ibid, 565.
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34. Ibid, 2v–4r. Scribani also published a more standard meditations. See
Scribani 1616.
35. De la Puente 1636, 3–5.
36. Camerarius 1603, 2–3.
37. Ibid, 334.
38. Ibid, 3–5.
39. Ibid, 183.
40. Ibid, 167.
41. Catholics wrote the majority of early modern meditations. But
Protestants also took up the meditative banner. For example, a famous
Lutheran theologian, Johann Gerhard (1582–1637), published a Latin
work that went through several editions and was translated into
English and German. For the English version, see Winterton 1627.
42. The first French translation is: Les méditations métaphysiques de René
Descartes. Traduites du Latin par M. le D.D.L.N.S. [i.e. Louis Charles
D’Albert de Luynes]. Et les objetions faites contre ces Meditations . . .
avec les réponses de l’Auteur. Traduites par Mr. C.L.R. [i.e. Claude
Clerselier] (Paris: Camusat), 1647.
43. Teresa, 1921, 6
th mansion, chapter 10. For a major Latin edition of her
works, which were originally in Spanish, see Teresa de Jesús 1626.
44. On the similarity between some of the steps in spiritual exercises and
those in the Meditations and on their goal of illumination, see Hatfield
1986, esp. 47–54. But the historical context is more complicated that he
suggests. Also see Rorty 1983.
45. Scholars have interpreted the rhetoric and skepticism of Meditation One
in different ways. See for example Wilson 2003 and Broughton 2002.
Cunning is very helpful in introducing the notion of the “unemended
intellect” and emphasizing the fact that Descartes’ strategy here is to
offer a means for any sort of reader (whether Aristotelian, mechanist,
atheist, or theist) to follow the method and discover the truths. See
Cunning 2010, esp. 7, 28–33, 103.
46. See Cunning 2010 and reference to other sources, 62–63, esp. 1 40.
47. Confessions VIII.10.
48. Ibid., XIV.15 (21).
49. Ibid., X.8 (15).
50. Teresa, 1921, Mansion 1, chapter 2.
51. Ibid., Mansion 1, chapter 1.
52. Ibid., Mansion 6, chapter 10.
53. Ibid., Mansion 7, chapter 2, section 13.
54. Teresa, 1904, chapter XIX, section 22.
55. See also Curley 1986, 153–57; Hatfield 1986, 69–72; and Cunning 2010,
37–43, 217–30.
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56. In a famous letter to Elisabeth of June 28, 1643, Descartes writes that one
should spend “very few hours a year on those [activities] that occupy the
intellect alone” (AT 3: 692–93).
57. Teresa, 1904, chapter X, section 3.
58. For a summary of the range of Aristotelianisms in the early modern
period, the place of Aquinas in the Counter-Reformation, and citations
to other studies, see Stone 2002.
59. Scholars have often noted the striking similarities between Descartes’
ideas and those of Augustine. The latter is also concerned with proving
that the self exists in the face of skeptical arguments. His response is
summed up in the statement “Si fallor, sum,” which is recognized to be
the distant antecedent of Descartes’ defense of the same idea. For more
on Descartes’ relation to Augustine, see Menn 1998. But despite striking
similarities between some of Augustine’s views and those of Descartes, it
is doubtful that Descartes knew Augustine’s texts very well. He denies
direct knowledge of those works and I see no reason not to take him at his
word. The similarities between his ideas and Augustine’s are easily
explained by the ubiquity of Augustinian ideas in the period. For a recent
scholar who does not take Descartes at his word, see Brachtendorf 2012.
60. Robert Black has shown that in late medieval and Renaissance secondary
schools, students learned about Plato’s cave allegory. Students also
learned, in Black’s words, the “basic doctrines of the ancient philosophical
schools,” including Plato, who was called “semi-divine and
preferred by the gods themselves” (Black 2001, 305–07).
61. For a brief discussion of the similarities between Descartes’ Meditations
and Plato’s cave allegory, see Mercer 2002, 37–39. Buckle 2007 argues for
a similar point, but seems unaware of the variety of Platonisms available
to Descartes.
62. This is language from Hatfield 1986, 47. I agree with Hatfield’s basic
point that the Meditations attempts to “evoke the appropriate cognitive
experiences in the meditator.”
63. See Black 2001, 305–07.
64. AT7:71. See also Garber 1986, 83–91.
65. I would very much like to thank David Cunning for asking me to write up
my ideas about methodological matters as they apply to the Meditations
and then offering feedback along the way. A conversation with Gideon
Manning was also very helpful. I would like to thank the Herzog August
Bibliothek for offering me a Senior Fellowship so that I could use their
wonderful library while researching early modern meditations.
The methodology of the Meditations 47
terms of use, available at https://www.cambridge.org/core/terms. https://doi.org/10.1017/CCO9781139088220.002
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What advice would you give to Alba and Gavigan to help them make more profit in the long term?

Week 5 – Assignment
Price Quotes and Pricing Decisions Applied Problems
Please complete the following two applied problems:
Problem 1:
Jessica Alba, a famous actress, starts the baby and family products business, The Honest Company,
with Christopher Gavigan. Alba and Gavigan set up their site so families can choose what kinds of nontoxic,
all-natural products they’d like to use and get them in a bundle. Families can choose all kinds of
products from food to hygiene necessities and cleaning supplies. Suppose they are thinking of
expanding their business into five domestic markets: Phoenix, Dallas, Chicago, New York, and Atlanta.
Assume their primary goal of business is to maximize economic profits, although they want to do
business honestly.
Show all your calculations and process. Describe your answer for each question in three- to fivecomplete
sentences.
a. You are a business adviser for Alba and Gavigan. Describe a skimming price and a penetration
price, and advise them whether they should charge a skimming price or a penetration price, with
supportive reasoning for and against each pricing alternative.
b. Are they likely to make economic profits initially? Can they continue to make economic profits in the
long term? Why or why not? Discuss.
c. What advice would you give to Alba and Gavigan to help them make more profit in the long term?
Problem 2:
You operate your own small building company and have decided to bid on a government contract to
build a pedestrian walkway in a national park during the coming winter. The walkway is to be of
standard government design and should involve no unexpected costs. Your present capacity utilization
rate is moderate and allows sufficient scope to understand this contract, if you win it. You calculate your
incremental costs to be $268,000 and your fully allocated costs to be $440,000. Your usual practice is
to add between 60% and 80% to your incremental costs, depending on capacity utilization rate and
other factors. You expect three other firms to also bid on this contract, and you have assembled the
following competitor intelligence about those companies.
Issue Rival A Rival B Rival C
Capacity
Utilization
At full
capacity
Moderate Very low
Week 5 – Assignment https://ashford.instructure.com/courses/56380/assignments/112…
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Goodwill
Considerations
Very
concerned
Moderately
concerned
Not
concerned
Production
Facilities
Small and
inefficient
plant
Medium
sized and
efficient
plant
Large and
very
efficient
plant
Previous
Bidding
Pattern
Incremental
cost plus
35-50%
Full cost
plus 8-12%
Full cost
plus
10-15%
Cost Structure
Incremental
costs
exceed
yours by
about 10%
Similar cost
structure to
yours
Incremental
costs 20%
lower but
full costs
are similar
to yours
Aesthetic
Factors
Does not
like winter
jobs or dirty
jobs
Does not
like messy
or
inconvenient
jobs
Likes
projects
where it
can show
its creativity
Political
Factors
Decision
maker is a
relative of
the buyer
Decision
maker is
seeking a
new job
Decision
maker is
looking for
a
promotion
Show all of your calculations and processes. Describe your answers in three- to five-complete
sentences.
a. What price would you bid if you must win the project?
b. What price would you bid if you want to maximize the expected value of the contribution from this
contract?
c. Defend your answers with discussion, making any assumptions you feel are reasonable and/or are
supported by the information provided.
Carefully review the Grading Rubric (http://ashford.waypointoutcomes.com/assessment/3740/preview)
for the criteria that will be used to evaluate your assignment.
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submit your assignment.
1. Click on the Assignment Submission button below. The Waypoint “Student Dashboard” will open
in a new browser window.
2. Browse for your assignment.
3. Click Upload.
4. Confirm that your assignment was successfully submitted by viewing the appropriate week’s
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Discuss ways other people affected you and the ways you affected others in the social experiences of your day.

(Please include wife and daughter within the paper)
The paper should be 4-6 typed pages, 12-point font, with 1″ margins. Remember to use APA format to cite and reference your sources.

A presentation that offers additional assistance in completing the assignment is available at https://prezi.com/view/DTakPcZ9NlkobNn93EMi/

Instructions

1) Observation

Create a field log (example). For one day, observe and record the key interactions and institutions in your lived experience. Starting with waking up, who is the first person you talk to? What do you do next- take family members to school, go to the gym, go to work and interact with coworkers? Throughout the day you will take on different roles by interacting with different people and in different situations, and be in contact with different social institutions (education, government, health, etc). Type or photograph your field log and submit it with your written Assignment.

2) Application

Try to wait one or more days before starting this step. Revisit your field log and apply sociological analysis to your observations.

Describe how our day is shaped and constrained by social norms.
Analyze how at least four sociological concepts learned in class (eg. roles, institutions, interactions, impression management, stage theory, emotional labor) apply to your field log observations. This part of the paper should not be focused on the general social norms you described earlier, dig in with specific concepts in this from our text (refrain from using dictionaries).
For at least two of the concepts, find and incorporate an appropriate source that highlights how sociologists study this concept in everyday society (for example, emotional labor in the restaurant industry). Not sure what constitutes an appropriate source? See our Announcement on this in the classroom- tips and a learning module are provided there. For example, we discussed gender socialization:
In an article by Crespi (2011) that studied gender socialization and gender roles within the family, results showed that a cross-gender relationship between fathers and daughters, mothers and sons has emerged as significant in determining traditional and non-traditional gender attitudes. The research suggested that the relationship with the parent of the opposite sex could be a strong factor in reducing stereotyped attitudes regarding gender roles (Crespi, 2011). *Use a different example in your paper, the purpose here is to show your research skills rather than repeat my research skills.*
3) Reflection
Reflect on your role as a larger part of society (i.e. your motives, instincts, feelings, and/or structural constraints). Discuss ways other people affected you and the ways you affected others in the social experiences of your day.

Where is the rice that I will cook for you? Did you bring any rice? Do I have to go out and earn money myself?

2016 | GITANJALI & BEYOND 1: 203-213
This work is licensed under the Creative Commons | © Shawkat Hussain.
http://gitanjaliandbeyond.napier.ac.uk
Punishment PunishmentPunishment PunishmentPunishment PunishmentPunishment
by Rabindranath Tagore by Rabindranath Tagore by Rabindranath Tagore by Rabindranath Tagore by Rabindranath Tagore by Rabindranath Tagoreby Rabindranath Tagore by Rabindranath Tagore
Translated by Shawkat HUSSAIN
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hen the two brothers, Dukhiram Rui and Chidam Rui set out in the morning with axes in their hands to work as day labourers, their two wives were hurling insults and abuses at each other. But like other natural nois-es, the neighbours had become used to this shouting. As soon as they heard them, they would say to one another, “There they go again”. There was nothing unexpected about their quarrelling every day; this was just their normal, undeviating behaviour. Just as nobody questions the rising of the sun in the east, nobody in the neighbourhood was curious about why the two sisters-in-law started quarrelling in the morning each day.
There is no doubt that the discord between the two wives affected the two husbands much more than it did their neighbours, but even the two brothers did not consider it to be a serious problem. The two brothers con-sidered domestic life as a long journey on a bullock cart, and the ceaseless creaking noises and jerking movements of springless wheels, only a natu-ral, necessary part of this journey.
In fact, on days when their home was quiet and a heavy silence hung over it, they were afraid that some unnatural, unforeseen danger was about to happen – they did not know what to expect.
On the day when our story begins, the two brothers returned home just before evening, tired from their labours. The house was utterly still.
The heat outside was stifling. In the evening there was a slight shower and heavy clouds still hung overhead; there was not a breath of wind in the air. The jungle around the house and the weeds had grown luxuriantly during the monsoon, and the thick, heavy smell of rotting vegetation from the water-logged jute fields stood like motionless walls around the house. A frog was croaking from the swamp behind the cowshed and the still even-ing sky was full with the sounds of crickets.
In the distance, the Padma, swollen with monsoon rains and overhung with new clouds, looked ominous. Nearby, the paddy fields were already flooded and the water lapped close to human habitations. The force of the sweeping waters had uprooted a few mango and jackfruit trees whose roots clawed the empty air like fingers desperately outspread to clutch something firm.
On that day, Dukhiram and Chidam had gone to work on a landlord’s main building. The paddy on the sandbank on the other side had ripened. All the poor peasants were busy harvesting the rice from their own fields or were working in the rice-fields of other farmers before the monsoon rain completely inundated the sandbanks. Only the two brothers were forced by the landlord’s thugs to work on his house. All day they worked, trying to patch up the leaking roof of the drawing-room, and weaving thin shafts of bamboo to cover up the leaking areas. They could not come home for lunch
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but had a few mouthfuls of rice in the landlord’s house. Several times dur-ing the day, they got soaked in the rain; they were probably not paid for their labours and the abuses that were hurled at them throughout the day were more than what they deserved.
When the two brothers returned home in the evening, walking through mud and water, they saw Chandara, the wife of the younger brother, quiet-ly lying down on the floor on the aanchal of her own sari. She had cried all afternoon, and towards evening had stopped and become still.
Radha, the wife of the older brother, was sitting on the threshold with a scowl on her face. Her one-and-a-half-year-old son was crying nearby. When the two entered, they saw a naked baby sleeping on its back in the courtyard.
Dukhiram was famished; as soon as he entered the courtyard he said, “Give me rice.”
The elder wife exploded like a keg of gunpowder lit by a flame. In a voice that reached the heavens, she shouted, “There is no rice! Where is the rice that I will cook for you? Did you bring any rice? Do I have to go out and earn money myself?”
Entering the dark, pleasureless room, with hunger gnawing inside his stomach, and after a day of hard labour and humiliation, the harsh words of his wife, particularly the ugly insinuation of her last remark, seemed unbearable to Dukhiram. Like an angry tiger, he roared, “What did you say?” And unthinkingly he picked up his axe and brought it down upon his wife’s head. Radha fell down near Chandara’s lap and died almost instan-taneously.
Chandara, her sari spattered with blood, screamed, “My God, what have you done?” Chidam held his hand over her mouth. Dumbfounded, Dukhiram dropped the axe and sat down on the floor holding his face in his hands. The sleeping child woke up and began to cry hysterically.
Outside, it was very peaceful. The shepherds were returning home with their herds. The peasants who had gone to the sandbank on the other side to harvest the newly-ripened paddy, were returning home in groups of seven or eight, sitting in small boats with sheaves of paddy on their heads as payment for their labour.
Ramlochon from the Chatterjee household was calmly smoking a hook-ah after having mailed a letter at the village post office. He suddenly re-membered that Dukhi, his tenant, owed him a lot of back rent. He had promised to pay a part of it today. Having decided that Dukhi must have returned home now, Ramlochon threw his shawl over his shoulder, picked up his umbrella, and walked outside.
As soon as he entered the house of the brothers, a shiver ran down his spine. The lamp had not been lit, and in the dark a few shadowy figures
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could be seen sitting huddled on the threshold. A muffled cry could be heard, “Ma, Ma.” And the more the child cried, the harder Chidam pressed his hand over his mouth.
Ramlochon a little frightened by the scene, inquired, “Dukhi, are you there?”
Dukhi, who was sitting motionless like a statue, suddenly burst out crying like a child when he heard his name being called.
Chidam quickly stepped into the courtyard to meet Ramlochon, who asked, “I suppose the women are taking a break from their quarrelling. I heard them shouting all day today.”
Chidam had been completely stunned and unable to think anything; many improbable explanations had risen up in his mind. For the time being he had resolved to get rid of the body when the night deepened, but he was not prepared for Ramlochon’s sudden arrival. He had no ready answer and he blurted out, “Yes, they had a terrible fight today.”
Ramlochon started walking towards the door and asked, “But why is Dukhi crying?”
Chidam felt that there was no way out and suddenly said, “The young-er one has hit the older one on the head with an axe.”
It is often easy to forget that future danger can be even greater than the one at present. Chidam’s immediate thought was to protect himself from the terrible truth of the moment; he was hardly conscious that lying about the truth could be even more dangerous. When he heard Ramlochon’s question, an immediate response came to his mind, and he blurted it out without thinking.
Ramlochon was taken aback: “What! What do you say? Not dead, is she?”
Chidam said, “She is dead,” and fell down at Ramlochon’s feet, his arms around the latter’s legs.
Ramlochon could not escape from this situation. He thought, “God, oh God, what a situation I have put myself in. I am finished if I have to be a witness in the court.” Chidam just would not let go of his legs, “Tell me, please, how can I save my wife now?”
When it came to giving advice on legal matters, Ramlochon was known to be “Prime Minister” of the village. He thought a little and said, “Listen there is a way out. Rush to the Police Station now and report to them that your brother Dukhi, on returning home from work, had asked for rice and when he found that rice was not ready, hit his wife on the head with his axe. I am positive that if you say this, your wife will be saved.”
Chidam’s throat became dry. He said, “If I lose my wife, I can always get another one, but if my brother hangs I cannot get another brother.” But he had not thought of this when he put the blame on his wife earlier. He
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had said something in the confusion of the moment and now his mind was unconsciously marshalling arguments in its own defense.
Ramlochon found his words reasonable. He said, “Then just report what happened. It is impossible to defend all sides.”
Ramlochon left immediately afterwards and soon the rumour spread in the whole village that Chandara, in a fit of anger, had brought down an axe upon her elder sister-in-law’s head and killed her.
Like a gush of water from a burst dam, a contingent of policemen de-scended upon the village. Both the innocent as well as the guilty became terribly anxious.
Part TwoPart Two Part TwoPart TwoPart TwoPart TwoPart Two
Chidam thought that he must proceed along the path he had already cho-sen for himself. He had himself given Ramlochon an account of what hap-pened and the entire village now knew about it. He just did not know what would happen if he now broadcast a different story. He thought he might still be able to save his wife if he held on to his earlier version and gar-nished it with some additional information.
Chidam requested his wife Chandara to take the blame for sister-in-law’s death. Chandara was thunderstruck! Chidam reassured her by say-ing, “Do as I say – there is no fear. We will save you.” It is true that he reassured her, but his own throat became dry and his face pale.
Chandara was no more than seventeen or eighteen. Her face was soft and round, her stature not very tall. There was such a lilt in her petite, lithe limbs that every movement seemed fluid and rhythmic. Like a newly-built boat, small and graceful, she moved with unhampered ease and speed. She was curious about everything in the world and had a sense of humour. She loved visiting her neighbours for a chat; on her way to the bathing ghat, she took in all that was worth noticing with her restless, bright, black eyes by parting slightly the aanchal, end of her sari with two fingers.
Her elder sister-in-law was just her opposite: clumsy, lackadaisical and disorderly. She could hardly control the aanchal of her sari covering her head, or the baby in her lap, or finish her various household chores in time. She never seemed to find any leisure even when there was no work to be done. Her younger sister-in-law would not say much. She spoke in a mild voice but her words stung sharply, and the elder wife would erupt immediately in hysterical shouts and screams that would arouse the whole neighbourhood.
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There was an astonishing similarity between the husbands and the wives in this household. Dukhiram was a large man with big bones and a thick nose. He looked at the world with eyes that did not seem to compre-hend anything; yet he never questioned what he saw. Harmless yet terrify-ing, strong yet helpless, Dukhiram was indeed a rare specimen of humani-ty.
Chidam, on the other hand, seemed like a person lovingly carved out of a shining, black stone, free from the slightest excess and not a dimple anywhere. Every limb radiated strength and shone with a rare fullness. Whether he jumped from the high bank of a river, or punted a boat with his pole, or climbed a bamboo pole to cut a thin shoot, every action expressed an economy of movement and a natural grace. His long black hair, oiled and carefully combed, rippled onto his shoulders: it was obvious that he took good care of his looks and clothes.
Chidam did not cast indifferent glances at other pretty village belles. He wanted to look handsome in their eyes, yet there is no doubt that he had a special love for his young wife. They quarrelled and they made up, but they completely vanquished one another. But there was another reason why their bond was so strong. Chidam thought that a bright, restless woman like Chandara could never be fully trusted; and Chandara thought that her husband whose gaze fell everywhere must be tied down firmly or he would slip through her fingers.
For some time before the present tragedy occurred, there had been a trouble between the two. Chandara noticed that her husband would say that he was going away to work and would not come home for a few days; and then when he returned, he had no money with him. She became sus-picious and began to behave a little irresponsibly herself. She frequented the ghat, toured the neighbouring houses and came back with elaborate stories of Kashi Majumder’s second son.
Chidam’s days and nights seemed to have become poisoned. There was no peace at work. One day, when his sister-in-law walked into his room, he rebuked her sharply, and she, gesticulating with her hands, addressed her dead and absent father: “This girl outstrips a storm. I must restrain her or she will do something disastrous.”
Chandara slipped in from her own hut and said quietly, “Sister, what are you so scared about?” That was it – and the two sisters-in-law immedi-ately began to fight.
Chidam’s eyes blazed as he said, “I will break every bone in your body if I hear that you have been to the ghat again.”
Chandara said, “Oh, that would be great!” And she immediately got ready to go out again.
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Chidam jumped at her, grabbed her hair and pulled her into the room. Then he shut the door from the outside.
When he returned from work in the evening, he found the door ajar and nobody in. Chandara had walked across five villages and appeared at her uncle’s house.
Chidam brought her back from her uncle’s house after much persua-sion, but he finally accepted defeat. He realised that it was impossible to fully possess this small wife of his, just as it was impossible to hold a drop of mercury within his fist. She slipped through all his ten fingers.
He did not try to use force again, but passed his days in great misery. His ever-anxious love for his restless young wife gradually turned into an ache. Sometimes he even thought that he could only regain peace of mind if she was dead. Men’s envy of other men is greater that their fear of death. And then the tragedy struck the family.
When her husband asked her to accept the responsibility for the mur-der, Chandara stared at him in dumbfounded shock; her two black eyes burned through her husband like black fire. Her entire body and soul be-gan to shrink as she sought to escape from the clutches of her monster-husband. Every fibre of her being rose in rebellion against him.
Chidam reassured her. “You have nothing to fear,” he said. He started to coach her, repeatedly telling her what to tell the police and the magis-trate. Like a wooden statue, Chandara sat still, not listening to his long-winded words.
Dukhi depended on Chidam for almost everything. When Chidam told him to place the blame on Chandara, Dukhi said, “But what will happen to her?”
Chidam replied, “I will save her.” Dukhiram was reassured.
Part ThreePart Three Part ThreePart ThreePart Three Part ThreePart Three
Chidam had taught his wife to say that her sister-in-law was trying to kill her with a kitchen-knife, and she was trying to protect herself with an axe when it accidentally struck her sister-in-law in the head. The original idea was Ramlochon’s. He had taught Chidam to garnish his story and be ready to produce necessary evidence.
Soon the police began its investigation. All the villagers had become convinced that it was Chandara who murdered her sister-in-law. The wit-nesses also provided testimony to prove this. When the police interrogated her, Chandara said, “Yes, I have committed the murder.”
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“Why did you kill her?”
“I couldn’t stand her.”
“Was there a quarrel?”
“No.”
“Did she try to kill you first?”
“No.”
“Did she treat you badly?”
“No.”
Everybody was surprised at these answers. Chidam became extremely anxious. He cried out, “She is not telling the truth. Her elder sister-in-law first …” The police inspector stopped him from speaking further. Repeated interrogation yielded the same answer from Chandara. Nothing could force Chandara to admit that her sister-in-law had attacked her first.
Her stubbornness was remarkable; she seemed determined to get her-self hanged. Nobody could save her from that. What an immense sulk was this! In her own mind she was telling her husband: “I am leaving you and embracing the scaffold with all my youthful ardour. My final bond in this world is with the gallows.”
Chandara, an innocent, ordinary, lively, curious village wife, now bound up as a prisoner, took permanent leave of her own home as she walked along the eternally familiar village path, through the village market, along the ghat, in front of the house of the Majumdars, beside the post office and the school building and in front of the gaze of so many familiar people. A group of small boys trailed her and women from the village – some of whom were her childhood companions – looked at her through their parted veils, from behind doors, and the cover of trees. As Chandara walked away, escorted by the police, they looked upon her with hatred and shame; they stared at her with something akin to fear.
Chandara admitted guilt before the Deputy Magistrate as well. And it also not stated that her sister-in-law had attacked her at the time of mur-der.
But when Chidam took the witness stand that day, he broke into tears and with his hands joined together in a gesture of pleading, he cried, “My wife has done nothing wrong.” The lawyer admonished him, told him to control himself, and began to question him. Gradually, the truth began to emerge.
But the lawyer did not believe him because the principal witness, Ram-lochon said: “I arrived at the place of occurrence soon after the incident. Witness Chidam admitted everything to me. He held on to my legs and begged me, ‘Please tell me, how can I save my wife?’ I gave him no advice, good or bad. Then the witness asked me, ‘If I say that my brother hit his wife in a fit of anger when he found that the rice was not ready, will that
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save my wife?’ I said, “Be careful, you scoundrel. You cannot utter a single lie before the Court – there is no crime greater than that!” And he went on.
At first, Ramlochon had made up a number of stories in defense of Chandara, but when he realized that Chandara herself had become quite adamant, he thought, “Oh my God, I don’t want to be held guilty for giving false witness. I might as well reveal all that I know.” And he narrated all that he thought he knew; in fact, he added in a few decorative touches of his own.
The Deputy Magistrate issued his summons. In the meantime the vari-ous activities of the world went on as usual: people laughed and cried, cultivated their crops and went to the market. And as in previous years, the incessant Sraban rain poured down on new shoots of rice.
The police appeared in the Court with the accused and other witnesses. In front of the Munsif Court, groups of people hung around, waiting for their own cases to come up. A lawyer from Calcutta had come to argue a case involving the division of a piece of swamp land behind somebody’s kitchen, and thirty-nine witnesses for the plaintiff were present in the Court. Hundreds were awaiting the settlement of hair-splitting divisions of paternal property, and nothing seemed more important. Chidam looked at this busy, everyday Court scene in a daze – everything seemed to him to be happening in a dream. From the huge banyan tree in the compound, a cuckoo could be heard; there was no Court of Law for the birds.
When Chandara stood before the judge, she said, “Your Honour, how many times do I have to say the same thing again and again?”
The Judge explained to her, “Do you know what punishment you will receive if you admit to the charge of murder?”
Chandara said, “No.”
The judge said, “You will be hanged.”
Chandara said, “Your Honour, I beg you, please do that. Do anything you want. I can’t bear it anymore.”
When Chidam was brought in the courtroom, Chandara looked away. The judge said, “Look at the witness. Tell me, how are you related to him?”
Chandara hid her face in the palms of her hands and said, “He is my husband.”
Question: Does he love you?
Answer: Yes, very much.
Question: Do you love him?
Answer: I love him very much.
When Chidam was interrogated, he said, “I have committed the mur-der.”
Question: Why?
Chidam: I had asked for some rice and it wasn’t ready.
212 | SHAWKAT HUSSAIN
2016 | GITANJALI & BEYOND 1: 203-213
When Dukhiram was called into the witness stand, he fainted. When he recovered, he said, “Your Honour, I have committed the murder.”
“Why?”
“She didn’t give me rice when I asked for it.”
After lengthy interrogation and after listening to the depositions of sev-eral witnesses, it was clear to the judge that the confession of the two brothers was an attempt to protect the woman from the shame of hanging. But Chandara stuck to the same story from the beginning to the end. There was not the slightest deviation in what she said. Two lawyers, on their own initiative, tried very hard to save her from getting capital punishment, but in the end they had to admit defeat.
On her wedding night, when the small, dark girl with a round face left her dolls behind in her father’s house to go to the house of her new father-in-law, could anyone have imagined that a day like this would come to pass! When her father died, he at least had the comfort of knowing that his daughter was in good hands.
Just before the hanging, the kind-hearted Civil Surgeon asked Chanda-ra, “Do you want to see anybody?”
Chandara said, “I want to see my mother once.”
The doctor said, “Your husband wants to see you. Shall I call him?”
“Ah Death!” she said, and said no more.
Punishment by Rabindranath Tagore| 213
GITANJALI & BEYOND 1: 203-213| 2016
Shawkat Hussain
Shawkat Hussain is a former Professor and Chairman of the Department of Eng-lish, University of Dhaka, Bangladesh. After teaching at the University of Dhaka for forty years, he joined the University of Asia Pacific as the Head of English. After graduating from the University of Dhaka with a First Class both in his BA Honours and MA, Shawkat Hussain was awarded a Commonwealth Scholarship to study in Dalhousie University, Halifax, Nova Scotia, Canada. He earned a MA and PhD in English Literature in 1976 and 1980. He taught in USA (Montgomery College) and was a Senior Fulbright Fellow at Indiana University, Bloomington, and post-doctoral fellow at the University of Queensland, Australia. Shawkat Hussain fre-quently translates from Bengali to English (poetry and fiction) and is an occasional translator of Rabindranath Tagore. He is currently putting together a collection of Tagore short stories that he translated.

How does being a leader in the arts, architecture, fashion, and food affect the Italian economy?

PROMPT:  WHAT ARE YOUR EXPECTATIONS AND GOALS FOR STUDYING ABROAD IN FLORENCE, ITALY? (400 WORDS) FALL SEMESTER 2020

THOUGHTS

An opportunity to explore a country that I was first introduced to in Cornelia Funke’s book, The Thief Lord.

This will be my first time really living independently and far away from home.

I will be studying my business major in a rich cultural environment with close access and exposure to other European influences and economies.

Italy has a long history of family run businesses and relationship-oriented practices.  I’d like to learn more about how this has shaped modern-day corporate success.

How does being a leader in the arts, architecture, fashion, and food affect the Italian economy?

I love Italian food and would like to learn about it.  How can I prepare it on my own?

 

Explain why these lines are important to the work as a whole and how their significance becomes apparent to the reader.

Part I : Passage analysis

Directions: Comment on the significance of the following passages taken from the text. Be careful not merely to summarize. Instead, explain why these lines are important to the work as a whole and how their significance becomes apparent to the reader. An effective response will make a strong point about the passage AND support that point by referring directly to the language used in the passage.

 

In addition, briefly inform your reader of the title of the work, author’s name, country of origin, year of publication, and the context in which the passage appears—who is speaking, to whom, in what situation, etc. Aim for a long paragraph for each response (about 8 to10 sentences).

 

  1. Passage from “The Headstrong Historian” (2008) by Chimamanda Ngozi Adichie

(I uploaded the whole text as a pdf file)

 

The day the white men visited her clan, Nwamgba left the pot she was about to put in her oven, took Anikwenwa and her girl apprentices, and hurried to the square. She was at first disappointed by the ordinariness of the two white men; they were harmless-looking, the color of albinos, with frail and slender limbs. Their companions were normal men, but there was something foreign about them, too: only one spoke Igbo, and with a strange accent. He said that he was from Elele, the other normal men were from Sierra Leone, and the white men from France, far across the sea. They were all of the Holy Ghost Congregation, had arrived in Onicha in 1885, and were building their school and church there. Nwamgba was the first to ask a question: Had they brought their guns, by any chance, the ones used to destroy the people of Agueke, and could she see one? The man said unhappily that it was the soldiers of the British government and the merchants of the Royal Niger Company who destroyed villages; they, instead, brought good news. He spoke about their god, who had come to the world to die, and who had a son but no wife, and who was three but also one. Many of the people around Nwamgba laughed loudly. Some walked away, because they had imagined that the white man was full of wisdom. Others stayed and offered cool bowls of water.

 

  1. Lines from “I’m Explaining a Few Things” (1937) by Pablo Neruda

Full Poem: https://www.poemhunter.com/poem/i-m-explaining-a-few-things/

 

Treacherous

generals:

see my dead house,

look at broken Spain:

from every house burning metal flows

instead of flowers,

from every socket of Spain

Spain emerges

and from every dead child a rifle with eyes,

and from every crime bullets are born

which will one day find

the bull’s eye of your hearts.

 

And you’ll ask: why doesn’t his poetry

speak of dreams and leaves

and the great volcanoes of his native land?

 

Come and see the blood in the streets.

Come and see

The blood in the streets.

Come and see the blood

In the streets!

 

Where is the wisdom we have lost in knowledge? Where is the knowledge we have lost in information?

Leonardo and Michelangelo, Triumph and Disaster 

ARTH-UA 350.001, Fall 2019

Please do not hesitate to come and see me during my office hours or by appointment.

To schedule a meeting, please sign up in the large binder, located in the Dept.’s front office, or speak to me personally.

 

Prerequisite: Hist. of W. Art II or Renaissance Art, or with instructor’s permission.

 

Principal texts & outside readings

 

Martin Kemp, Leonardo da Vinci: The Marvellous Works of Nature and Man, 2nd ed. (Oxford and New York: Oxford University Press, 2006). — * Only text listed here not available via NYU Bookstore

Leonardo da Vinci, Leonardo on Painting, ed. and trans. Martin Kemp and Margaret Walker, 2nd ed. (London and New Haven: Yale University Press, 2001).

Anthony Hughes, Michelangelo (London: Phaidon Press, 1997).

Ascanio Condivi, The Life of Michelangelo, trans. Hellmut Wohl, 2nd ed. (University park, PA: Pennsylvania State University Press, 1999).

 

* Highly recommended but not required:

Giorgio Vasari, The Lives of the Artists, trans. J. and P. Bondanella (Oxford World Classics, 1998).

Hugo Chapman, ed., Michelangelo Drawings: Closer to the Master, exh. cat., British Museum, London, and Teylers Museum, Haarlem (New Haven and London: Yale University Press, 2005).

Everyone must purchase the four required texts. Copies have been ordered at the NYU Bookstore but the same texts should also be available from internet discounters (Amazon, Alibris, etc.) at comparable, if not better, prices.

The required readings will provide important background information and overviews. Additional assigned readings will focus mostly on firsthand accounts, criticism and artists’ own writings that reveal the concerns of artists and patrons through unmediated (yet hardly unbiased) accounts. Most important, these primary sources will invite us to study the artistic and cultural events of the fifteenth and sixteenth centuries through the eyes of those who lived them. The secondary reading material – available as scans –will pertain to more specific themes, strengthening your grade on exams if thoughtfully incorporated into your responses; many will focus as much on scholarly method as on pure content.

Many, if not all, of the secondary readings will be available to you on our NYU Classes site (to be found under the “Resources” tab). Another, equally convenient alternative (available for most, but not all, of the English-language journals that we will require) is the online source JSTOR, accessible from any computer connected to the NYU network: http://www.jstor.org/action/showBasicSearch

Course description

“He who, without Fame, burns his life to waste

leaves no more vestige of himself on earth than

wind-blown smoke, or foam upon the water.”

Dante, Inferno 24: 49-51

“The divinity which is the science of painting transmutes the painter’s mind itself into a likeness of the divine mind.”

– Leonardo, on creating phantoms, beautiful or otherwise, that never existed in nature but convinced the eye (Codex Urbinas 36; Treatise on Painting, trans. McMahon, I, 280, 113).

This is a upper-level Renaissance course and will require considerable effort on your part. Many of the images that we will examine are inherently challenging in the complexity of their formal and conceptual vocabulary and polyvalence of meaning. What better case in point than the fugitive theory and practice of the ever-questing Leonardo da Vinci: architect, engineer, sculptor, inventor, philosopher, mathematician, expert in anatomy, optics, natural science, hydraulics, ballistics, cartography – and, yes, sometime painter.

As rigorous as this course may be, I hope that it will reward and stimulate you in equal measure. You will be acquainted with the lives and artistic (and literary) careers of two of the most influential figures of the Italian Renaissance from the second half of the 1400s to the 1560s: Leonardo and Michelangelo. By necessity then, we will focus predominantly on the culture of Florence, Milan, and Rome, three artistic centers where intellectual, commercial and devotional life went hand in hand with painterly and architectural magnificence.

As a matter of course, our study will also bring us into contact with our formidable duo’s one-time mentors, consisting of such versatile practitioners as Andrea del Verrocchio, Domenico Ghirlandaio, and Bertoldo di Giovanni – without whom our inquiry would remain one-dimensional at best.  At various points, our cast of characters will expand to also embrace Masaccio, Donatello, the Pollaiuolo brothers, Sandro Botticelli, Filippino Lippi, Piero di Cosimo, and Raphael.

Having excavated the roots we will move on to address questions of legacy. To this end, we will examine the new pictorial modes emerging around 1520 in the richly varied art of Leonardo’s and Michelangelo’s younger contemporaries, chief among them Raphael, Andrea del Sarto, Jacopo Pontormo, Rosso Fiorentino, Giulio Romano, Correggio, and Parmigianino. A close study of these vanguard masters as individual figures, laboring at their art with very specific intentions and audiences in mind, will, in turn, allow us to critically question the validity of broader – and often reductive – historical concepts such as “classicism,” “Gothic,” “High Renaissance” and “Mannerism.”

It is my hope that our diverse approaches to this remarkably fertile period will foster analytical thinking and searches for unifying connections and symmetries rather than neat and orderly definitions. Works will be examined both as physical objects, with sensitivity to their intended function and reception, and as visual images within larger cultural contexts. The latter approach will introduce students to a wide range of methodological lenses and different types of art historical writing, addressing themes such as: artistic practice and technique, issues of style, the heritage of antiquity, iconography, patronage, economics and material culture, artistic rivalry and competition, and modes of creative exchange, transmission, and quotation. Special attention will be given to the surviving material evidence, both in terms of formal analysis and each object’s manufacture and condition.

Rather than aiming for systemic classifications of types or engaging in pure formal analysis, we will take up these various leads to trace, in microcosm, the transformations that took place at a given time in the lives and careers of flesh-and-blood artists – all of whom were born, lived, worked, struggled, experienced great triumphs and dispiriting failures, and died. In between, they produced some of the most compelling and moving images in the history of art.

Requirements

Regular class attendance and punctuality, active engagement and keeping current on reading assignments are expected. Three unexcused absences (without a note from a physician or Health Center professional) will result in a drop in a letter grade for the class (from A to A- and so on). Leaving early twice will equal one absence.

Reading should be coordinated with lectures and should be done before class and the introduction of new topics. Before each class, students are also advised to glance over the class notes from the previous lecture. We will cover a great deal of material and cramming is hardly a smart approach. So, please do your best to study the material as it is presented to you: the perfect antidote to later panic attacks and all-nighters.

If you don’t believe me, here’s an excerpt from an insightful NYT article, “Research Upends Traditional Thinking on Study Habits” (9.7.2010): When the neural suitcase is packed carefully and gradually, it holds its contents for far, far longer. An hour of study tonight, an hour on the weekend, another session a week from now: such spacing improves later recall, without requiring students to put in more overall study effort or pay more attention, dozens of studies have found. No one knows for sure why. It may be that the brain, when it revisits material at a later time, has to relearn some of what it has absorbed before adding new stuff – and that that process is itself self-reinforcing.” Changing up the physical environments in which you study seems to help with retention of information, too.

Some of the visual material might not be readily familiar to some of you. The same can be said for certain vocabulary. Please use an art dictionary if you come across unfamiliar terms – or names. As always, students will be responsible for the meaning of all the terms discussed in the previous class, both for following the next lecture and participating in our discussions. Everyone will also be responsible for the correct spelling of the relevant terms on the exam and research paper.

To this end, the Grove Dictionary Online provides an excellent resource. Your old Gardner or Janson textbook (for History of Western Art I & II) offers a useful glossary in the back as well. I have also gone ahead and posted additional glossaries on NYU Classes.

As far as useful surveys on Renaissance art history are concerned, or if you simply want a quick refresher, I would recommend as two fine introductions to Italian Renaissance art: Frederick Hartt, History of Italian Renaissance Art: Painting, Sculpture, Architecture; or John Paoletti and Gary Radke, Art in Renaissance Italy.

For Northern European art, I would suggest: James Snyder, Northern Renaissance Art: Painting, Sculpture, the Graphic Arts from 1350 to 1575.

 

Finally, I would encourage everyone to exchange their phone number/email with at least one other classmate with whom he/she can correspond regarding missed material, contact to share ideas or clarify topics covered in discussion or readings.

Grading

The grade for the course will be based on the following (again, subject to the professor’s discretion):

Midterm exam: 25 %

Final exam (on material post-midterm): 40 %

Research term paper (to be discussed): 35 %

 

Attendance and active participation in our class discussions are a given. You are expected to bring your top game every day to class –as I too promise to bring mine.

 

The midterm and final will cover not only material presented in lecture but also the assigned readings, and will include some combination of the following, to be decided:

  1. terminology; 2. slide comparisons; 3. slide unknowns; and 4. short essays

 

Images appearing on the exams will be drawn exclusively from the objects illustrated in the required readings and those discussed in class. That said, students are expected to remember pertinent information and terminology from previous sections. Therefore, in your preparations I would urge you to review the whole chapter(s), not just the brief passages that apply narrowly to the works you must know. If you understand the period as a whole, you will be able to place and make sense of images you have never seen in lecture that you will encounter in the slide unknowns.

 

For each artwork appearing in the exams, everyone is responsible for the object’s

  1. title or subject / type of object (if without a title)
  2. artist
  3. medium / media and support (example: fresco or oil on canvas)
  4. date (within ten years)
  5. original location, only if the object remains in situ (that is to say, it has never been moved). If a painting was originally installed in the church of Santissima Annunziata in Florence and is still there, you need to know that. You do not need to know the location if this work is now in The National Gallery, London.

 

As all of us well know, New York museums provide an extraordinary setting for a near-encyclopedic study of works in the original. For this course, the Met Museum, Frick Collection, and the Morgan Library & Museum in particular will allow us many opportunities to engage directly with visual objects. Everyone thus will be expected to take full advantage of all available opportunities to view permanent collections and temporary exhibitions outside of class. There are wonderful shows on offer this term!

 

 

Main rules of engagement

 

* As mentioned above, three unexcused absences (without a note from a doctor or Health Center professional) will result in a drop in a letter grade for the class (from A to A- and so on). Leaving early twice will equal one absence. I have eyes like a hawk … at least for a few more years yet.

 

* No make-up exams are given unless in the case of a serious illness or a family emergency. This is non-negotiable. Absence from exams without previous communication will result in a grade of F for the exam. Therefore, do not make travel plans that will conflict with the examination schedule; you will not be excused because of an airline reservation or similar reason.

 

* Extensions for the writing assignment will not be granted, so please do not ask. Papers that are not handed in when due will not be accepted. If you are absent on the date the paper is due, the paper must still reach us, dropped off in the professor’s departmental mailbox by a friend or roommate.

* Papers are never to be accepted as email attachments. No exceptions.

* Your paper must be typed, either 1.5- or double-spaced. It is strongly recommended that you keep all of your written submissions after they are handed back; this is very helpful for me in case I am asked for a letter of recommendation in the future.

Other important reminders

* Leave the outside outside. Please keep all cell phones turned off. Texting is an absolute no-no.

 

* The use of electronic devices in general (laptops, smartphones, tablets) is prohibited in class during lecture.

* Please come to class on time and stay until its every exciting finale. If you absolutely must leave early, please do so with minimal disruption.

 

* No food is allowed in the classroom.

 

* Students may not tape-record lectures or recitation sections, unless given permission by the instructor in light of special circumstances.

Students with disabilities

If you are a student with a documented disability who will require accommodations in this course, please contact me as soon as possible.

Research consultation at Bobst Library

 

Giana Ricci, the Librarian for the Fine Arts at Bobst, has kindly offered to conduct student-initiated consultations about various aspects of your projects. Consultations can be held in-person at her office at Bobst Monday-Friday, based on availability. Schedule an appointment by contacting her via email: giana.ricci@nyu.edu

Be sure to have specific questions ready when the two of you meet.

DAH Writing Tutors & the NYU College Learning Center

I encourage everyone to take full advantage of our fantastic art history-specific writing tutors – both graduate candidates at the Institute – who are available every Monday to Friday downtown in the DAH from 12.30-2.00pm.

Some of you may find that you need or want extra help with class matters. Expert (and free) peer-on-peer tutoring – albeit not necessarily given by an art history student – is available at the College Learning Center, located at Weinstein Residence Hall at 5-11 University Place, 1st floor. Contact: Ms. Soomie Han (998.8160). General contact info.: 212.998.8085 or cas.learning.center@nyu.edu. To find out more, visit: http://www.nyu.edu/cas/clc/

Internet Use and the Virtue of the Virtual

 

“Where is the wisdom we have lost in knowledge? Where is the knowledge we have lost in information?” – T.S. Eliot, “The Rock”

 

Nothing can replace the experience of standing before Leonardo’s Last Supper in the refectory of S. Maria delle Grazie, Milan. The best print reproduction offers a less than satisfying substitute. The World Wide Web does present us with a readily accessible and often helpful resource to study art. Leonardo himself is proof enough that the creative and the technical mind are far from mutually exclusive and capable of producing extraordinary results. Nonetheless, the element of speed and convenience that makes the Web so tempting should be approached with caution, as it can become all too easy to go adrift in an ocean of information that is inaccurate, misleading, and ultimately unreliable. The “WebMuseum,” put together by a computer technician, is the most notorious example of unfiltered information with dubious, undisclosed sources. As many of you already know, Beware!

 

I strongly encourage everyone to read the “Guidelines for Evaluating Websites,” written by the Electronic Resources Librarian at the Metropolitan Museum and providing useful criteria for critically judging the legitimacy of any given site. The main question to be answered is whether the site was designed by a recognized authority in the field … or someone who merely pursues art history as a hobby.

 

I ask that a student should consult with me prior to using any website as a research tool for a written assignment. The following are a few of the trustworthy sites of which students should take full advantage:

 

For images, online:

 

  1. ARTstor – one of the finest image data services available

http://library.artstor.org/library/welcome.html

  1. Bridgeman Art Library – another excellent image data service

– http://www.bridgeman.co.uk/search/quick_search.asp

  1. Index of Christian Art – available online via Bobcat. Search “Index of Christian Art database”; follow the link and click on “Explore the Database” (top right) on the homepage. A useful resource for images focusing on earlier material (through 1500), often with bibliographic citations.

 

* Museum web sites are traditionally reliable and the image quality is improving by the day.

 

Artist-specific research resources (available through Bobst’s web site – go to “Find Resources” – “Articles via Databases” – “Database title”: [type in] “Art”):

 

  1. Grove’s Dictionary of Art Online – http://www.groveart.com/shared/views/home.html

For the original in hard copy, see J. Turner, ed., The Dictionary of Art, 34 vols. (NY, 1996).

  1. Encyclopedia Britannica Online – http://www.britannica.com

 

For finding specific articles via online indexes/databases (available through Bobst’s web site – go to “Find Resources” – “Articles via Databases” – “Database title”: [type in] “Art”):

 

  1. JSTOR
  2. Art Abstracts (indexes over 300 art journals; coverage is from 1929 to present and 1984 to present)
  3. BHA, or Bibliography of the History of Art (indexes approximately 2,500 American and European art journals; coverage is from 1973 to the present).

The Met’s website in fact offers a useful, tried-and-true list of online resources, organized by curatorial departments, under the heading “Educational Resources.” Particularly useful is the site’s Heilbrunn Timeline of Art History, which can be searched by Chronology, Works of Art, or Essays: http://www.metmuseum.org/toah/chronology/

Academic Integrity & Plagiarism

 

I hold my students accountable to the highest standards of academic honesty. Academic dishonesty is a violation of the very principles upon which our college community is founded. As in any community, membership comes with certain rights and responsibilities. Cheating on an exam or a paper undermines the efforts of others who are playing by the rules and doing the work on their own.

 

NYU has a zero tolerance policy for plagiarism, as do I. Buying final paper online or submitting a project completed by someone else are the most flagrant manifestations of plagiarism, yet it assumes other forms that are no less offensive. If I find that you have cheated on an exam or plagiarized a paper– passing off the ideas or concepts of another as your own without giving due citation or credit – you will at best receive a zero on the paper. At worst, the punishment may include failure in the course and other disciplinary action on the part of the University. You must therefore use proper footnotes/endnotes and bibliography, when applicable (form to be discussed before your first writing deadline). If you are unsure as to how to cite sources, please do not hesitate to speak with me.

 

 

Explain how critical thinking can be used to promote the effectiveness of individuals, groups and organisations.

1
BSc Study Skills Workshop
BSc Year 2019/20
Final assessment
Academic Year 2019-2020
Term I
Course:
Study Skills
Module Leader:
Clive Woollard
Length of examination:
1500 words +/- 10%
Due date:
November 24th 2019
Oral presentation due:
Week 9 @class time
Percentage of final grade given:
80% written component
20% oral presentation
Assignment
This is an individual assignment.
This paper will test your abilities, to study a particular area, write a well referenced report/ project and present an academic argument.
Write an academic essay addressing one of the topics below. The essay should be around 1500 words +/- 10% and be properly structured. There should be a brief introduction, a main body with at least three sections and a clear conclusion. Each section should have sufficient paragraphs, whose beginning statement should clearly indicate their main focus. Convincing arguments are expected to be brought forward within each paragraph. Arguments and discussions should be clearly supported and evidenced by relevant academic sources. Comprehensive and relevant research is crucial to the writing of this essay.
All sources must be referenced in the text and a full bibliography must be provided in alphabetical order in Harvard style. The essay should be typed in the Times New Roman font; size 12; with left alignment, double spacing and page numbering. A Turnitin report should be provided with the essay to ensure plagiarism is not practiced.
2
The content should be sourced from at least 8 unique sources, published post 2010. At least three of the sources should be an academic journal article and another should be a reputable or seminal book about the topic selected. Each source mentioned must be utilized to aid argument construction in several paragraphs. Paraphrasing is essential in all part of the essay. The whole essay should be seen as comprehensive, with an array of arguments. Consistency and cohesiveness in writing style is expected. Proper use of the written English language is to be expected. Creativity and originality is, nonetheless, recommended.
Select one topic from:
1. If you were to start a Franchised Food Business (e.g. Starbucks) near your school, which one would it be and why? Please, provide your own analysis of current food retailing and provide recommendations as to how your format could be more commercially successful than existing ones.
Use keywords food, franchise, retailing, geomarketing, business format.
2. In the light of increased Tariffs by the US on European Cheese, how can a European dairy big in the US market maintain its profitability and revenues without changing the business focus? Please, provide a critical analysis of the case and your recommendations.
Use keywords dairy, exports, trade war, business strategy
3. Review the Gillette advert supporting the Me2 campaign. Give an example of a product/ service category where the use of ethical, political or religious overtones in their communication campaigns could end up backfiring on the company. Please provide a critical analysis of recent example of such failure and your recommendations to the management of such company..
Keyword: fast moving consumer goods, controversial adds, launch failure
The current assignment is connected with the following learning outcomes:
 Demonstrate understanding of key study skills. Use references, keywords and bibliography
 Explain and critically apply theories and concepts to practical business scenarios.
 Explain how critical thinking can be used to promote the effectiveness of individuals, groups and organisations.
3
Report structure
To do so, student will produce a 1500 word report on the following items. This individual assignment will equal 100% of the final grade. The report will have an introduction, body and conclusion which will account for the word count. Bibliography will be required but will not be a part of the word count.
Referencing should abide by the Harvard rules and it is also mandatory.
Grading:
ASSESSED COMPONENT
Mark
(out of 100%)
Weighting
(as per mod. spec)
Calculated Mark
Individual Written Work
80%
Oral Component
20%
STRUCTURE AND FORMAT OF THE REPORT:
This is an individual assignment.
Make sure your writing is precise and to the point. Your paper should not exceed 1500 +/-10% words per student, excluding appendices and references.
We suggest the report follow the following structure
Format of the report:
1. The report should display a coherent structure: title page should include student name, module name, lecturer name, date and school name followed by contents page, introduction, executive summary, methodology, findings, analysis, conclusions, recommendations, referencing and appendices.
2. The report should be prepared as a neatly typed Word document (Times New Roman 12 points), with double spacing and page numbering.
3. All reports will be discussed in class in a power point presentation of no more than 20 minutes. The presentation should be a summary of your work. The powerpoint presentation should be printed 4 slides per page and submitted attached to your report, otherwise submission will be rejected.
4. Tables or work/data taken from other sources may be included in an appendix.
5. All sources must be referenced in the text and a full bibliography must be provided (including visited websites) in the Harvard style referencing system. Paraphrasing or direct quotes taken from other sources must be clearly indicated with citations. No footnoting!
6. Students are reminded that depth, relevance and variety are the crucial elements of
4
quality research. (Wikipedia is not considered to be a relevant source of information; any students referencing Wikipedia will be deducted marks! Alternatively, if you find information on Wikipedia use the original sources listed at the bottom of the article)
7. Students are reminded to use valid and peer-reviewed references to support their work. Websites should only be used if they represent an established source and only for facts and figures. Students should make the most of academic and practitioner books and articles.
8. Submission should be by the deadline below and should include a hard copy to the lecturer and an electronic copy to your academic coordinator
9. All work must conform to University regulations on Cheating, Collusion and Plagiarism’ as described in your program handbook. You are advised to use the Harvard referencing style and avoid plagiarism.
Deadline: Midnight November 24th 2019
Reports, must be uploaded on Turnitin.com by midnight on November 24th 2019. Only when this has been done will the Report be considered submitted.
Coursework must be submitted for assessment by the due date. Coursework is deemed to have been submitted once it is lodged in accordance with the assessment requirements for the module or unit.
Late submission:
Coursework may be accepted after the deadline, but 5% will be deducted from the face value mark (5 marks) for work submitted before the end of the day after the due date, and 10 marks for course work submitted up to one week after the due date. (For example, if a piece of work deserves a mark of 48pc, 43pc will be recorded if the work is submitted before the end of the day, and 38pc – fail – if the work is submitted up to a week late). If the imposition of the penalty deduction results in a fail mark, the student will be deemed to have failed the assessment. Assessments which are marked with a literal grade, or which take the form of presentation, performance or exhibition may not be submitted late. Submission of coursework arising from reassessment may not be submitted late.
If you fail to submit an electronic version of your work, your mark will normally be recorded as a non-submission. However, if on the due date for your assignment, Turnitin is unavailable due to technical difficulties, students must submit the electronic version of your work as soon as possible to the academic Office. Your tutor will be aware of the situation and may well have informed you of such problems, so you will not risk penalties. You should submit the hard copy of your work as normal by the deadline.
Oral presentations are due in week 9.
Students absent on the oral presentation date without a valid justification, will receive 0 for their oral component.
Turnitin Details: Please see submission details on the ESE Student Portal
5
GENERAL MARKING CRITERIA (UNDERGRADUATE STUDIES)
Outstanding Quality
80-100%
Excellent work:
70%-79%
Above
satisfactory work:
60% – 69%
Satisfactory:
50 – 59%
Below satisfactory
work:
40% – 49%
Failure:
Below 40%
Relevance
Innovatively addresses objectives of the assessment task, especially those components requiring sophistication of critical analysis, synthesis and evaluation.
Excellent knowledge
and understanding of material and an imaginative sense of its relevance across a range of issues, and context or policy situation; excellent
use of course material
and other relevant information to support
Very good use of
course material and other information; well-chosen to support arguments relevant to question
Competent use of
course materials and other information to support most arguments
Some use of
appropriate course materials and experience to support arguments; capacity to identify relevance, but may be rather
narrowly focused and miss out important areas
Little or no sign
of relevance
Content
A clear and consistent line of highly critical and evaluative argument, displaying the ability to develop one’s innovative ideas from the work of others. Creative flair in theoretical and conceptual analysis.
Independent and
creative, and demonstrates clear thinking; ability to analyse and critically evaluate material
Good knowledge
and understanding of the material, across a broad spectrum, combined with an ability to evaluate, analyse and reflect on key issues
Reasonable
knowledge of the material and ability to draw upon more than one source
for ideas; uses key themes well.
Adequate
understanding and use of course and other relevant material; mostly descriptive, but with some grasp of key course themes and issues and a capacity to discuss these in context
Very limited
knowledge and understanding and the issues involved
Depth
Wide range of recommended and relevant sources used in an innovative and consistent way to support arguments. In depth use of sources beyond recommended texts, demonstrates creative flair in independent research.
A sensitive awareness of conflicting arguments and ideas
and of their provenance. Clear grasp of implications.
Well organized use
of most of the major points with an ability to draw upon them creatively and critically; awareness of conflicting arguments and
ideas and attempt to address them in context
Capacity to
grapple with conflicting arguments and ideas; beginning to draw together and synthesize ideas and perspectives from a range of theory
Some attempt to
address the conflicting arguments and ideas from the course, some signs
of an attempt to take an evaluative, analytical and critical stance; some appropriate use of concepts, but with only limited evidence of independent hiki
Lack of
awareness of conflicting arguments and ides
Structure
Outstanding visual and written presentation. Sophisticated yet clear and accessible style. Possibly innovative yet logical and fluent organisation and development of materials. Articulate, coherent and succinct. Relationships between statements and sections are clear and precise. Referencing is accurate and, appropriate.
Excellent
organisation of material; clear, logical flow of argument; good sign-posting throughout
Good, clear
framework and reasoned argument with evidence of careful thought
Sensible use of
major points integrated into the answer; logical flow of ideas is apparent
Framework is
apparent with an introduction, argument and conclusion, but
the logical flow and coherence is not always consistent and may be difficult to follow
Little or no
evidence of planned structure and organisation

Describe whether your research question was supported from the hypothetical data. Be sure to incorporate statistical significance into your answer.

PSY 510 SPSS Assignment 4

Before you begin the assignment:

  • Review the video tutorial in the Module Eight resources for an overview of comparing means in SPSS.
  • Download and open the Food Consumption SPSS data set.

An overview of the data set:

This data set presents the results of a hypothetical experiment that examined dieting, food consumption, and mood. In the first session of the experiment, a sample of dieters and non-dieters were given a plate of food from a popular restaurant. The amount of food (in ounces) that they consumed was measured. In addition, their mood was measured. One week later, the same participants were tested again. This time, while they were eating their plate of food, they also watched a funny movie. Researchers again measured food consumption and mood, as well as participants’ feelings about their body and self-esteem. Specifically, the following variables are included:

  • Subnum: This is the ID number given to track each participant in the experiment.
  • Dietingstatus: This identifies whether or not the participant self-identified as a dieter. If the participant was not dieting, he or she was coded as a “1”, and if the participant was dieting, he or she was coded as a “2”.
  • Consumption1: The amount of food (in ounces) eaten at time 1.
  • Consumption2: The amount of food (in ounces) eaten at time 2.
  • Mood1: Participants’ mood at time 1. Scale ranged from 1 (negative mood) to 10 (positive mood).
  • Mood2: Participants’ mood at time 2. Scale ranged from 1 (negative mood) to 10 (positive mood).
  • Bodyimage: Participants’ self-reported body satisfaction. Scale ranged from 25 (dissatisfied) to 50 (satisfied).
  • Selfesteem: Participants’ self-esteem rating. Scale ranged from 15 (low self-esteem) to 30 (high self-esteem).

Questions:

1a) Use the Compare Means function to examine the means for dieters and non-dieters on the Body Image and Self Esteem variables.

Paste relevant output below:

1b) Describe the differences in means that you see.

Type your answer below:

2a) Conduct independent samples t-tests to see if the differences noted above are significant. In other words, conduct two independent samples t-tests, one examining the relationship between Dieting Status and Body Image and one examining the relationship between Dieting Status and Self-Esteem.

Paste your relevant output below (Read carefully: The best way to do this is to select “Copy Special” when copying from the SPSS output. Then select image as a format to copy. When pasting in Word, select Paste Special, choose a picture format, and then resize the image so it fits the screen):

2b) Use the Sig. (2-tailed) column to find the p-values for each test. Based on these p-values, are either of the tests significant? How do you know? Based on the significance of the tests, what would you conclude about the relationship between dieting and body image and the relationship between dieting and self-esteem?

Type your answer below:

3a) Use SPSS to calculate the means for Consumption1, Consumption2, Mood1, and Mood2.

Paste your relevant output below:

3b) From the means, describe how scores on Consumption and Mood changed from Time 1 to Time 2.

Type your answer below:

3b) Conduct dependent samples t-tests on the Consumption variables and the Mood variables. In other words, you need to conduct two separate dependent samples t-tests.

Paste your relevant output below (use the same copy/paste technique as in 2a)

3c) Use the Sig. (2-tailed) column to find the p-values for each test. Based on these p-values, are either of the tests significant? How do you know? Based on the significance of the tests, what would you conclude about the changes in consumption and mood?

Type your answer below:

4a) Describe a research hypothesis (unrelated to the Food Consumption dataset) that could be assessed using a dependent samples t-test. Be sure to describe your variables.

Type your answer below:

4b) Enter hypothetical data relevant to your research question for at least 10 participants. Then, conduct a dependent samples t-test on the data in SPSS.

Paste relevant output below:

4c) Describe whether your research question was supported from the hypothetical data. Be sure to incorporate statistical significance into your answer.

Type your answer below:

 

Why it is important to look at what paramedics think about the evolving role?

MSc Delivering Quality Health Care (Paramedic Practitioner Programme)

Dissertation NURM112

Abstract

 

Title

Exploring paramedics views on training to provide wound care in the community.

The study’s aims are to;

Understand paramedics opinions and views towards providing this service and whether paramedics think providing this service is part of their role.

The study’s objectives are to explore;

The barriers and facilitators to paramedics providing wound care.

Paramedics perception of their knowledge of wound assessment and treatment choice.

Paramedics attitudes towards carrying out this role.

Method

A qualitative Grounded Theory approach using focus groups was used. From a review of the literature it appears that there has been little investigation into Paramedic’s developing scope and a theory regarding their perceptions of ability to carry out this role has not been formulated. This lack of earlier investigation suggests that the use of Grounded Theory is appropriate. Ingham-Broomfield (2015) supports this when describing how this method allows for the researcher to use inductive reasoning to attempt to develop a social theory for a phenomenon that has none. Grove (2017) goes on to state that, while data is collected and examined repeatedly, the researcher identifies concepts and relationships between them allowing for a greater understanding to emerge.

Results

Conclusion

Chapter 1

Introduction

  • Introduction

The NHS continues to be put under ever increasing pressure and that with finite resources, more efficient and new systems of working need to be implemented. Seeking to address this shortfall in capacity the Urgent and Emergency Care review NHS England (2013) advocates the treatment of patients as close to their home as possible. NHS England (2016) supports this when stating that the number of patients transported to hospital should be reduced by developing the role of the paramedic.

In order to achieve this NHS England (2013) encouraged the development of the paramedic’s scope of practice which is supported by the College of Paramedics Post Registration Career Pathway (2015). Brooks et al (2015) agrees when identifying the requirement for developing paramedics wound care education, to avoid unnecessary wound care referrals. Not being able to treat minor wounds themselves has the effect of delaying care and putting nursing and specialist paramedic services under unnecessary pressure. With the correct training and education non specialist paramedics can address this issue Urgent and Emergency Care review (2013).

 

1-2 Background

Current Health policy in the UK, set out in the NHS papers Urgent and Emergency Care review (2013) and Five Year Forward View (2014), describe how care should be provided as close to the home as possible. These papers go on to state that Urgent and Emergency care services are to be redesigned to ensure an integrated service between Ambulance, GP, NHS 111 and other urgent care providers with the aim of an improved patient care and efficiency. The NHS Confederation (2008) suggest that due to the myriad of avenues to obtain advice and treatment, individuals are often resorting to the Ambulance Service to provide this advice and care. For these two reasons urgent care, which is defined as care provided to patients urgently when they require, or they feel they require an urgent intervention, be that advice or treatment, has become an increasing aspect of paramedic practice. NHS 111 are also triaging calls to the Ambulance Service that may have otherwise been seen in primary care and that between 2009 and 2016 calls to the Ambulance Service from the public and NHS 111 rose from 7.9 million to 10.7 million, a 30% increase, without a comparable rise in funding, The National Audit Office (2017)

Concerns that Emergency Departments and Ambulance Trusts are under intense pressure to address this rise in demand has driven the requirement to develop the role of Ambulance staff, especially in the areas of clinical history taking, physical examination and treatment skills of paramedics.

In response to this, the role of the paramedic has evolved and extended which has been recognised by the College of Paramedics (2015) who state that the potential contribution that a well-educated and highly trained paramedic workforce can make to healthcare, through its unique field of practice, that intersects healthcare, public health, social care and public safety, has yet to be fully appreciated and understood. Paramedics are very well regarded by the general population and closer engagement of this workforce with pre-hospital urgent care and prevention of hospital admission, should be of benefit to the wider community, College of Paramedics (2013). This is supported by Spence (2017) who describes how paramedics make a valuable contribution to hospital avoidance and appropriate care in the community. Paramedics are now developing into highly trained, professionals, experienced at seeing the same types of patient that a GP sees, and are being supported, both educationally and organisationally to keep patients at home, linking in with the multi-disciplinary health care team, Spence (2017).

The emerging consensus is that paramedics are autonomous professionals at the point of registration and are well placed to effectively deliver a patient focused, out of hospital urgent care service, which was previously the remit of specialist nurses and specialist paramedics, College of Paramedics (2013).

To enable this situation to be realised, a more robust education and training system needs to be in place. The College of Paramedics (2013) state that the current education and training model, in England, is very locally determined, resulting in varied student experiences and different levels of learning outcomes achieved at the point of registration. They are addressing this with the Paramedic Evidence Based Education Project, which is attempting to strategically direct the provision of a more standardised robust education and training curriculum to enable the profession to realise its potential.

The background section is improving but you still seem to be diverting to new/side issues e.g. why paramedics may be leaving the profession. At this stage, it is enough to highlight that there is high turnover rather than going into detail. There should be a clear distinction between entry level and advanced level practice. There should be a clearly stated interest in the impact and acceptance of changing and extending paramedic roles. There should be more information about the wound care role and why you have selected this to study.

Keep to your bullet points for your argument, e.g.

  • increasing pressure and demand on emergency services
  • policy drive to keep care close to home
  • in response to this, the role of the paramedic has evolved and extended
  • you are focusing on the regular, entry level paramedic role – summarise some of the changes occurring here (examples of role expansion), e.g. paramedics acknowledged as making a valuable potential contribution in a range of areas of care – this has been acknowledged by recent review of education and banding?
  • however there are also changes occurring in the move towards specialist areas of practice and advanced practice roles, including prescribing (this is the bigger picture? why is it important?)
  • Why it is important to look at what paramedics think about the evolving role? (you haven’t really made this point clear yet). Is job satisfaction and high turnover part of this answer? If so, link it to your rationale, e.g. given that the role is evolving at a rapid pace and there is evidence for high staff turnover, it is important to examine this topic in more detail.
  • Explain wound care, context and why chosen

Chapter 2

Literature Review

2.1 Introduction

The aim of the review is to identify and examine evidence regarding the factors that affect the development of the paramedic role and practical skills development. Research investigating the changing role of the paramedic and whether the profession feels ready to take on extended roles shall be examined.

This review shall provide an insight in the level of investigation and scrutiny the developing paramedic role has been subjected to. Polit and Hungler (1995) discuss the variance in quality of evidence available and advocate the necessity of acquiring evidence from reputable sources and critiquing this information in a robust and equitable manner. Blaxter (1997) supports this view when stating that a robust literature review is essential to put work in context and draw from recognised bodies of knowledge. Although discussing nurses, Ousey (2001) describes how they should be critical when reading research and not assume it has a sound research base. nurse education has developed to meet this challenge with new registration academic levels at Degree level, and more recently paramedic education has changed to facilitate this with the introduction of Degree level pre registration courses. This level necessitates the critical evaluation of evidence facilitating an enquiring nature, allowing both paramedics and nurses to use these skills to accept or reject information affecting their practice.

2.2 Search Strategy

Wichor et al (2018) describes how the creation of search strategies for systematic reviews can be a difficult balance between being too specific and to broad. This results in either no results, too many results or lack of confidence in the robust and accurate nature of the search. They found that there appeared not to be a consistent approach for carrying out a fully replicable search. Therefore, they developed a simple search strategy that shall be used to find papers for the Literature review.                         Their method uses a step wise approach using single line search phrases and adding these to a thesaurus to ensure completeness (Table 1). This method helps individuals develop systematic reviews to search for evidence to inform their research.

Table 1

1 Determine a clear and focused question
2 Describe the articles that can answer the question
3 Decide which key concepts address the different elements of the question
4 Decide which elements should be used for the best results
5 Choose an appropriate database and interface to start with
6 Document the search process in a text document
7 Identify appropriate index terms in the thesaurus of the first database
8 Identify synonyms in the thesaurus
9 Add variations in search terms
10 Use database-appropriate syntax, with parentheses, Boolean operators, and field codes
11 Optimize the search
12 Evaluate the initial results
13 Check for errors
14 Translate to other databases
15 Test and reiterate

Wichor et al (2018)

Using the frame work described, searches were made using CINAHL and MEDLINE databases and Google scholar. These were used as they are advocated by both the National Institute for Health and Care Excellence (NICE) (2017) and the US National Library of Health (2017) describing them as the premier databases pertaining to life sciences. Reading University (2018) describe Google scholar as an acceptable search engine for accessing a wide rage of literature but state researchers should guard against using it as a sole reference as it is unclear which publishers are included and which excluded.

Key words for the search were Paramedic/s AND/OR Developing AND/OR Extending AND/OR Primary, AND/OR Community, AND/OR Urgent, AND/OR Wound.

 

2.2.1 Inclusion and Exclusion criteria

 

A date range of consisted of 2008 to 2018 was used as it covers the period of rapid paramedic practice development driven by increasing demand of an aging population which is reflected in the Urgent and Emergency Care review (2013), and the NHS Confederation (2008) A Vision for Emergency and Urgent Care.

Only English language texts were included due to lack of funding for translation, which is acknowledged as a weakness in the literature review. Full text and research only articles were included, non research articles were excluded from the literature review due to lack of rigor although they are used in the discussion. Following this a hand search was also completed, which is described by Wichor (2018) as an acceptable method for searching the literature.

 

2.2.2 Search results

 

As demonstrated by the search results in table 2 there were 906 papers identified with paramedic in the title or text these were further filtered using the keywords in table 2 and duplicates discarded. These were then further filtered assessing their relevance to the aims of the study and 10 papers were found that met the inclusion criteria were included in the review. table 3.

 

Table 2

CINHAL, MEDLINE, Google Scholar and Hand Search (English Language, full text, Jan 2008 to Sept 2018, filtering duplications)

Search Term And Results Relevant Available
Paramedic (Tile/Text)   906    
Paramedic (Title)   202    
Paramedic (Title) developing (Text) 16 3 3
Paramedic (Title) Extending (Text) 1 0  
Paramedic (Title) Primary (Text) 25 2 2
Paramedic (Title) Community (Text) 45 5 5
Paramedic (Title) Urgent (Text) 3 0  
Paramedic (Title) Wound (Text) 8 0  

 

Table 3

 

Authors Date Title Publication
Reeve, C. Pashen, D. Mumme, H De La Rue, S, Cheffins, T. 2008 Expanding the role of paramedics in northern Queensland: An evaluation of population health training BMC Geriatrics. 2018; 18:104.

www.10.1186/s12877-0180792-5

 

Roberts, L. Henderson, J. 2009 Paramedic perceptions of their role, education, training and working relationships when attending cases of mental illness British Journal of Midwifery Vol 24 No 6
Bourdon, E 2914 A Qualitative Study on Quevec Paramedics’ Role Perception and Attitudes of Cynicism and Disengagement within the Context of Non Urgent Interventions.

Accessed on: 10/11/2018

Conference: NAEMSP 2014 Annual Meeting at Tcson.

Available at: www.reseach.net (Requested from author)

(Hand Search)

 

Pauley, T. Dale, A 2016 Train together to work together: Reviewing feedback of community-based skills drills training for midwives and paramedics PLoS One 13 (12)

www.10.137/journal.pone.0208391

 

Tavares, W. Bowles, R. Donelon, B. 2016 Informing a Canadian paramedic profile, roles, and crosscutting themes. Health Services Research Apr 21 Vol 17
Rees, N. Porter, A. Rapport, F. Hughes, S. John A.

 

2017 Paramedics’ perceptions of the care they provide to people who self harm: A qualitative study using evolved grounded theory methodology Public Library of Science Vol 13 (10)
Simpson, P. Thomas, R. Bendall, J. Lord, B. Close J. 2017 Popping nana back to bed – a qualitative exploration of paramedic decision making when caring for older people who have fallen Australian Journal of Rural Health Vol 16.
Streeps, R. Wilfong,D. Hubble, M. Bercher, D. 2017 Emergency Medical Services Professionals’ Attitudes About Community Paramedic Programs. Journal of Emergency Primary Health Care  Vol 7(2)
Mi, R. Hollander, M. Jones, C. DuGoff, E. Caprio, T. Cushman, J. Kind, A. Lohmeier, M. Shah, M 2018 A randomized controlled trial testing the effectiveness of a paramedic-delivered care transitions intervention to reduce emergency department revisits BMC emergency Medicine 13:13

www.10.1186/1471-227X-13-13

 

 

McCann TV, Savic M, Ferguson N, Bosley E, Smith K, Roberts L.

 

2018 Paramedics’ perceptions of their scope of practice in caring for patients with non-medical emergency-related mental health and/or alcohol and other drug problems: A qualitative study. PLoS ONE 13(12): e0208391. https://doi.org/10.1371/journal. pone.0208391

 

There were no papers that explored paramedics views on developing their wound care role. Therefore, papers looking at paramedic’s perceptions to their developing role in other areas, such as mental health and low acuity presentations, were included. Notable amongst these is the qualitative exploration by Simpson et al (2017) describing the perception of the paramedic’s role when caring for what was described as low acuity calls. Roberts and Henderson’s (2009) mixed method study regarding paramedic’s feelings towards caring for patients with mental illness was included as it looked into similar perceptions of the developing paramedic scope as was Rees et al (2018) Grounded Theory study exploring attitudes towards self harm. This was also the case with Reeve et al (2009) exploring the development of paramedics practice in primary care.

A strength of the search is that it used a replicable structure, however a weakness was that it had to rely on key words being in the title, due to the fact that when key words were included in the text the search was too broad. Hand searching found a number of related papers of which Bourdon’s (2014) qualitative study on Quebec paramedic’s role perception was included which found that there was a degree of cynicism and disinterest regarding low acuity presentations. Although, this paper was in French and for that reason not initially included this was revised once a translation was obtained and it relevance revealed. Sanderson et al (2007) described a number of useful tools for assessing literature, the Critical Appraisals Skills Programme (CASP) CASP UK (2019) being one of them. It is also the tool recommended by the University of Surrey. On this basis it was chosen as the tool for critiquing the evidence selected by the literature search. However, Sanderson (2007) cautions that there must be a robust process in place for these types of tools development. The CASP checklist was used for all the literature selected to provide equity of assessment.

 

2.2.3 Critical review of research on paramedics developing role within the health care system

Three themes emerged from the literature review which were: Are new expanding roles the paramedic’s responsibility? Are developing roles affecting perceived core roles? Do paramedics feel prepared for new roles?

2.2.4 Are new expanding roles the paramedic’s responsibility?

Roberts and Henderson (2009) mixed method study explored paramedics perceptions of their role regarding mental health attendances. This study consisted of a survey, interrogation of the South Australia Ambulance Service Data base and three focus groups conducted within the same Ambulance service. Their findings, to be reflected by Simpson et al (2017) a decade later, were that paramedic’s perception of their place within health care was different than the reality of their expanding role. Simpson et al (2017) described a qualitative exploration of paramedic decision making when caring for older people who have fallen. Simpson used a constructivist grounded theory methodology. Which Glaser (2012) describes as an appropriate methodology when little is known regarding the subject, and when starting without pre conceived assumptions regarding a hypothesis. Although Strauss (1998) cautioned against becoming constrained and described how the focus of the research may develop and change during the research process. This was the case with this study which started with the aim of exploring paramedic’s decision making with regards elderly falls, but developed into the perceived role of the paramedic, once thematic analysis was applied to the semi structure interviews and further explored in focus groups.  Simpson et al (2017) concluded that paramedic decision making regarding elderly falls is affected by their personal, organisational and societies perceived role of a paramedic. And that clarification of their role and decision making, and education and training for low acuity presentations is required to ensure paramedics give this cohort of patient’s evidence based equitable care. The paper acknowledged the limitations, in that the researcher was an experienced paramedic and may have inadvertently become a participant in the study and affected the results. The study was set in an Australian Ambulance service which operates a similar model to the UK, thus adding a level of external validity. Interestingly although carried out in Australia, Roberts and Henderson (2009) earlier study was not referenced in Simpson’s (2017) paper? This may highlight a limitation with Grounded Theory where the focus of a study may change and previous work not referenced as it was not initially seen as relevant. Rees et al (2018) Grounded Theory study exploring paramedic’s perceptions of care provided to patients who self harm also highlighted the perception that a paramedic’s primary role is that of acute life saving interventions rather than caring for those that self harm. This is further supported by McCann et al (2018) who’s mixed method study revealed disagreement between paramedics regarding whether this was routine paramedic work or an extended role.

2.2.5 Are developing roles affecting perceived core roles?

As described above both Rees et al (2018) and McCann et al (2018) studies suggest that mental health care is perceived as taking paramedics away from their core role of acute life saving interventions. Tavares (2016) explores this further when studying the Canadian paramedic profile using a mixed method approach finding that there is a shift in the traditional paramedic role that is putting a tension on traditional roles and expectations of both the workforce, management and society. He concluded that more work needs to be done to address these potential tensions between actual and perceived practice to fully embrace the development of the service. Roberts and Henderson’s (2009) study went on to describe how the implications for paramedic practice in rural areas are that there is the potential for the profession to undertake a greater role in the provision of health care within their communities. It was also suggested that the development of the paramedic role into a more Primary care focused service may improve retention of staff, which is at odds with Simpson et al (2017) and Henderson ‘s (2009) findings that paramedics did not perceive low acuity care to be their remit. However, countering these findings are Streeps (2017) cross sectional survey aimed at gauging the attitude of Emergency Medical Service personnel in the southern US. This study sought paramedic’s opinions on developing a Community Paramedic program, finding that the majority of those questioned were willing to participate in additional study to deliver an extended scope of practice, for the benefit of the population they served. However as this was a quantitative survey using a likert scale, the depth of information regarding attitudes and opinions was limited, which Blaxter (1997) describes as a recognised limitation of quantitative methods. Bourdon’s (2014) study wasn’t found during the initial search as it was not in English. However, following a hand search and correspondence with Emmanuelle Bourdon an English copy of her power point presentation given at the National Association for Emergency Medical Professionals conference (2014) (NAEMSP) was kindly provided. It is acknowledged that this is a less than ideal method of reviewing the literature, however this paper is one of the few available that is directly related to this dissertation’s aims and objectives. Bourdon used a qualitative Grounded Theory approach to investigate paramedic’s perception in relation to the changing role of the paramedic. Using snowball and purposeful sampling and individual interviews, results indicated that paramedics perceived their role to be orientated towards emergency care. Attitudes of cynicism and disengagement were described when caring for low acuity presentations and it was felt that these were not core functions. She goes on to theorise that this conflict between perceived and actual role may affect quality of care and the level of engagement paramedics have with these patients. This assertion supports Simpson et al (2017) and Henderson ‘s (2009) findings regarding role perceptions in mental health and community care.

2.2.6 Do paramedics feel prepared for new roles?

Roberts and Henderson (2009) found that paramedics felt educationally ill prepared for caring for mental health patients and that communication between agencies was limited and not configured to give the best support to paramedics and the patients being cared for. Countering this Reeve et al’s (2008) quantitative study explored the expanding role of the paramedic in rural Australia found that paramedics are an underused resource in remote and rural areas of Australia, and that working with the local healthcare multidisciplinary team would benefit patients, especially in the areas of health promotion and care planning. This study explored expanded roles for paramedics and undertook a survey of paramedics working in different locations. A cohort of paramedics attending the rural and remote Paramedic Practice course were asked to express their opinions on their developing role and their experience of the course, by questionnaire pre and then post course. This study used a qualitative survey method using open ended questions encouraging a more in depth response to explore how the expanding role of the paramedic was perceived by the paramedics them selves. All of the paramedics that attended the course felt that they had benefited and were in a better position to make decisions and act in an autonomous manner.

2.3 Conclusion

A key finding of the literature review revealed that there is a general agreement that the paramedic’s role is developing to support societies needs. However, there appears no consensus regarding the three themes identified. This further identifies the need for further research in this area. Due to the contradictory results found during the literature review the formulation of a theory regarding paramedics opinions on providing wound care cannot be made. This is further support towards using a Grounded Theory approach for this study. Following on from this assertion, is that the review of the literature suggests that the paramedics perception of their role is key in facilitating the change from an emergency focused model to the more wide ranging scope, that many developed nations health care systems and aging populations require. In the reviewed literature there is a consistent assertion that paramedics are ideally positioned to deliver a range of care from chronic to acute in nature. However, the literature suggests that there is still a perception, from themselves, society and employing organisations that their role is providing high acuity acute emergency care rather than primary, chronic and mental health orientated. Which is contrary to numerous government papers and the literature reviewed suggesting that it is in caring for long term chronic illness and looking after patients with low acuity conditions where they are likely to have the greatest effect. However, reviewing the literature has demonstrated the lack of research into whether paramedics feel prepared for this change. The literature that has been reviewed is international in nature, therefore caution should be taken in assuming that the results are directly transferable to UK paramedics.

Taking into account the limitations expressed above, the literature appears to suggest that paramedics, society and employing organisations perception of the role of the paramedic is at odds with the reality. Therefore the aim of this study to explore paramedics opinions regarding developing their role regarding wound care will add to the body of knowledge investigating the paramedics role in the 21st century.

 

Chapter 3

Research Design, Methodology and Method

 

3.1 Introduction

 

The earlier chapters have set out the background to this study in the context of the rapidly developing role of the non specialist paramedic. This was further explored during the literature review that demonstrated that there has been no specific published research assessing paramedics views on providing a wound care service. However, studies regarding other areas of development have been reviewed and have informed this research. As the researcher’s Trust is implementing training to facilitate wound care, and this is the first extended scope of practice area to be developed, it is important to find out paramedic’s views on this subject, to inform an effective change management strategy as advocated by Lewin (1947). This chapter shall therefore set out the study design and method used, discussing their strengths and weaknesses to explore paramedics opinions and views on providing wound care in the community.

 

Study Aim

 

To understand paramedic’s opinions and views towards providing a wound care service and whether paramedics think providing this service is part of their role.

 

Methodology and approach

 

Gray (2014) describes the importance of understanding the theoretical stance of research and goes on to state that theory guides the methodology used in a piece of research. He also describes how an initial theory may be challenged during the research process and replaced with a new one. As this study is looking into what paramedics feel, rather what can be proved, an interpretivist approach will be used.  This approach is appropriate for exploring social sciences especially within this study when a greater depth of understanding is required regarding paramedics opinions and views, this approach does not take the data at face value and strives to find underlying meaning, comparing words with other data such as emotion, body language and expression Kruger (1994).

 

Mcleod (2018) states, that when studying people, their beliefs and attitudes the traditional scientific, quantitative approach to research is less appropriate as it has a reduced ability to address the human aspects of the study, such as the participants experiences, thoughts and feelings. A qualitative approach, is more able to explore the phenomenon Mcleod (2018). As q

 

In contrast quantitative research aims to support or reject a theory using numerical data. This data is then turned into useful information by employing statistics that can then be used to suggest relationships between cause and effect.  Denscombe (2010) states that quantitative experiments do not usually take place in a natural setting,  or allow participants to explain choices and add meaning to their responses, although there are exceptions. This can lead to inferences being drawn from incomplete information. Another disadvantage is that of poor statistical analysis of the data and subsequent interpretation. There is also the issue of bias where the researcher misses’ phenomena as they are focussed on a theory and inadvertently make the data fit the theory. Studies also have to be of a suitable scale to be statistically significant which has resource issues attached to it.

However, a strength of quantitative data, is being able to be be swiftly interpreted with mathematical statistical analysis, which is viewed highly in scientific circles and is viewed as rational and scientifically objective Denscombe (2010). This makes it very useful for testing and validating formed opinions and theories and is highly replicable and un ambiguous in its nature.

To explore paramedics opinions and views towards providing wound care in the community, whether they think providing this service is part of their role and to understand the perceived barriers and facilitators to providing this service, requires an approach that allows for a depth of understanding to be investigated. As the literature review was ambiguous regarding the identified themes, the use of Grounded Theory was selected as it is an appropriate methodology for generating theory from a relatively unexplored area such as this.

When studying people, their beliefs and attitudes the traditional scientific, quantitative approach to research is not appropriate as it fails to address the human aspects of the study. Such as the participants experiences, thoughts and feelings. A qualitative approach is more able to explore the phenomenon. Mcleod (2018) goes on to discuss how qualitative research aims to understand the social reality of individuals, groups and cultures as nearly as possible as its participants feel it or are living it. So groups and individuals are studied in environments as close to their norm as possible.

Denscombe, (2010) describes that although qualitative research can play an important role in suggesting possible relationships, causes and effects, as noted earlier it lacks the level of validity that can be found in a quantitative method. However this does allow for contradictions in the results that are reflective of society.

 

Grounded Theory 3.2.3

Grounded Theory shall be used and is supported by Engward (2013) who describes Engward (2013) goes on to describe how the process uncovers patterns which are analysed during the research and may lead to direction changes and the discovery of a theory that the researcher may only become aware of during the study. Glasier ((2005) cited in Engward 2013) supports this when describing how Grounded Theory is interested in exploring how people experience phenomena and relate and react to it. This is especially appropriate when investigating the non specialist paramedic population whose role is rapidly developing with little consultation with them, as the service providers. Ke (2010) describes Grounded Theory is a good approach for obtaining and analysing qualitative data. Although a literature review is often carried out the research is not reliant on formulating a theory from the data found in a literature review. In traditional research this theory is formulated and then tested in the real world. The difference with Grounded Theory is that there is not pre conceived theory and that data is gathered from the real world, rather than being bound in theory and then tested once that theory has been formulated. Glaser and Strauss (1967) suggest that the theory develops as the the research progresses. It is therefore an ideal method for exploring paramedics views regarding developing their practice.

As with all approaches, Grounded Theory has its strengths and weaknesses. Positive aspects of this approach are that the study is flexible and can adapt as the findings and themes start to emerge from the data, that the findings can be refined and further developed and the resulting theory can be used to inform future studies. Weaknesses, however are that its is time consuming, develops a large amount of data and it can be difficult to sift the data for relevant information. Understanding when data saturation has taken place and then developing a theory from that information can also be challenging. However being aware of these strengths and weaknesses allows for mitigation in the form or robust processes to be put into place, which are discussed in section 3.2.7.

3.2.4 Sampling and recruitment

Participant sampling is carried out to ensure maximum variation in the sample and continues until there is sampling saturation. This is described by Cooper et al (2009) as when no new themes or data are emerging. Analysis of the data is then carried out after coding and theory developed from the themes that emerge. In qualitative research there tends to be three main types of data that are collected. These are interviews, observation of practice and document review. To explore how paramedics feel regarding their developing role a number of focus groups shall be undertaken allowing for observation and analysis of interaction between participants in the group. It will not be possible to include the whole population of Trust paramedics due to time and resource constraints. As the goal of qualitative research is to develop an understanding of a populations experiences, thoughts and feelings a criteria based sampling technique shall be used. The three main types of sampling for qualitative research are, quota, purposeful and snowballing sampling Bell (2010).  This study shall use purposeful sampling, where the sample is chosen as they fulfil certain criteria. In this case that is being a member of the paramedic population and as a member of that population they are a sub set who have just received wound care training. On considering the sample size the Trust had stated that the course numbers should not be greater that 12 participant’s. Therefore, a sample of more than 12 was not an option and multiple focus groups were assessed as being required. Bloor (2001) states that the best groups size is between six to eight participants, noting that below that number can risk limited discussion and above risks that no all participants will have their views heard.

 

 

3.2.5 Data collection and analysis

Focus groups shall be used which allow the researcher to gain an insight to non specialist paramedic’s views regarding wound care.  Kitzinger, are versatile and can quickly gather data that can be analysed as the research progresses after the first focus group. Data also emerges from participants responding to other participants comments and how the discussion evolves. This has the effect of drawing out data that may not have been identified during an isolated interview and may become a catalyst for change itself. Seal et al (1998) found that where interviews were good for identifying an individual’s views they could not necessarily be placed together to suggest a group view. Where as focus groups are well suited to gathering shared attitudes and beliefs and drawing out previous unshared data, which is relevant to this study’s aims. Disadvantages to be addressed equate to potential breach of confidentiality and conflicts within the group, which have to be managed sensitively but firmly by the facilitator. This suggests that the success of focus groups is very dependent on how skilled the facilitator is in addressing issues as they arise. This is partially mitigated by ensuring the group interview is robust, a pilot is carried out and that ground rules are laid out and understood prior to commencing the group. Another issue is that of recording both the verbal and non verbal data, which is complex and requires skill to interpret. Recording of the groups shall be carried out using two recorders that have been tested in the setting during a pilot to ensure quality of sound as problems with transcription occur with poor sound quality and where individuals are difficult to differentiate between. Non verbal information shall be gathered by the facilitator using field notes taking into account the format suggested by Krueger and Casey (2009). It is acknowledge that this is a difficult process that will focus on the following areas; emotion, strength of feeling, where attitudes change during the discussion and withdrawal from the discussion Bell (2010).

Due to the practicalities of arranging focus groups following wound care study days two focus groups were facilitated. Bloor (2001) describes how analysis of focus group data is subtly different than from other methods due to the interactive nature of the groups and how this may influence responses and discussion. This interaction and how it affects the data must be taken into account when analysing an individual contribution to the focus group. To mitigate this the analysis of data from a focus group data must acknowledge the group dynamics and the situation that the data was gathered in.

Data collection was obtained via recordings and field notes taken during the focus groups, which was then transcribed and analysised before the next focus group. These identified themes were further explored in the subsequent focus group. The data its self, unlike numerical quantitative data, is closely associated with thoughts, feelings, expression and the words that are chosen to describe these. These were analysed by using a three step process consisting of developing codes that are initially open and organise the data, following this is Axial coding that aims to determine links between the categories of identified coded data and then selective coding that aims to frame a story from the interconnecting coded categories. The second step identifies relationships and patterns within the data, such as words and phrases frequently used, comparing this with qualitative data found in the literature review. And step three is the summarising of the data to support a hypothesis, or in the case of Grounded Theory form a hypothesis.

3.2.6 Ethics

 

Ethical considerations are an important aspect of any research and were addressed in accordance with the Department of Health (2005) framework for research governance, participants who were invited to take part were kept fully informed of the purpose of the study and written informed consent gained. Participants were also made aware that information pertaining to their participation will be kept in accordance with the Data Protection Act (2018) and managed by Surrey University as the sponsor. The only information that will be kept is the information they submit on the consent form, that each participant will be requested to sign which will not be linked to the data in any way.

The study proposal was submitted to both the University of Surrey and South East Coast Ambulance Service Trust Ethics committees, receiving a favourable response Annex ??

When involved in research there are a number of ethical principles that need to be addressed. These are beneficence, do good, non-malfeasance, do no harm, protect confidentiality, give participants the right to withdraw and avoid deception.  The RCN (2004) summarises this by stating that research ethics are concerned with confidentiality, informed consent, data protection and addressing potential benefits and harms. Central to addressing these issues is the importance of informed consent, this aims to ensure that participants are aware of the aims and objectives of the project, the methods that will be used and any risks or benefits inherent in the research. Informed consent for this study was obtained by ensuring potential participants were given a copy of the participant information sheet, Annex ?? and given the opportunity to discuss the project with the researcher or supervisor, should they wish. Another aspect of informed consent is to ensure that participants are volunteers and that there has been no coercion or deception to manipulate them to take part, which is also explained in the participant information sheet Annex ??. Gray (2014) supports this stating that it is of great importance to ensure that participants are fully informed when agreeing to take part in research. As noted earlier this was addressed using a participant information sheet which detailed the purpose and nature of the study, risks and benefits, the projects funding, how data will be handled and stored and described how confidentiality will be ensured. It also detailed the route for candidates to take should they have concerns or further questions and described how the focus group will be conducted and that it is voluntary following a wound care study day. The researcher ensured that he carried out the research in an area away from where he worked and did not know any of the participants with the aim of avoiding coercion bias.

 

3.2.7 Rigour and Validity

According to Burns (1993), the validity of a study provides a ‘measure’ of the truth or accuracy of a claim. This reflects the confidence that can be placed on the results of a study. Beck (1993) describes how Grounded Theory can be criticised for a perceived lack of validity and rigour. Beck (1993) went on to identify credibility, auditability and fittingness as the main concepts of qualitative rigour. However Cooney (2009) states that to demonstrate these in a Grounded Theory study is not as straight forward a question as it seems. Cooney (2009) identifies different stages regarding the answering of this question, which are consistent with Glaser and Strause’s (1967) two main criteria for assessing emerging theories. These are that the theory fits the situation and that it helps people involved in the situation make sense of it. However, Elliott (2005) argued that this level of rigour is inadequate and suggest that it is more important to consider that appropriate research methods were used and carried out correctly and consistently. Cooney (2009) literature review found three broad concepts of proving rigour in Grounded Theory. These were; methodological rigour, concerned with ensuring the methods were used correctly and consistently;  interpretative rigour emphasizing the trustworthiness or the data interpretation and combined focus which as it suggests is a combination of both concepts. Davis (2002) and Cooney (2009) both advocate how a combined focus method allows the greatest demonstration of rigour within Grounded Theory. This is the concept that was used for this study, ensuring that both the method and theory generation were peer reviewed to expose, any methodology or interpretative inconsistencies’.

 

 

Chapter 4

Presentation of Findings

4.1 Introduction

4.2 Discussion

4.3 Conclusions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Appendix 1

 

Research Summery for FHMS Ethics approval

 

MSc Delivering Quality Health Care (Paramedic Practitioner Programme)

Dissertation research proposal NURM112

 

Question

Are front line Paramedics ready to undertake wound care in the community?

 

The study’s aims are to;

Understand paramedics opinions and views towards providing this service.

Understand whether paramedics think providing this service is part of their role.

 

The study’s objectives are to explore;

The barriers and facilitators to paramedics providing wound care.

Paramedics perception of their knowledge of wound assessment and treatment choice.

Paramedics attitudes towards carrying out this role.

 

Background

Current Health policy in the UK, set out in the NHS papers Urgent and Emergency Care review (2013) and Five Year Forward View (2014), describe how care should be provided as close to the home as possible. To facilitate this paramedics are increasingly developing their role. This study aims to explore the attitudes and experiences of a group of paramedics after attending a wound care study day.

 

Method

A qualitative Grounded Theory approach using a focus group shall be used. From a review of the literature it appears that there has been little investigation into paramedic’s developing scope and a theory regarding their perceptions of ability to carry out this role has not been formulated. This lack of earlier investigation suggests that the use of Grounded Theory is appropriate. Ingham-Broomfield (2015) supports this when describing how this method allows for the researcher to use inductive reasoning to attempt to develop a social theory for a phenomenon that has none. Grove (2017) goes on to state that, while data is collected and examined repeatedly, the researcher identifies concepts and relationships between them allowing for a greater understanding to emerge.

Trust Paramedic Practitioners have been given the task of facilitating wound care study days. The Trust Learning and development team have been asked and have agreed to contact Paramedic Practitioners facilitating the training to ask if paramedics attending the study would consent to attending a focus group after the session, but still within the programmed working day. This shall be the opportunity to explore whether paramedics feel ready to carry out wound care and if they see it as their role. The Paramedic Practitioner who has facilitated the training will not be present at the focus group, as this could affect participants responses. I shall not observe the training day so as not to form any pre conceived ideas regarding the participants and shall only join to guide the focus group.

I shall facilitate the focus group ensuring that they are in areas within the Trust where I am not known. Identifying data of name and profession shall be collected, due to the requirement to obtain written consent, this data will be stored by Surrey University, as the sponsor, in accordance with the data protection act.

Results shall be promulgated via the Trust Learning and Development, who will not know who the participants are, with the aim that hey will be able to use the results to tailor further wound care development.

 

 

 

 

 

 

References

Grove, S. (2017). Evolution of research in building evidence-based nursing practice, In J.R. Gray, S.K. Grove, & S. Sutherland (Eds.), Burns and Grove’s the practice of nursing research: Analysis, synthesis, and generation of evidence (8th ed., pp. 18-36). St. Louis, MO: Elsevier.

Ingham-Broomfield, R. (2015). A nurses’ guide to qualitative research. Australian Journal of Advanced Nursing, 32(3), 34-40.

Monitor (2014) NHS paper Five Year Forward View. Monitor, London

Available at: www.gov.uk

Accessed on: 13/12/2018

 

NHS England (2013) Urgent and Emergency Care review

Available at: www.england.nhs.uk

Accessed on: 03/01/2019

Velmurugan, R (2017) Nursing issues in leading and managing change. International Journal of Nursing Education. Oct-Dec 2017; 9(4): 148-151

 

 

 

 

 

 

 

 

 

 

Appendix 2

FHMS Ethics Approval