A Reflection On Modern Medicine Essay

The Hippocratic Oath is a promise in essence â€Å"to do no harm† made by a new doctor before becoming a practicing physician. The oath has been a standard of the medical community for several centuries. It remains just as meaningful and valid today as when Hippocrates wrote it in 400 BC. Medical ethics in today’s modern society has become very blurry and hard to understand (Price 1). It is not the oath that has acquired a more complicated meaning. It is the practice of medicine that has become more complex. Presently, it is becoming increasingly more difficult for doctors to discern good medicine from bad medicine. In our current society political correctness, policy, and politics have come to define good medicine as opposed to what is best for the patient. Over a century ago, H. G. Wells was criticized for his novel The Island of Doctor Moreau written in 1896. Literary critics and the general public were appalled by the atrocities depicted in the text. Contemporary authors, physicians, and scientists could not fathom the cruel behavior of Doctor Moreau. And it was easy to see that Dr. Moreau was practicing bad medicine and had broken his vow ‘to do now harm. ’ The Island of Doctor Moreau was a novel written late in 1896 by H. G. Wells. The plot seems relatively simple and typical of a science fiction novel. A young civil servant is the sole survivor of shipwreck. He is found floating along side the island of Doctor Moreau who rescues him. The young man has no knowledge that Doctor Moreau has fled from his home nation fearing charges of animal cruelty. Upon first impressions, the young man falls in love with the island. Slowly he remembers stories about Dr. Moreau and the horrors he created. The lush fauna and sandy beaches are exciting and new to him. To paraphrase John S. Partington, in The Death of the Static: H. G. Wells and the Kinetic Utopia, Dr. Moreau’s island was like Eden, Dr. Moreau was God, and Prendick was like Adam. When curiosity gets the best of him he wanders deep into the overgrowth and what he finds there is deeply shocking. Doctor Moreau is using a process called vivisection to create a hybrid of animal and human. His research goal is to make man be absent of evil. In the end Moreau is killed and the young man, Prendick, escapes and lives to tell the tale. To gain a better understanding of the novel and the beliefs of H. G. Wells it is important to look at the prevailing scientific knowledge of the time in which the novel was written. The late 19th century was when Darwin first made known his theories of evolution and survival of the fittest. Darwin believed that all species including humans, change with time. In time when God was the creator of all, the idea of evolution and our link to other species was very disturbing to the general public. H. G. Wells was a contemporary writer of this time. In two of his most famous novels, The Time Machine and The Island of Doctor Moreau, he investigates the conflict between nature and God. In summary, H. G. Wells was not just an author but also a trained biologist. What could be more frightening than an island of beasts butchered by a mad scientist. Dr. Moreau does not just alter the bodies but using plastic surgery to make them appear human but also their minds (Mclean). He has them recite the laws he created. The gather together and chant â€Å"Not to go on all-fours; that is the Law. Are we not Men? † But that is not the worst of it. After the chanting of the Law comes the hymn of praise to their Creator: His is the House of Pain. His is the Hand that makes. His is the Hand that wounds. His is the Hand that heals. His is the lightning-flash. His is the deep salt sea. His are the stars in the sky†¦. To summarize Freeman Dyson point in his book titled Disturbing the Universe, a biologist like Wells has had to confront the idea, can the scientific community play god and if so, can they stay sane (Dyson 111). Can the scientific community remain objected and no let the power of life, death, and creation which is left in their hands go to their heads. If the answer is no, than the lesson is learned, and Dr. Moreau is what will be produced. A man who knows no ethical boundaries, who believes he is more powerful than God. Much of H. G. Wells writing explores the idea of what are the implications of modern biology gone wrong. By allowing people and animals to be altered, even if it is treatment for their â€Å"own good† the human race will loose two important anchors- our sense of identity, and the brotherhood of mankind. These two things keep us sane and of course any visitor to The Island of Dr. Moreau looses these completely. Certainly, Prendick does, he must fight for his life and kill, an activity he would never do had he not wandered upon the Doctor’s Island. The scientific community has come a long way since 1896. The knowledge of DNA, we know in detail how life is produced and reproduced. Whoever can read the DNA language can also learn to write it. Whoever learns to write the language will in time learn to design living creatures according to his whim. Presently, the public should fear not the crude Dr. Moreau’s with knives but the young, bright zoologist sitting at his computer cloning an extinct animal, or splicing genes in and out the human genome to create a superior human. Though it was science-fiction in 1896, Wells’ novel is frighteningly close to science today. The issues he pressed in this novel are still current. Even more so because the lines of what constitutes harm are very blurry. What Doctor Moreau did was wrong but aren’t plastic surgeons modern versions of Doctor Moreau? Except clients actually pay them to slice them up and make them more perfect humans. In 2003 there were 8. 7 million cosmetic plastic surgeries. This number is up 32% from 2002 (Hill). What Doctor Moreau did was wrong but aren’t therapists taking advantage of a nation’s worth of people who are â€Å"emotionally underdeveloped, psychically frail, and requiring the ministrations of mental health professionals to cope with life’s vicissitudes. Being â€Å"in touch with one’s feelings† and freely expressing them have become paramount personal virtues. Today-with a book for every ailment, a counselor for every crisis, a lawsuit for every grievance, and a TV show for every conceivable problem-we are at risk of degrading our native ability to cope with life’s challenges. † (Sommers). Is that any worse then Doctor Moreau solution of having his pseudo humans chant the rules of being human? Sally Satel who wrote Victimizing the ‘Victims’, which is the commentary exploring how political correctness in the medical profession is hindering the quality of patient care people receive. In summary Satel says, the goals of the public health sector have changed from using science to improve people’s lives to a â€Å"global ideology to manipulate the way people think about disease and its remedies. † The change is not for the better. Today, she argues, victimology is one of the biggest trends in medicine. There is a trend in the medical world to look at connection as the cause and make diagnoses accordingly. For example, it’s true that wealthier people tend to be healthier. But can you assume that poverty is responsible for higher levels of disease among the poor? Are the poor incapable of helping themselves? Well, yes, argue leading â€Å"indoctrinologists,† as Satel calls the backers of poltically correct medicine. Which is why two health experts could write in the American Journal for Public Health, â€Å"we must address the social inequalities that so reliably produce† these inequalities in health (Satel). HMO’s offer a similar problem. To paraphrase Sarah Cay Bradley viewpoint with the increase of HMO’s there has been a drastic decrease in how much Americans spend on healthcare, also decreasing is the quality of healthcare people are receiving. Doctors are forced to follow the rules of their demanding HMO partners. Even if what is in the best interest of the patient does not follow those rules. There are several cost effective policies that physicians are required to follow today. One concept is time is money, the quicker a doctor gets a patient out the more money that is saved. Doctors always seem to be in a hurry spending very little time actually speaking to their patients. Which can lead to misdiagnosis or overlooked health problems. Political correctness, policy, and politics drive the current scientific and medical communities. Instead of producing healthcare professionals who are compassionate and reflective, they produce professionals can simply follow instructions. Just because doctors today are following the rules set forth for them by insurance companies, and the government does not mean they are practicing good medicine. Perhaps they too, like Doctor Moreau, have forgotten their oath ‘to do no harm’ and replaced it with the creed ‘make more money. ’ In 1896 H. G. Wells, pondered in text, the â€Å"what ifs† of what could go wrong with modern medicine and science. The public rebuked his rather blunt commentary as foolishness and vulgarity. A hundred years later, Dr. Moreau has become the norm. Works Cited Dyson, Freeman. Disturbing the Universe. New York: Basic Books, 1979. Questia. 10 Dec. 2005 . Hill, Theresa. â€Å"More Than 8. 7M Cosmetic Plastic Surgeries in 2003, Up 32 Pct. Over 2002; For 12th Year, American Society of Plastic Surgeons Reports Statistics. † US New Wire Service. 8 March 2004. 09 Dec. 2005 . Mclean, Steven. â€Å"W. Warren Mclean. H. G. Wells: Traversing Time. † Utopian Studies 16. 2 (2005): 320+. Questia. 10 Dec. 2005 .

10 Silicon Facts (Element Number 14 or Si)

10 Silicon Facts (Element Number 14 or Si) Silicon is element number 14 on the periodic table, with the element symbol Si. Here is a collection of facts about this interesting and useful element: Silicon Fact Sheet Credit for discovering silicon is given to  Swedish chemist Jà ¶ns Jakob Berzelius, who reacted potassium fluorosilicate with potassium to produce amorphous silicon, which he named silicium, a name first proposed by Sir Humphry Davy in 1808. The name derives from the Latin words silex or silicis, which mean flint. Its probable English scientist Humphry Davy may have isolated impure silicon in 1808 and  French chemists Joseph L. Gay-Lussac and Louis Jacques Thà ©nard may have produced impure amorphous silicon in 1811. Berzelius is credited for the elements discovery because his sample was purified by repeatedly washing it, while earlier samples were impure.Scottish chemist Thomas Thomson named the element silicon in 1831, keeping part of the name Berzelius had given, but changing the ending of the name to -on because the element showed more similarities to boron and carbon than to the metals that had -ium names.Silicon is a metalloid, which means it has properties of both metals and nonmetals. Like other metalloids, silicon has different forms or allotropes. Amorphous silicon is usually seen as a gray powder, while crystalline silicon is a gray solid with a shiny, metallic appearance. Silicon conducts electricity better than nonmetals, yet not as well as metals. In other words, its a semiconductor. Silicon has a high thermal conductivity and conducts heat well.  Unlike metals, its brittle, and not malleable or ductile. Like carbon, it usually has a valence of 4 (tetravalent), but unlike carbon, silicon can also form five or six bonds.   Silicon is the second most abundant element on Earth by mass, making up over 27% of the crust. Its commonly encountered in silicate minerals, such as quartz and sand, but only rarely occurs as a free element. Its the 8th most abundant element in the universe, found at levels of about 650 parts per million. Its the principal element in a type of meteorite called aerolites.Silicon is needed for plant and animal life. Some aquatic organisms, such as diatoms, use the element to construct their skeletons. Humans need silicon for healthy skin, hair, nails, and bones, and to synthesize the proteins collagen and elastin. Dietary supplementation with silicon may increase bone density and reduce the risk of osteoporosis.Most silicon is used to produce the alloy ferrosilicon. Its used to produce steel. The element is purified to make semiconductors and other electronics. The compound silicon carbide is an important abrasive. Silicon dioxide is used to make glass. Because silicate minerals are c ommon, silicon oxides form rocks and are used to make glass and ceramics. Like water (and unlike most chemicals), silicon has a higher density as a liquid than as a solid.Natural silicon consists of three stable isotopes: silicon-28, silicon-29, and silicon-30. Silicon-28 is the most abundant, accounting for 92.23% of the natural element. At least twenty radioisotopes are also known, with the most stable being silicon-32, which has a half-life of 170 years.Miners, stone cutters, and people who live in sandy regions may inhale large quantities of silicon compounds and develop a lung disease called silicosis. Exposure to silicon may occur by inhalation, ingestion, skin contact, and eye contact. The Occupational Safety and Health Administration (OSHA) sets the legal limit for workplace exposure to silicon to  15  mg/m3  total exposure and 5  mg/m3  respiratory exposure for an 8-hour workday.Silicon is available at extremely high purity. Molten salt electrolysis of silica (silicon dioxide) or other silicon compounds can be used to obtain the element at 99.9% purity for use in semiconductors. The Siemens process is another method used to produce high purity silicon. This is a form of chemical vapor deposition where gaseous trichlorosilane is blown across a pure silicon rod to grow polycrystalline silicon (polysilicon) with a purity of 99.9999%.   Silicon Atomic Data Element Name: Silicon Element Symbol: Si Atomic Number: 14 Classification: metalloid (semimetal) Appearance: Hard gray  solid with a silver metallic luster. Atomic Weight: 28.0855 Melting Point:  1414  oC, 1687 K Boiling Point:  3265  oC, 3538 K Electron Configuration:  1s2  2s2  2p6  3s2  3p2 Density: 2.33  g/cm3 (as a solid near room temperature); 2.57 g/cm3 (as a liquid at the melting point) Oxidation States: 4, 3, 2, 1, -1, -2, -3, -4 Electronegativity: 1.90 on the Pauling scale Atomic Radius: 111 pm Crystal Structure: face-centered diamond cubic Heat of Fusion: 50.21 kJ/mol Heat of Vaporization: 383 kJ/mol Reference Weast, Robert (1984). CRC, Handbook of Chemistry and Physics. Boca Raton, Florida: Chemical Rubber Company Publishing. pp. E110. ISBN 0-8493-0464-4.

Presidential Retirement Benefits

Presidential Retirement Benefits Presidential retirement benefits were non-existent until the enactment of the Former Presidents Act (FPA) in 1958. Since then, presidential retirement benefits have included a lifetime annual pension, staff and office allowances, travel expenses, Secret Service protection, and more. The FPA was inspired by former President Harry Trumans life of modest means after leaving office. Though Truman lived well more than a decade after the acts passage, it didnt apply him. Former President Dwight D. Eisenhower became its first beneficiary. Pension Former presidents are offered a taxable lifetime pension equal to the annual rate of basic pay for the heads of executive branch departments, like the Cabinet Secretaries. This amount is set annually by Congress and is currently  $210,700  per year. The pension starts the minute the president officially leaves office at noon on Inauguration Day. Widows of former presidents are provided with a $20,000 annual lifetime pension and mailing privileges  unless they choose to waive their right to the pension. In 1974, the Justice Department ruled that presidents who resign from office before their official terms of office expire are entitled to the same lifetime pension and benefits extended to other former presidents. However, presidents who are removed from office due to impeachment forfeit all benefits. Transition Expenses For the first seven months, beginning one month before the January 20 inauguration, former presidents get transition funding to help them transition back into private life. Granted under the Presidential Transition Act, the funds can be used for office space, staff compensation, communications services, and printing and postage associated with the transition. The amount provided is determined by Congress. Staff and Office Allowances Six months after a president leaves office, they get funds for an office staff. During the first 30 months after leaving office, the former president gets a maximum of $150,000 per year for this purpose. Thereafter, the Former Presidents Act stipulates that the aggregate rates of staff compensation for a former president cannot exceed $96,000 annually. Any additional staff costs must be paid for personally by the former president. Former presidents are compensated for office space and office supplies at any location in the United States. Funds for former presidents office space and equipment are authorized annually by Congress as part of the budget for the General Services Administration (GSA). Travel Expenses Under a law enacted in 1968, the GSA makes funds available to former presidents and no more than two of their staff members for travel and related expenses. To be compensated, the travel must be related to the former presidents status as an official representative of the United States government. Travel for pleasure is not compensated. The GSA determines all appropriate costs for travel. Secret Service Protection With the enactment of the Former Presidents Protection Act of 2012 (H.R. 6620), on Jan. 10, 2013, former presidents and their spouses receive Secret Service protection for their lifetimes. Under the Act, protection for the spouses of former presidents terminates in the event of remarriage. Children of former presidents receive protection until they reach age 16. The Former Presidents Protection Act of 2012 reversed a law enacted in 1994 that terminated Secret Service protection for former presidents 10 years after they left office. Richard Nixon is the only former president to have given up his Secret Service protection. He did so in 1985 and paid for his own security, saying his reason was to save the government money. (The savings were estimated to be about $3 million a year.) Medical Expenses Former presidents and their spouses, widows, and minor children are entitled to treatment in military hospitals. Former presidents and their dependents also have the option of enrolling in private health insurance plans at their own expense. State Funerals Former presidents are traditionally granted state funerals with military honors. Details of the funeral are based on the wishes of the former presidents family. Failed Attempt to Cut Retirement In April 2015, Congress passed a bill titled The Presidential Allowance Modernization Act, which would have capped the pensions of all former and future former presidents at $200,000 and removed the current provision in the Former Presidents Act linking presidential pensions to the annual salaries of cabinet secretaries. The bill would have also reduced the other allowances paid to former presidents. Annual pensions and allowances would have been limited to a total of no more than $400,000. But on July 22, 2016, President Barack Obama vetoed the bill stating it â€Å"would impose onerous and unreasonable burdens on the offices of former presidents.† In a press release, the White House added that Obama also objected to provisions of the bill that would â€Å"immediately terminate salaries and all benefits to staffers carrying out the official duties of former presidents- leaving no time or mechanism for them to transition to another payroll.†Ã¢â‚¬â€¹

Intl management Assignment Example | Topics and Well Written Essays - 1000 words

Intl management - Assignment Example This leads to a cultural diversity within the company, which requires proper organizational management as well as cultural accommodation among all stakeholders. As a manager who has great knowledge about diversity of cultures as well as cross-cultural integration, I am able to bring all these diverse cultures together in order to achieve a cultural integration within the organization that leads to proper productivity. Furthermore, my skills in cross-cultural management will also enable me to influence other employees within the company to accommodate cultural differences of their fellow employees. This would lead to a religious and cultural accommodation of all members of staff whereby no one would look down upon the cultural background of others, or despise their religion. In fact, this would closely integrate the company in such a way that there would be no conflicts arising from ill opinion of workers expressed against the cultures or religious backgrounds of their fellow workers, or based on any other feature. As such, this would lead to increased cooperation and enhanced productivity within the company, hence profitability maximization. ... b.  What impact do you want to have? On whom?    I want to influence the entire company as a whole by enabling all members of the organization to be able to accommodate all people from different cultural backgrounds and settings. For instance, I want all employees to integrate properly with one another despite their different backgrounds and incorporate the virtues from their select groups in order to create a formidable production team at the company. c.  Whom do you want to know you benefited? In what ways? Apart from the general success that the organization will record as a whole due to the integration of different cultures, I would particularly want to influence the management team. This is because the management or leadership of a given company is what determines whether a company stays united as one or splits down into two or more pieces basing on cultural differences and other factors. As such, being part of the management team, I would use my position to work at integr ating different cultures within the organization and prove to the executive team that all cultures have the same output. d.  What do you want to learn? I want to learn how to mix different cultures and still have the same people without facing cultural discriminations, or breakages along any differential lines. This is because all persons carry the same equality despite their backgrounds or cultural affiliations. e.  How do you define your impact as a/n: employee, leader, manager, executive, etc.? As an executive, I define my influence in the company as monumental since cultural differences sometimes bring about serious conflicts and destruction of property and lives. For instance, in

Report on the analysis of the workplace behavior of Western Sydney Essay

Report on the analysis of the workplace behavior of Western Sydney - Essay Example Therefore the promotion of Carlene is appropriate. This therefore means that Carlene has a duty of meeting the requirements of Western Sydney, which is something she has proven to be capable of right from her position at the middle rank. Although Western Sydney is the main revenue generator for the group, it is worthwhile for them to put Carlene there as the CEO since she has the qualities necessary to steer the company to meet the requirements they have. Her one-month work at Western Sydney was a good point to get her to familiarize herself with the work environment and make changes as and when necessary. Carlene's identification of the stagnation and the traditionalist approach used by the Western Sydney was her justification for the alteration of the subsidiary's strategy from a conservative one to a more profitable business model that will generate profits. This is therefore the impetus for the need to change certain structures in different departments of Western Sydney, includin g the Operations Department where it can be logically inferred that the Operations Manager is maintaining a very traditionalist and authoritative structure which supports the stagnation identified by Carlene. There is therefore the need for the MD to give Carlene all the necessary support to attain this to ensure that Western Sydney, the cash cow of the group remains productive into the future. In the confrontation between the Operations Manager and the junior staff member, Carlene was using the mild form of disciplinary action in organizations, counseling to try to assert the fact that the Operations Manager went too far by physically assaulting the junior staff member. Assertive behavior is where an individual tries to justify,... The Operations Manager is undoubtedly a very experienced individual in what he does. He seem to have the competencies necessary to move the company to its strategic destination. All other individuals working at the company this therefore makes him a rare individual and a vital part of any progressive activity that they would be involved in. Such an individual needs to be included in the strategy of the organization even if he has some excesses as this operations manager seem to have. The Operations Manager seem to be in independent minded individual who always wants to do things according to a given plan or target. This is evident in the fact that the previous CEO stated that he is able to work within budget and meet targets. This presents the OM as a traditionalist who always works according to laid down principles and procedures. He appears to be a disciplined person and a disciplinarian who treasures authoritative systems and structures.

Nationalism Essay Example | Topics and Well Written Essays - 1250 words

Nationalism - Essay Example An example of this was the call to arms for soldiers, airmen, and sailors. Due to the amount of individuals who enlisted, there was no need to recruit, to include a large amount of United States soldiers who volunteered to join Great Britain against Germany.2 The Second World War was similar in the extent of nationalism, however countries having just started to rebuild from World War I did not have the resources or the capacity to wage war. Because of this, many countries even prior to the onset of war began to ask their citizens to restrict their usage of certain materials and there was soon a national effort in both Great Britain and the United States to recruit individuals of all ages to enlist, and those who could not enlist to help domestically with rationing and manufacturing efforts. The governments used their citizen’s nationalism to increase production and assist in the war effort. Interestingly, it was not only countries utilizing their own citizen’s sense of nationalism, but Germany used French nationalism to turn the French against their previous allies.3 This is one instance where nationalism actually created a divisive culture versus a unifying culture. Overall however, between World War I and World War II nationalism was a positive element of society. The method that many countries used to increase nationalism was the use of propaganda to both enrage and to gain empathy when necessary. An example of how propaganda was used in a negative way was the publications that eventually placed Japanese Americans in work camps in the United States. While the two world wars set multiple countries against each other, the cold war which started soon after the Korean Conflict was one ideology in the form of the United... The Second World War was similar in the extent of nationalism, however countries having just started to rebuild from World War I did not have the resources or the capacity to wage war. Because of this, many countries even prior to the onset of war began to ask their citizens to restrict their usage of certain materials and there was soon a national effort in both Great Britain and the United States to recruit individuals of all ages to enlist, and those who could not enlist to help domestically with rationing and manufacturing efforts. The governments used their citizen’s nationalism to increase production and assist in the war effort. Interestingly, it was not only countries utilizing their own citizen’s sense of nationalism, but Germany used French nationalism to turn the French against their previous allies. This is one instance where nationalism actually created a divisive culture versus a unifying culture. Overall, however, between World War, I and World War II nat ionalism were a positive element of society. The method that many countries used to increase nationalism was the use of propaganda to both enrage and to gain empathy when necessary. An example of how propaganda was used in a negative way was the publications that eventually placed Japanese Americans in work camps in the United States.While the two world wars set multiple countries against each other, the cold war which started soon after the Korean Conflict was one ideology in the form of the United States against another in the form of the Soviet Union.

Consequences of psychologic fixation Essay Example for Free

Consequences of psychologic fixation Essay The first stage of psychosexual development is the oral stage, spanning from birth until the age of two years, where in the infants mouth is the focus of libidinal gratification derived from the pleasure of feeding at the mothers breast, and from the oral exploration of his or her environment, i. e. the tendency to place objects in the mouth. The id dominates, because neither the ego nor the super ego is yet fully developed, and, since the infant has no personality (identity), every action is based upon the pleasure principle. Nonetheless, the infantile ego is forming during the oral stage; two factors contribute to its formation: (i) in developing a body image, he or she is discrete from the external world, e. g. the child understands pain when it is applied to his or her body, thus identifying the physical boundaries between body and environment; (ii) experiencing delayed gratification leads to understanding that specific behaviors satisfy some needs, e. g. crying gratifies certain needs. [5] Anal stage The second stage of psychosexual development is the anal stage, spanning from the age of eighteen months to three years, wherein the infants erogenous zone changes from the mouth (the upper digestive tract) to the anus (the lower digestive tract), while the ego formation continues. Toilet training is the childs key anal-stage experience, occurring at about the age of two years, and results in conflict between the Id (demanding immediate gratification) and the Ego (demanding delayed gratification) in eliminating bodily wastes, and handling related activities (e. g. manipulating excrement, coping with parental demands). The style of parenting influences the resolution of the Id–Ego conflict, which can be either gradual and psychologically uneventful, or which can be sudden andpsychologically traumatic. The ideal resolution of the Id–Ego conflict is in the childs adjusting to moderate parental demands that teach the value and importance of physical cleanliness and environmental order, thus producing a self-controlled adult. Yet, if the parents make immoderate demands of the child, by over-emphasizing toilet training, it might lead to the development of a compulsive personality, a person too concerned with neatness and order. If the child obeys the Id, and the parents yield, he or she might develop a self-indulgent personality characterized by personal slovenliness and environmental disorder. If the parents respond to that, the child must comply, but might develop a weak sense of Self, because it was the parents will, and not the childs ego, who controlled the toilet training. Phallic stage The third stage of psychosexual development is the phallic stage, spanning the ages of three to six years, wherein the childs genitalia are his or her primary erogenous zone. It is in this third infantile development stage that children become aware of their bodies, the bodies of other children, and the bodies of their parents; they gratify physical curiosity by undressing and exploring each other and their genitals, and so learn the physical (sexual) differences between male and female and the gender differences between boy and girl. In the phallic stage, Latency stage[ The fourth stage of psychosexual development is the latency stage that spans from the age of six years until puberty, wherein the child consolidates the character habits he or she developed in the three, earlier stages of psychologic and sexual development. Whether or not the child has successfully resolved the Oedipal conflict, the instinctual drives of the id are inaccessible to the Ego, because his or her defense mechanisms repressed them during the phallic stage. Hence, because said drives are latent (hidden) and gratification is delayed — unlike during the preceding oral, anal, and phallic stages — the child must derive the pleasure of gratification from secondary process-thinking that directs the libidinal drives towards external activities, such as schooling, friendships, hobbies, etc. Anyneuroses established during the fourth, latent stage, of psychosexual development might derive from the inadequate resolution either of the Oedipus conflict or of the Egos failure to direct his or her energies towards socially acceptable activities. Genital stage The fifth stage of psychosexual development is the genital stage that spans puberty and adult life, and thus occupies most of the life of a man and of a woman; its purpose is the psychologic detachment and independence from the parents. The genital stage affords the person the ability to confront and resolve his or her remaining psychosexual childhood conflicts. As in the phallic stage, the genital stage is centered upon the genitalia, but the sexuality is consensual and adult, rather than solitary and infantile. The psychological difference between the phallic and genital stages is that the ego is established in the latter; the persons concern shifts from primary-drive gratification (instinct) to applying secondary process-thinking to gratify desire symbolically and intellectually by means of friendships, a love relationship, family and adult responsibilities.