Using the Fear Hierarchy List in PTSD Therapy

Using the Fear Hierarchy List in PTSD Therapy PTSD Treatment Print Using the Fear Hierarchy List in PTSD Therapy By Matthew Tull, PhD twitter Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. Learn about our editorial policy Matthew Tull, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on August 17, 2019 Post-Traumatic Stress Disorder Overview Symptoms & Diagnosis Causes & Risk Factors Treatment Living With In Children Siri Berting/Blend Images/Getty Images A fear hierarchy is a list you make of the triggers that make you feel afraid or anxious. After you write them down, you rank them--from the one that makes you feel least fearful or anxious to the one that scares you the most. If you have posttraumatic stress disorder (PTSD), your list will likely be a catalog of situations, images, thoughts, memories, and other things related to your traumatic event. When Is a Fear Hierarchy Used? Typically used in exposure therapy for PTSD, a fear hierarchy is your guide to gradually exposing yourself to your PTSD triggers, starting with the least upsetting one and moving down the list. The goal: reducing your avoidance of triggers over time--and experiencing more of life as a result. For example, a woman who was raped may start off, at the beginning of her fear hierarchy, by watching television programs that include sexual assault. As she becomes more comfortable with seeing that experience, she moves down her list, gaining confidence, until she can successfully cope with her last item: actually visiting the place where her assault occurred. What Is Exposure Therapy? Exposure therapy is a behavioral treatment for PTSD that focuses on helping you “unlearn” learned behaviors (most commonly avoidance) that do little or nothing to help you cope with your frightening or anxiety-provoking PTSD triggers. Of course, it’s understandable that, after a traumatic event, you might take action to avoid situations that appear threatening, even though they may not be. You naturally want to prevent your original trauma from happening again; it’s just that avoiding your fear and anxiety triggers isn’t an effective way to do it. However, if you’ve been avoiding your PTSD triggers, don’t be down on yourself. Avoidance is a common safety-seeking, protective response. But it’s important to know that in PTSD, as avoidance behavior becomes more extreme, your quality of life may lessen. For example, you could lose touch with family and friends or have problems at work or in relationships.In addition, avoiding your PTSD symptoms can make them stick around longer or even get worse. Fortunately, exposure therapy and the use of a fear hierarchy can be effective in helping you face your fears and anxieties and approach new experiences with more confidence. In addition to the fear hierarchy, exposure-treatment therapists often use the following techniques. In Vivo Exposure In vivo exposure is directly facing your feared objects, activities, or situations under the guidance of a therapist. For example, a woman with PTSD who fears the location where she was sexually assaulted (perhaps the most frightening item in her fear hierarchy) may be assisted by her therapist in going to that location and directly confronting those fears--assuming it’s safe to do so. Imaginal Exposure Imaginal exposure may help you “directly” face your fear and anxiety triggers by calling them up in your imagination. Why use this technique instead of real-life approaches? One reason may be that the real-life situation is no longer available or too dangerous--for example, a traumatic combat experience. Interoceptive Exposure Interoceptive exposure was originally developed to treat panic disorder. However, it’s been successful in the treatment of PTSD as well. This technique can help you face body symptoms you fear, such as shortness of breath or rapid heartbeat. For example, if you’ve listed shortness of breath on your fear hierarchy, your therapist may set up a safe and controlled situation in which you hyperventilate (take short, quick breaths), exercise until youre breathing rapidly, hold your breath, or breathe through a straw. Should You Try Exposure Therapy? Maybe you’re thinking that exposure therapy sounds scary in itself. (After all, you’ve probably worked hard to avoid your PTSD triggers.) But it’s really just like other treatments for PTSD that help you connect with and overcome situations, memories, thoughts, and feelings that frighten you and keep you from living a full life. With your fear hierarchy to guide you, you’ll hopefully move through exposure therapy with confidence that you’re treating your PTSD effectively. The 9 Best Online Therapy Programs

B2b Exchanges And Business Activity Perspective - 1189 Words

â€Å"Business-to-business (B2B) exchanges or marketplaces provide dramatic opportunities to automate collaborative business processes with customers and suppliers, generate internal efficiencies, and reach new markets at minimal cost.† - (Kenjale Phatak, 2002) The epigraph quote from a 2002 article in the CRM magazine provides the commonly used and accepted definition of Business-to-Business (B2B) exchanges. The key differentiating attributes of the B2B Exchanges from the Business-to-Consumer (B2C) exchanges are: the target customers (Business customers such as Resellers, Industrial market, etc.); the nature of demand which is â€Å"derived† based on consumer demand; and the exchange process which are more formal in nature (more purchase†¦show more content†¦366). The Vertical market is based on specific industry sectors, such as the computer manufacturer Dell’s inclusion of chip maker Intel and AMD into its exchange. The Horizontal market is a wider supply market that cuts across several industries, such as FedEx and UPS providing transportation and logistical exchanges for a wide variety of businesses. The Internet provides an immense resource value to both markets. In the vertical market, the dominant resource ben efit is derived from the lower costs of buyers’ operations, lower inventory requirements as well as the removal of distribution channel blockages such as agents and brokers where a Just-in-time (JIT) manufacturing is complemented. In the Horizontal market, the Internet provides: expanded market reach, increase liquidity in the market, reduction of geographical and logistical barriers and more. The second perspective considering the Procurement stages is also noted in the book â€Å"Digital Business – Concepts and Strategy† as, â€Å"Three types of B2B exchanges often illustrate the history of the relationship between a seller and a buyer: new buy, modified rebut, and straight rebuy† (Coupey, 2005, p. 367) which takes the vantage point of procurement activities. In a new buy procurement situation is encountered by building new exchange relationships where the burden of all the procurement process stages (Information

The Bravest of Individuals Is One Who Obeys His or Her...

The bravest of individuals is one who obeys his or her conscience, was once stated by J.F Clarke, when this quote is broken down one may notice the amount of truth behind it. J.F Clarke s interpretation of braveness and conclusion on the topic of obeying their conscience is rather intelligent due to the belief of inner senses of what is right or wrong will lead to the right choices in life. Two examples of literature that strongly support this quote can be found in Of Mice And Men by John Steinbeck, as well as The Crucible by Arthur Miller. The use of literary elements, such as rising action, dramatic irony, mood and foreshadowing. In Arthur Miller s, The Crucible, John Proctor is faced with a life or death situation. Even†¦show more content†¦In this work of literature, George Milton s faced with a situation of what is right and wrong and which inner sense to listen to. George s long time friend and mentally handicapped friend Lennie Smalls has just killed Curley s wife, inside of a barnyard accidentally. Lennie attempts to run away from the whole situation, but George knows exactly where he will be, and that is at the exact spot he told him to go to if there was trouble. As George arrives at the river Lennie was instructed to go to, George realizes he has a great problem, should he kill his long time best friend and save him from the swarming angry mob of ranchers, or turn him in and let them have there way. As George s inner senses battle, he realizes what he must do and that is to put Lennie out of his misery and self entrapment and set him free once and for all. George makes Lennies death qu ick and painless as any good friend would, but he can not seem to shake the sense of guilt and anguish he is experiencing. As George lovingly kills Lennie he portrays his bravery and sense of what is right and wrong all by listening to what his inner senses and consciousness led him towards. John Steinbecks use of literary terms enhances the sense of bravery and drama that this scene of a friend killing another brings. The mood that John Steinbeck sets for George s attitude towards Lennie isShow MoreRelatedBravery in The Catcher in the Rye Essay593 Words   |  3 PagesSalinger’s novel. Author J.F Clarke’s quote, â€Å"The bravest of individuals is one who obeys his/her conscience† can be looked upon in many ways. It also relates to J. D. Salinger’s novel Catcher in the Rye. The protagonist Holden Caulfield shows a lot of bravery during the course of the novel. I disagree with the quote, but I do agree that there are many references that are similar between J.F. Clarke’s quote and J. D. Salinger’s novel. Conscience is described as the awareness of a moral or ethicalRead MoreKill A Mockingbird By Harper Lee1389 Words   |  6 PagesJ.F. Clarke once said The bravest of individuals is the one who obeys his or her conscience. This quote means that standing up for what is right is the most profound form of bravery. Obeying one’s conscience is most difficult and requires the most bravery when others are against you, disagree, and mock or even threaten violence because of the exercise of one’s conscience. This quote is proven true in the story To Kill A Mockingbird by Harper Lee. It is revealed to be true through the actions

Public Health Issue Of Chlamydia Health And Social Care Essay Free Essays

string(134) " leting either intervention or bar, including forestalling the farther spread of catching or catching diseases \( Robinson, 2002 \) \." Chlamydia infection increases the likeliness of being at hazard for HIV infection and cervical malignant neoplastic disease ( Steben, 2004 ) . Known as the â€Å" concealed Venereal disease † because of the comparative trouble in observing infection, chlamydia is peculiarly common among immature adult females ( Alexander, 2006 ) . Numerous prevailing surveies in assorted clinical populations have shown that sexually active striplings and immature grownups have higher rates of chlamydia infection compared to the general population ( Adderley-Kelly, 2005 ) . We will write a custom essay sample on Public Health Issue Of Chlamydia Health And Social Care Essay or any similar topic only for you Order Now In add-on, regional sterility undertakings that perform everyday large-scale showing and appraisal among adult females have found that younger adult females are more likely than older adult females to be tested positive for chlamydia infection ( Alexander, 2006 ; Adderley-Kelly, 2005 ) . Controling the spread of chlamydia has been a precedence of The Centers for Disease Control and Prevention ( CDC ) ( 2010 ) . CDC recommends that sexually active females aged 20 old ages old and below and those over 20 old ages old possessing hazard factors ( e.g. multiple sex spouses ) be screened yearly. Literature besides supports the recommendation that Chlamydia testing through nursing wellness appraisal can help in early designation of the disease ( Steben, 2004 ) . Furthermore, instruction on bar could besides be implemented to raise consciousness about the hazard factors that are associated with the spread of this infection. Ahmed et Al. ( 2009 ) identified several hazard factors of Chlamydia, including age, race. deficiency of general cognition, holding multiple spouses, non-use of proper protection like rubber usage, and the use of resources or available plans to educate and forestall. Problem Statement This survey recognizes that the high incidence of chlamydia can be mitigated through proper showing and early designation. More specifically, testing at-risk persons such as females aged 12 to 15 old ages old, would assist in the early sensing and bar of chlamydia infection. Due to the fact that the addition in chlamydia infection is among striplings, and the fact that it is many times symptomless, failure to seek medical attending occurs and later leads to long-run wellness concerns ( Alexander, 2006 ) . Harmonizing to Burns, Briggs, A ; Gaudet, ( 2007 ) , set uping a chlamydia testing or testing plan for striplings has ever been hard. Barriers to testing include the inability to pay for wellness showing due to a deficiency of wellness insurance, deficiency of transit to the clinic site, uncomfortableness with the clinic, and confidentiality issues. These barriers, in concurrence with a disease that exhibits minimum or no symptoms, generate a challenge for STD plans to test a bad population. The U.S. Preventive Service Task Force ( USPSTF, 2001 ) strongly recommended that clinicians routinely screen all sexually active adult females aged 25 and younger, and other symptomless adult females at increased hazard for infection. Since age is the most of import hazard factor, adult females and striplings through age 20 old ages are at highest hazard for chlamydia infection. Other hazard factors associated with high prevalence included: being single, Afro-american race, holding a anterior history of sexually transmitted disease, holding new, or multiple sexual spouses, holding cervical ectopy, and utilizing barrier preventives inconsistently ( Adderley-Kelly, 2005 ) . Individual hazard depends on the figure of hazard factors and local prevalence of the disease. Surveies have shown that unequal showing, besides consequence from three things: foremost, it takes clip for any new recommendations to be implemented. Second, practician ‘s attachment to testing recommendations varies widely. Third, attachment to testing recommendations varies by site of attention. Therefore, it is of import to be able to discourse and obtain a sexual wellness history with all patients, place the marks and symptoms of chlamydia and acknowledge possible hazard factors that are associated with chlamydia infection that would put persons at higher hazard ( Steben, 2004 ) . As nurses, it is imperative that we complete a full wellness appraisal which would include a sexual history to place early hazard and sensing of the disease. Appropriate screens have non being followed to measure persons with possible hazard factors. Aim The intent of the survey is to look into whether annually testing of sexually-active females aged 13 to 25 will increase bar and early sensing of chlamydia infection, as compared to females aged 13 to 25 who are sexually active and are non screened. Designation of Variables and Target Population The independent variable related to this research is testing. The dependent variables are 1 ) bar and 2 ) early sensing. The mark population is sexually active females aged 13 to 25 old ages old. Hypothesis or Research Question ( s ) This survey aims to reply the undermentioned inquiry: Does testing take to bar and early sensing of chlamydia infection among sexually active females aged 13 to 25 old ages old? In relation to this research inquiry, the survey hypothesizes that: RH1: Sexually active females aged 13 to 25 old ages old who are screened are less likely to hold chlamydia infection than females who are non screened. RH2: Sexually active females aged 13 to 25 old ages old who are screened are detected earlier for chlamydia infection than females who are non screened. Definition of Footings The undermentioned footings are defined in theoretical and operational footings, as follows: Chlamydia Theoretical Definition: Harmonizing to the CDC ( 2010 ) , chlamydia is defined as a common sexually familial disease ( STD ) caused by chlamydia trachomatis, a bacteria that can damage adult females ‘s generative variety meats. Even though the symptoms of chlamydia are normally mild or absent, serious complications that cause irreversible harm, including sterility, can happen â€Å" mutely † before a adult female recognizes a job. Operational Definition: For the intents of this survey, chlamydia refers to a positive diagnosing made by a doctor through a urine-based PCR showing for chlamydia. Screening Theoretical Definition: Screening is performed to place the presence of the disease or of a hazard factor for a disease, typically among symptomless individuals ( those who do non already manifest symptoms of disease ) . In this manner, a disease or the hazard factors for a disease can be detected early, leting either intervention or bar, including forestalling the farther spread of catching or catching diseases ( Robinson, 2002 ) . You read "Public Health Issue Of Chlamydia Health And Social Care Essay" in category "Essay examples" Operational Definition: For the intent of this survey, testing involves a wellness history which identifies the hazard factors such as a old history of STD, holding multiple sex spouses, holding sex with new spouse, the usage of non-barrier types of contraceptive method, or holding cervical ectopy. Prevention Theoretical Definition: bar is the maintaining of something ( such as an unwellness or hurt ) from go oning ( Miller-Keane, 1997 ) . Operational Definition: For the intent of this survey, bar is the absence of chlamydia which will be indicated by a negative consequence diagnosed by a doctor through a urine-based PCR proving for chlamydia infection. Sexually active Theoretical Definition: Sexually active agencies engagement or engagement in a sexual act, being involved, and an active participant. Operational Definition: For the intent of this survey, sexually active females will mention to those who arranged a visit for gestation, STD diagnosing, showing, contraceptive method, or intervention. Theoretical Model The appropriate model selected for this proposal is Nola Pender ‘s wellness publicity theoretical account ( HPM ) . The HPM, originally developed in the early 1980s, is a model that serves as â€Å" a usher for geographic expedition of the complex biopsychosocial processes that motivate persons to prosecute in wellness behaviours directed toward the sweetening of wellness † ( Pender, 1996, p. 51 ) . The HPM is widely represented in the nursing literature and is the model that underpins over 100 research surveies. Pender ‘s HPM is a valuable tool for the designation of incentives and barriers toward persons ‘ active engagement in activities that promote wellness ( Pender, 1996 ) . Pender proposed in the HPM that there are by and large three countries which influence the acceptance of health-promoting behaviour: â€Å" cognitive, perceptual, modifying factors and cues to actions † ( Pender, 1996, p. 53 ) . Pender focuses on enterprise from the person to endeavor for health and positive wellness and views the benefits of such self-directing behaviours to include verve and even self-actualization. Pender measures an person ‘s â€Å" perceived control of wellness † by his or her ability to command behaviours that are necessary to advance alterations in overall wellness and wellbeing. Pender views wellness publicity as active instead than inactive. The individual must comprehend that he or she wields entire control of his wellness. Hopefully, this perceptual experience will take to a more frequent and consistent application of health-promoting behaviours. The apprehension of wellness advancing behaviours in striplings may non merely be an application of bing cognition related to wellness publicity in grownups ( Srof, 2006 ) . Rather the development of independency and the associated undertakings of adolescent development contribute to alone organic structure of cognition of wellness publicity in teens ( Srof, 2006 ) . Pender ‘s HPM provides a paradigm in an attempt to come up with intercession plans to turn to wellness concerns such as chlamydia infection. Literature has revealed that there are several barriers to prevention attempts initiated by authorities bureaus and not-for-profit organisations to control the spread of Chlamydia infection among younger adult females ( Alexander, 2006 ) . The HPM theoretical account identifies seven perceptual and cognitive factors which could discourage or heighten the likeliness of a individual ‘s acceptance of wellness behaviours. For striplings, these factors could be perceived benefits of action, barriers to action, self-efficacy, and activity-related effects are related to interpersonal influences, such as household, equals, situational influences, options, and demands. As I relate this theoretical account chiefly to striplings and their increased hazard of chlamydia infection, the fact that striplings do non take portion in their ain wellness promotion/disease bar through the usage of rubbers to forestall the spread of STD infections demonstrates the demand to turn to and place each person ‘s perceptual experience of chlamydia infections which could impact his or her quality of life in all developmental phases of life. This survey will stress on modifying factors to include demographics, biological features, interpersonal influences, situational factors, and behavioural factors that could impact a immature adult female ‘s opportunities of prosecuting in behaviours that promote wellness ( Pender, 1996 ) . Significance of Study This research proposal seeks to look into the importance of testing as a mechanism to diminish the hazard of chlamydia infections among sexually active females aged 13 to 25. It is of import to screen and educate this population about possible hazard factors and preventative steps such as the usage of instruction, supportive resources, rubbers and abstention. Because the disease is chiefly symptomless in females, it is of import for nurses and other health care suppliers to place and follow recommended showing and appraisal of these persons. A job identified in the literature reappraisal is that there is some incompatibility in testing females for STDs due to varies grounds ( Streben, 2004 ) . The CDC ( 2010 ) has recommended showing of all sexually active females ages 13-25 yearly, but it is questionable whether such showing is really taking topographic point. It is besides dubious how many females of this age group routinely see healthcare suppliers unless a job has been identified . This survey would do a difference by pulling a relationship between testing and bar and early sensing of chlamydia in a bad population. In so making, it contributes to the organic structure of literature formed by authorities bureaus, research workers, and non-profit wellness organisations that have initiated plans to cut down the prevalence of chlamydia in immature adult females. Screening will besides depict barriers and hazard factors to infection such as multiple sex spouses, STD history, or deficiency of usage of protective barriers such as rubber usage. In the procedure, this survey will foreground the important function of healthcare suppliers in showing, educating, and observing marks and symptoms of chlamydia infection and the importance of systematically executing sexual wellness history, appraisal, and showings to convey about a lessening in the incidence of this disease. How to cite Public Health Issue Of Chlamydia Health And Social Care Essay, Essay examples

Their Eyes Were Watching God By Zora Neale Hurston Essays

Their Eyes Were Watching God by Zora Neale Hurston "I am Me, My Eyes Toward God" Zora Neale Hurston an early twentieth century Afro-American feminist author, was raised in a predominately black community which gave her an unique perspective on race relations, evident in her novel, Their Eyes Were Watching God. Hurston drew on her on experiences as a feminist Afro-American female to create a story about the magical transformation of Janie, from a young unconfident girl to a thriving woman. Janie experiences many things that make her a compelling character who takes readers along as her companion, on her voyage to discover the mysteries and rewards life has to offer. Zora Neale Hurston was, the daughter of a Baptist minister and an educated scholar who still believed in the genius contained within the common southern black vernacular(Hook http://splavc.spjc.cc.fl.us/hooks/Zora.html). She was a woman who found her place, though unstable, in a typical male profession. Hurston was born on January 7, 1891 in Eatonville, Florida, the first all-incorporated black town in America. She found a special thing in this town, where she said, "? [I] grew like a like a gourd and yelled bass like a gator," (Gale, 1). When Hurston was thirteen she was removed from school and sent to care for her brother's children. She became a member of a traveling theater at the age of sixteen, and then found herself working as a maid for a white woman. This woman saw a spark that was waiting for fuel, so she arranged for Hurston to attend high school in Baltimore. She also attended Morgan Academy, now called Morgan State University, from which she graduated in June of 1918. She then enrolled in the Howard Prep School followed by later enrollment in Howard University. In 1928 Hurston attended Barnard College where she studied anthropology under Franz Boas. After she graduated, Zora returned to Eatonville to begin work on anthropology. Four years after Hurston received her B.A. from Barnard she enrolled in Columbia University to begin graduate work (Discovering Authors, 2-4) . Hurston's life seemed to be going well but she was soon to see the other side of reality. Hurston never stayed at a job for too long, constantly refusing the advances of male employers, which showed part of her strong feminist disposition. But Hurston was still seeking true love throughout her travels and education. At Howard University, Hurston met Herburt Sheen whom she married on May 19, 1927 in St. Augstine, Florida (DA, 2). They divorced shortly after they got married because they could not continue the idealistic dreams they had shared in their youth. Zora Hurston's second marriage to Albert Price III was also short lived. They were married in 1939 and divorced in 1943 (DA, 2). By the mid-1940s Hurston's writing career had began to falter. While living in New York, Hurston was arrested and charged with committing an immoral act with a ten-year-old boy. The charges were later dropped when Hurston proved that she was in another country at the time the incident allegedly took place (Discovering Authors, 3). Hurston already was witnessing the rejection of all of her wor ks submitted to her publisher, but the combined effects of the arrest and the ensuing journalistic attack on her image doomed the majority of her literary career. She wrote to a friend: "I care nothing for writing anything any more? My race has seen fit to destroy me without reason, and with the vilest tools conceived by man so far" (Discovering Authors, 4). In approximately 1950 Hurston returned to Florida, where she worked as a cleaning woman in Rivo Alto. She later moved to Belle Glade, Florida, in hopes of reviving her writing career. She failed and worked as many jobs including: newspaper journalist, librarian, and substitute teacher (Baker, http://www.prodigy.com/ pages.html/chronology.htm). Hurston suffered a stroke in 1959 which demanded her admittance in the Saint Lucie County Florida Welfare Home. She died a broken, penniless, invalid in January 1960 (DA, 5). All of Hurston's trials built the basis for her best work. Therefore, the work that has denoted her as one of the twentieth century's most influential authors did not come until after she had graduated from college. However, the literature she

A Rising Pharmacist Essay Example

A Rising Pharmacist Essay Example A Rising Pharmacist Essay A Rising Pharmacist Essay Today many people are sick and disabled. IVe seen many people that have become sicker than what they normally were. Illness brings problems that can be quite devastating, and it can lead to depression. IVe always question my self and asked myself, Will these problems disappear? Who can help these people? Are there solutions to decrease the sickness faced by people of today? I know that some day these problems will disappear, and we will become healthy individuals. The health of others is my greatest concern because it affects this world for them and not only for The health of others around me has such a great effect that I want to become a pharmacist. I plan to obtain skills in such areas of pharmacy that will promote a better heath rate. In the field of pharmacy, I wish to change the hardships and the complication that patients have in order for them to receive medications. I want to make the prices lower but at the same time heal the patients. l, being a part of the pharmacy departments, will change the hopes today of patients. Then they too can have a chance ofa happy ending life. I am very please to have the option of becoming a pharmacist. IVe had many things taught to me that ensure me of becoming a great pharmacist. At the complex center in Woodville, Mississippi, I was accredited with skills such as drug calculations, drug classification, and terminology of medical terms. I competed in the HOSA bowl and was placed fourth out of twenty students in the pharmacology area. I am sure that with my skills IVe obtained, I will become the best pharmacist there is. By becoming a pharmacist, the health of others will become very hopeful because I will make it my obligation to implement the best drugs.

Quotes from Jack Kerouacs On the Road

Quotes from Jack Kerouac's On the Road On the Road  is a stream of consciousness novel written by Jack Kerouac. It is considered a seminal novel of the Beat Generation, famed for their informal style, and these are some of the most famous quotes from this philosophically chronicled journey. Jack Kerouac, On the Road, Ch. 1 I was beginning to get the bug like Dean. He was simply a youth tremendously excited with life, and though he was a con-man, he was only conning because he wanted so much to live and to get involved with people who would otherwise pay no attention to him. Jack Kerouac, On the Road, Part 1, Ch. 1 They danced down the streets like dingledodies, and I shambled after as Ive been doing all my life after people who interest me, because the only people for me are the mad ones, the ones who are mad to live, mad to talk, mad to be saved, desirous of everything at the same time, the ones that never yawn or say a commonplace thing, but burn, burn, burn... Jack Kerouac, On the Road, Part 1, Ch. 1 Besides, all my New York friends were in the negative, nightmare position of putting down society and giving their tired bookish or political or psychoanalytical reasons, but Dean just raced in society, eager for bread and love. Jack Kerouac, On the Road, Part 1, Ch. 1 Somewhere along the line I knew thered be girls, visions, everything; somewhere along the line the pearl would be handed to me. Jack Kerouac, On the Road, Part 1, Ch. 3 And as I sat there listening to that sound of the night which bop has come to represent for all of us, I thought of my friends from one end of the country to the other and how they were really all in the same vast backyard doing something so frantic and rushing-about. Jack Kerouac, On the Road, Part 1, Ch. 3 I woke up as the sun was reddening; and that was the one distinct time in my life, the strangest moment of all, when I didnt know who I was- I was far away from home, haunted and tired with travel, in a cheap hotel room Id never seen, hearing the hiss of steam outside, and the creak of the old wood of the hotel, and footsteps upstairs, and all the sad sounds, and I looked at the cracked high ceiling and really didnt know who I was for about fifteen strange seconds. Jack Kerouac, On the Road, Part 1, Ch. 7 The air was soft, the stars so fine, the promise of every cobbled alley so great, that I thought I was in a dream. Jack Kerouac, On the Road, Part 1, Ch. 9 They were like the man with the dungeon stone and gloom, rising from the underground, the sordid hipsters of America, a new beat generation that I was slowly joining. Jack Kerouac, On the Road, Part 1, Ch. 9 We fumed and screamed in our mountain nook, mad drunken Americans in the mighty land. We were on the roof of America and all we could do was yell, I guess- across the night... Jack Kerouac, On the Road, Part 1, Ch. 10 Boys and girls in America have such a sad time together; sophistication demands that they submit to sex immediately without proper preliminary talk. Not courting talk- real straight talk about souls, for life is holy and every moment is precious. Jack Kerouac, On the Road, Part 1, Ch. 12 A pain stabbed my heart, as it did every time I saw a girl I loved who was going the opposite direction in this too-big world. Jack Kerouac, On the Road, Part 1, Ch. 13 LA is the loneliest and most brutal of American cities; New York gets god-awful cold in the winter but theres a feeling of wacky comradeship somewhere in some streets. Jack Kerouac, On the Road, Part 1, Ch. 13 The stars bent over the little roof; smoke poked from the stovepipe chimney. I smelled mashed beans and chili. The old man growled... A California home; I hid in the grapevines, digging it all. I felt like a million dollars; I was adventuring in the crazy American night. Jack Kerouac, On the Road, Part 1, Ch. 13 We turned at a dozen paces, for love is a duel, and looked at each other for the last time. Jack Kerouac, On the Road, Part 1, Ch. 13 Isnt it true that you start your life a sweet child, believing in everything under your fathers roof? Then comes the day of the Laodiceans, when you know you are wretched and miserable and poor and blind and naked, and with the visage of a gruesome, grieving ghost you go shuddering through nightmare life. Jack Kerouac, On the Road, Part 2, Ch. 3 Whither goest thou, America, in thy shiny car in the night? Jack Kerouac, On the Road, Part 2, Ch. 4 The one thing that we yearn for in our living days, that makes us sigh and groan and undergo sweet nauseas of all kinds, is the remembrance of some lost bliss that was probably experienced in the womb and can only be reproduced (though we hate to admit it) in death. Jack Kerouac, On the Road, Part 2, Ch. 4 I like too many things and get all confused and hung-up running from one falling star to another till I drop. This is the night, what it does to you. I had nothing to offer anybody except my own confusion. Jack Kerouac, On the Road, Part 2, Ch. 4 I want to be like him. Hes never hung-up, he goes every direction, he lets it all out, he knows time, he has nothing to do but rock back and forth. Man, hes the end! You see, if you go like him all the time youll finally get it. Jack Kerouac, On the Road, Part 2, Ch. 5 Life is life, and kind is kind. Jack Kerouac, On the Road, Part 2, Ch. 6 We were all delighted, we all realized we were leaving confusion and nonsense behind and performing our one noble function of the time, move. Jack Kerouac, On the Road, Part 2, Ch. 6 Why think about that when all the golden lands ahead of you and all kinds of unforeseen events wait lurking to surprise you and make you glad youre alive to see? Jack Kerouac, On the Road, Part 2, Ch. 8 What is that feeling when youre driving away from people and they recede on the plain till you see their specks dispersing?- its the too-huge world vaulting us, and its good-by. But we lean forward to the next crazy venture beneath the skies. Jack Kerouac, On the Road, Part 2, Ch. 9 It seemed like a matter of minutes when we began rolling in the foothills before Oakland and suddenly reached a height and saw stretched out ahead of us the fabulous white city of San Francisco on her eleven mystic hills with the blue Pacific and its advancing wall of potato-patch fog beyond, and smoke and goldenness of the late afternoon of time. Jack Kerouac, On the Road, Part 2, Ch. 10 And for just a moment I had reached the point of ecstasy that I always wanted to reach, which was the complete step across chronological time into timeless shadows, and wonderment in the bleakness of the mortal realm, and the sensation of death kicking at my heels to move on, with a phantom dogging its own heels... Jack Kerouac, On the Road, Part 2, Ch. 10 I realized that I had died and been reborn numberless times but just didnt remember because the transitions from life to death and back are so ghostly easy, a magical action for naught, like falling asleep and waking up again a million times, the utter casualness and deep ignorance of it. Jack Kerouac, On the Road, Part 3, Ch. 1 At lilac evening I walked with every muscle aching among the lights of 27th and Welton in the Denver colored section, wishing I were a Negro, feeling that the best the white world had offered was not enough ecstasy for me, not enough life, joy, kicks, darkness, music, not enough night. Jack Kerouac, On the Road, Part 3, Ch. 1 Then a complete silence fell over everybody; where once Dean would have talked his way out, he now fell silent himself, but standing in front of everybody, ragged and broken and idiotic, right under the lightbulbs, his bony mad face covered with sweat and throbbing veins... Jack Kerouac, On the Road, Part 3, Ch. 4 Holy flowers floating in the air, were all these tired faces in the dawn of Jazz America. Jack Kerouac, On the Road, Part 3, Ch. 5 Our final excited joy in talking and living to the blank tranced end of all innumerable riotous angelic particulars that had been lurking in our souls all our lives. Jack Kerouac, On the Road, Part 3, Ch. 5 They have worries, theyre counting the miles, theyre thinking about where to sleep tonight, how much money for gas, the weather, how theyll get there- and all the time theyll get there anyway, you see. Jack Kerouac, On the Road, Part 3, Ch. 5 Offer them what they secretly want and they of course immediately become panic-stricken. Jack Kerouac, On the Road, Part 3, Ch. 5 Our battered suitcases were were piled on the sidewalk again; we had longer ways to go. But no matter, the road is life. Jack Kerouac, On the Road, Part 3, Ch. 5 You dont die enough to cry. Jack Kerouac, On the Road, Part 3, Ch. 10 Once there was Louis Armstrong blowing his beautiful top in the muds of New Orleans; before him the mad musicians who had paraded on official days and broke up their Sousa marches into ragtime. Then there was swing, and Roy Eldridge, vigorous and virile, blasting the horn for everything it had in waves of power and logic and subtlety- leaning into it with glittering eyes and a lovely smile and sending it out broadcast to rock the jazz world. Jack Kerouac, On the Road, Part 3, Ch. 10 Here were the children of the American bop night. Jack Kerouac, On the Road, Part 3, Ch. 10 Every now and then a clear harmonic cry gave new suggestions of a tune that would someday be the only tune in the world and would raise mens souls to joy. Jack Kerouac, On the Road, Part 3, Ch. 11 Her great dark eyes surveyed me with emptiness and a kind of chagrin that reached back generations and generations in her blood from not having done what was crying to be done- whatever it was, and everybody knows what it was. Jack Kerouac, On the Road, Part 3, Ch. 11 What difference does it make after all?- anonymity in the world of men is better than fame in heaven, for whats heaven? whats earth? All in the mind. Jack Kerouac, On the Road, Part 4, Ch. 1 Whats your road, man?- holyboy road, madman road, rainbow road, guppy road, any road. Its an anywhere road for anybody anyhow. Jack Kerouac, On the Road, Part 4, Ch. 2 Here was a young kid like Dean had been; his blood boiled too much for him to bear; his nose opened up; no native strange saintliness to save him from the iron fate. Jack Kerouac, On the Road, Part 4, Ch. 4 We were already almost out of America and yet definitely in it and in the middle of where its maddest. Hotrods blew by. San Antonio, ah-haa! Jack Kerouac, On the Road, Part 4, Ch. 5 Behind us lay the whole of America and everything Dean and I had previously known about life, and life on the road. We had finally found the magic land at the end of the road and we never dreamed the extent of the magic. Jack Kerouac, On the Road, Part 4, Ch. 5 In myriad pricklings of heavenly radiation I had to struggle to see Deans figure, and he looked like God. Jack Kerouac, On the Road, Part 5 I was standing on the hot road underneath an arc-lamp with the summer moths smashing into it when I heard the sound of footsteps from the darkness beyond, and lo, a tall old man with flowing white hair came clomping by with a pack on his back, and when he saw me as he passed, he said, Go moan for man, and clomped on back to his dark. Did this mean that I should at last go on my pilgrimmage on foot on the dark roads around America? Jack Kerouac, On the Road, Part 5 So in America when the sun goes down and I sit on the old broken-down river pier watching the long, long skies over New Jersey and sense all that raw land that rolls in one unbelievable huge bulge over to the West Coast, and all that road going, and all the people dreaming in the immensity of it... and tonight the starsll be out, and dont you know that God is Pooh Bear?