Reciprocity and extensive reading Assignment Example | Topics and Well Written Essays - 4000 words

Reciprocity and extensive reading - Assignment Example The use of authentic, engaging materials should be the basis for class activity (Murcia 2006: 110). Authenticity is a term that loosely implies as close to approximation as possible to the world outside the classroom, in the selection of both language materials and of the activities and methods used for practice in the classroom (McDonough and Shaw 2003:40). Further, problems arise because of classroom methods and materials used in the classroom. Although language teachers have the same goal – to enable learners to use the target language proficiently whether in academic, personal, or professional life, it is not unusual for teachers to report a sense of isolation from colleagues in other countries (McDonough and Shaw: 1). As what Richards (1983: 219 - 239) reminds us, the current state of English has turned a significant percentage of the world’s population into part-time users of English. Thus, experts all over the world have developed strategies and approaches to lan guage teaching that would best address the problems on L2 learning and teaching. One of the outcomes of the Communicative Language Teaching is interactive listening and speaking: negotiating Meaning through Questioning-Answering Routines. This is also known as reciprocal teaching (Murcia 2006:13-27). The concept of Reciprocal Teaching is based on the concept of Reciprocity. In communication, there is what we call taking-turns. A variety of question-types can be used: repetition, paraphrasing, verification, clarification, elaboration, extension, and challenge. Reciprocal Teaching or RT is a strategy that attempts to establish an active and relatively expanded dialog between teacher and students and among students themselves (Izquiendo 2004: 20-25). Paliscar and Brown (1984: 117-175) developed this strategy to reinforce comprehension in L1 and the reading classes. According to Izquiendo (2004: 20-25), when RT is used, the classroom is not a one way street, in which the teacher maintai ns strict control of the environment, but rather, a two-way street that allows active participation by students. The teacher serves as a facilitator or monitor. Reciprocity is manifested in Reciprocal Teaching (RT) because it promotes the teacher-student (T-S), student-teacher (S-T), and student – student (S-S) exchange (Izquiendo 2004:20-25). One example to show this is when the teacher asks a student to recite and when the student has recited, the teacher calls on another student to repeat through paraphrasing what his or her classmates just mentioned. The concept here is to allow students to listen well during class discussion because at any point in time, the teacher may call one to elaborate or challenge the statements given by a classmate. In RT, there is what we call, short-term and long term exchanges. A short-turn is often referred to as language for informational purposes while long-turn is often referred to as language for transactional purposes (Brown and Yule 198 3a). The same authors stress that training students to produce short-turns â€Å"will not automatically field students who can perform satisfactorily in long turns. The point is, teachers should do all they can to encourage students to produce complete sentences and long utterances. This is supported by the survey conducted by Ferris and Tagg (1996: 31 - 55) conducted among university faculty which suggest that, in general, what

Recombinant DNA tech, RNA tech, Protein Expression, Protein tech Assignment

Recombinant DNA tech, RNA tech, Protein Expression, Protein tech - Assignment Example Question Two For a plasmid to act as an effective cloning vector that can transfer the gene of interest into the target cells, it must exhibit the ability to replicate upon entry into the target cells. Moreover, it must have several cloning sites that allow the insertion of the gene of interest. The plasmid must have a defined origin of replication and effective promoters that ensure successful expression of the foreign gene. Question Three Polymerase chain reaction is one of the ways in which the 1kb gene may be quantified. This process yields many copies of the gene of interest, making other analytical processes possible. The modern Polymerase Chain Reaction (PCR) exhibits a high level of automation, and yields multiple copies of the gene. The second way of yielding great amounts would involve insertion of the gene into bacteria. After replication of the plasmid in the bacteria, the gene of interest multiplies. Question Four In order to identify the genes in the human liver whose e xpression occurs only when under pressure, a cDNA library would be the most effective. This library would focus on the fragments that undergo transcription and expression. Construction of such a library would require the sequencing of the genes of interest and inserting them into a plasmid vector. The library would also have reverse transcribed messenger RNAs for the genes, and this would involve the use of reverse transcriptase to yield DNA complementary to the messenger RNA. Question Five Type II Restriction Endonucleases do not degrade bacterial chromosomal DNA because they exhibit specificity for foreign DNA. It would be irrational for these endonucleases to cleave the host DNA. Therefore, they limit their activity to breaking down foreign DNA into fragments but preserving host DNA. Such specificity has enabled geneticists to develop DNA fragmentation techniques using restriction enzymes found in bacteria. Question 6 A double stranded circular DNA with four recognition sites for the HindIII, would be fragmented into four fragments after digestion. The restriction would cleave the circular DNA at the four recognition sites yielding four independent fragments, contrary to the five that would result after linearization of the DNA. The difference would emerge because of the evident practical observation made by geneticists who have highlighted that circular DNA yields one less fragment after digestion with restriction enzyme, compared to linear DNA with the same restriction sites. Question 7 In order to screen a cDNA library, the high-density screening method would prove to be highly effective. This method requires the use of high concentrations plating. The choice of this screening factor would be motivated by the fact that it presents a platform for the geneticist to analyze the different fragments through the visualization on a single plate. The technique also proves effective when the gene under study codes for a specific protein. Part 2 Question 1 In orde r to separate cells obtained from tissues of normal mice compared to those obtained from mice engineered with highly active muscle cells, a specific method of analysis is required. The first step would involve isolation of cells from both tissues. After isolation of those cells, effective culture would follow to prepare the cells for effective analysis. It would be necessary to isolate the mitochondrial DNA and nuclear DNA from both types of cells. Muscle cells have

Engineering Strategy Essay Example | Topics and Well Written Essays - 3500 words

Engineering Strategy - Essay Example Having won National Bed Federations "Bed Manufacturer of the Year - 2011/2012" award and the prestigious Manufacturing Guild Mark (MGM) accreditation, this entity is engaged in producing customized and handcrafted comfortable beds, using sustainable materials of high quality. It is a British company originated within UK and operating in various territories outside it (Hypnosbeds.com, 2013). This paper is based on facts, figures and data of this company and provides a detailed critical analysis of its corporate objectives and manufacturing strategies. The paper provides the complete process of developing and designing an appropriate manufacturing strategy of the company, considering its overall corporate goals and coordination with other functions supporting its manufacturing. After proposing strategy, it is compared to the existing strategy and thorough evaluated for planned outcomes. Finally, dissertation focuses on the obstacles that the company might face during implementation pha ses, implications of communication and coordination of the entire plan and strategy across the organization and measurement techniques that management can deploy in order to assess the extent of achievement of planned objectives and identify any departures from initially forecasted results. A manufacturing strategy is a collaborative process of production, reformulation and utilization of inputs and factors of production, supporting overall corporate strategy and giving a competitive advantage to organization (Marucheck et al., 1990). This definition depicts the vitality of manufacturing strategy in ensuring success of business and achievement of manufacturing excellence. Manufacturing excellence is dynamic value adding process that enables satisfaction of customers and suppliers through continuous improvements that are compatible with overall corporate objectives (Roth et al., 1992). An optimal manufacturing strategy is capable of creating

Born Blue by Han Nolan Essay Example | Topics and Well Written Essays - 1250 words - 1

Born Blue by Han Nolan - Essay Example They have access to health care, educational opportunities and decent food and lodgings. The poor are not so lucky. If you are born into poverty you are likely to have to fight for your right to have a roof over your head and food to eat. Healthcare is a joke and many of the schools in the poor districts have become urban ghettos where drive by shootings, muggings and fear rule the playground. Is this a bleak prediction for the future of America? Are things just going to get worse? Not necessarily. The problem is that the initiatives that are put in place by the government to help the poor in terms of affordable housing, access to health care and a decent education are aimed at the masses; when in fact it is on an individual level that things have to change. The baby born into the slums needs to be encouraged that they can better themselves. They need to be encouraged to dream and dream big. Because although the opportunities to succeed are a lot more hidden than they used to be, they are still there. "The whole time I lived with Patsy and Pete and Harmon and the babies that come an go, I loved Harmon and the ladies most, and almost everyday I lived there, which lasted almost three years, wed go to the basement and listen to the ladies sing. But Harmon didnt dance and I didnt sing. We was too scared to get the strap. Wed lay on the sour rug and dream we was singin and dancin, and I had me a stack of bread on a plate by my side for when I got so hungry I thought I would die". (Janie, aged 6, p. 6, Kindle edition) Dreaming – it is the one thing in life that is free. When Janie was little and living in the foster home she met up with her only friend, Harmon, who had old cassette tapes of some of the old time singers – Aretha Franklin and women like that. Janie and Harmon used to listen to the tapes to help them escape their reality – little food, harsh caregivers, neglect and drugged up parents. The problem is that

Covenants Land law Essay Example | Topics and Well Written Essays - 1250 words

Covenants Land law - Essay Example The main concern in this case is whether or not Sarah is able to enforce the covenant to Oliver who will only own the land for a particular period which is 50 years. The answer is definitely no. Sarah does not have any legal ground to enforce the covenant to Oliver since the covenant between Leonard and Mary did not apply to Oliver2. However, Sarah has all the legal grounds to enforce some penalty to Mary for the bridge of covenant. The reason is that Mary had not sold off the land to Oliver. Therefore, the covenant is still biding, what she did was to lease the land to Oliver, but not sell it to him. What this means is that the covenant is still binding and Mary has to take the responsibility to ensure that the restrictive covenant signed between her and Leonard is upheld. Therefore, the piece of advice to Sarah is to get hold of Mary and charge her with the responsibility3. However, this should be noted that it is the covenantee who enforces the covenant to the covenanter. This will be in exception incase the deed was designed to provide that the covenanter is not in any way liable incase there is a breach in the covenant after he/she has sold the land. However, this is not applicable in this case because Mary had not sold the land In the second case regarding Ned, the covenant they agreed on was one that denied him the right to use the plot for commercial use. However, when Ned sold the plot to Phillip he went ahead to use it for commercial use where he offered yoga and log cabin services. This is a little complex since Ned sold the land to Philip. It can even be more complex incase Ned cannot be easily traced4. Sarah may not be able to enforce the covenant on Philip since there was no any transaction between them. However, if Sarah can be able to reach Ned then she can be able to compel her to make the same agreement with Ned. In fact, it may be difficult for Sarah to

Electrical & electronic principles ( lap report ) in transistor Assignment

Electrical & electronic principles ( lap report ) in transistor - Assignment Example Whenever they are, used a small BJTs’ number is integrated inside a high-density chip complimentary. This integration is referred to as the BICMOS especially when BJT is integrated with CMOS. This report explores the bipolar transistors and the characteristics of its DC gain transistor. The word bipolar is used to explain the idea that all holes and electrons take part in the BJT operation. This implies that the minor diffusion carrier plays a key role in a similar way to the PN diode junction. The term junction implies that the PN junction is crucial to the BJTs operation. The BJT could be referred to as the bipolar transistors. It is normally made of emitters that are heavily doped, N-type collector, and P-type base. This implies that the device would be a NPN BJT (Harame, et al. 2005). The transistors with NPN display high transconductance and speed compared to the transistors that are PNP. This is so because the mobility of electrons is increased compared to the mobility of the hole. The junction of a base emitter is a junction in which the electrons are sent towards the more base that is lightly dropped. The electrons diffuse over the base towards the base collector junction that was reverse biased and washed away to the collector. This leads to the production of current referred to as the collector current (IC). IC is normally VCB independent unless VCB is a reversed bias. On the other hand, IC could be found by identifying the rate of injected electrons to the base from the emitter. This is established by the injection electron rate into the base from the injector. Emitters are normally linked to the ground. The curve of IC is always plotted versus VCE. In cases where by VCE is more than o.3v, its value would be equal to VCE= VCB+ VBE. When VCE is less than 0.3V the junction of the base collector is strongly biased forward making the IC to reduce. The IR Parasitic drops are hard to

Internet Addiction Essay Example for Free

Internet Addiction Essay Abstract Problematic computer use is a growing social issue which is being debated worldwide. Internet Addiction Disorder (IAD) ruins lives by causing neurological complications, psychological disturbances, and social problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and 8.2% [1]. There are several reviews addressing the definition, classification, assessment, epidemiology, and co-morbidity of IAD [2-5], and some reviews [6-8] addressing the treatment of IAD. The aim of this paper is to give a preferably brief overview of research on IAD and theoretical considerations from a practical perspective based on years of daily work with clients suffering from Internet addiction. Furthermore, with this paper we intend to bring in practical experience in the debate about the eventual inclusion of IAD in the next version of the Diagnostic and Statistical Manual of Mental Disorders (DSM).Problematic computer use is a growing social issue which is being debated worldwide. Internet Addiction Disorder (IAD) ruins lives by causing neurological complications, psychological disturbances, and social problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and 8.2% [1]. There are several reviews addressing the definition, classification, assessment, epidemiology, and co-morbidity of IAD [2-5], and some reviews [6-8] addressing the treatment of IAD. The aim of this paper is to give a preferably brief overview of research on IAD and theoretical considerations from a practical perspective based on years of daily work with clients suffering from Internet addiction. Furthermore, with this paper we intend to bring in practical experience in the debate about the eventual inclusion of IAD in the next version of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Keywords: Addiction, Computer, Internet, reSTART, Treatment. INTRODUCTION The idea that problematic computer use meets criteria for an addiction, and therefore should be included in the next iteration of the Diagnostic and Statistical Manual of Mental Disorders (DSM), 4th ed. Text Revision [9] was first proposed by Kimberly Young, PhD in her seminal 1996 paper [10]. Since  that time IAD has been extensively studied and is indeed, currently under consideration for inclusion in the DSM-V [11]. Meanwhile, both China and South Korea have identified Internet addiction as a significant public health threat and both countries support education, research and treatment [12]. In the United States, despite a growing body of research, and treatment for the disorder available in out-patient and in-patient settings, there has been no formal governmental response to the issue of Internet addiction. While the debate goes on about whether or not the DSM-V should designate Internet addiction a mental disorder [12-14] people currently suffering from Internet addiction are seeking treatment. Because of our experience we support the development of uniform diagnostic criteria and the inclusion of IAD in the DSM-V [11] in order to advance public education, diagnosis and treatment of this important disorder. CLASSIFICATION There is ongoing debate about how best to classify the behavior which is characterized by many hours spent in non-work technology-related computer/Internet/video game activities [15]. It is accompanied by changes in mood, preoccupation with the Internet and digital media, the inability to control the amount of time spent interfacing with digital technology, the need for more time or a new game to achieve a desired mood, withdrawal symptoms when not engaged, and a continuation of the behavior despite family conflict, a diminishing social life and adverse work or academic consequences [2, 16, 17]. Some researchers and mental health practitioners see excessive Internet use as a symptom of another disorder such as anxiety or depression rather than a separate entity [e.g. 18]. Internet addiction could be considered an Impulse control disorder (not otherwise specified). Yet there is a growing consensus that this constellation of symptoms is an addiction [e.g. 19]. The American Society of Addiction Medicine (ASAM) recently released a new definition of addiction as a chronic brain disorder, officially proposing for the first time that addiction is not limited to substance use [20]. All addictions, whether chemical or behavioral, share certain characteristics including salience, compulsive use (loss of control), mood modification and the alleviation of distress, tolerance and withdrawal, and the continuation despite negative consequences. DIAGNOSTIC CRITERIA FOR IAD The first serious proposal for diagnostic criteria was advanced in 1996 by Dr. Young, modifying the DSM-IV criteria for pathological gambling [10]. Since then variations in both name and criteria have been put forward to capture the problem, which is now most popularly known as Internet Addiction Disorder. Problematic Internet Use (PIU) [21], computer addiction, Internet dependence [22], compulsive Internet use, pathological Internet use [23], and many other labels can be found in the literature. Likewise a variety of often overlapping criteria have been proposed and studied, some of which have been validated. However, empirical studies provide an inconsistent set of criteria to define Internet addiction [24]. For an overview see Byun et al. [25]. Beard [2] recommends that the following five diagnostic criteria are required for a diagnosis of Internet addiction: (1) Is preoccupied with the Internet (thinks about previous online activity or anticipate next online session); (2) Needs t o use the Internet with increased amounts of time in order to achieve satisfaction; (3) Has made unsuccessful efforts to control, cut back, or stop Internet use; (4) Is restless, moody, depressed, or irritable when attempting to cut down or stop Internet use; (5) Has stayed online longer than originally intended. Additionally, at least one of the following must be present: (6) Has jeopardized or risked the loss of a significant relationship, job, educational or career opportunity because of the Internet; (7) Has lied to family members, therapist, or others to conceal the extent of involvement with the Internet; (8) Uses the Internet as a way of escaping from problems or of relieving a dysphoric mood (e.g., feelings of helplessness, guilt, anxiety, depression) [2]. There has been also been a variety of assessment tools used in evaluation. Young’s Internet Addiction Test [16], the Problematic Internet Use Questionnaire (PIUQ) developed by Demetrovics, Szeredi, and Pozsa [26] and the Compulsive Internet Use Scale (CIUS) [27] are all examples of instruments to assess for this disorder. PREVALENCE The considerable variance of the prevalence rates reported for IAD (between 0.3% and 38%) [28] may be attributable to the fact that diagnostic criteria and assessment questionnaires used for diagnosis vary between countries and studies often use highly selective samples of online surveys [7]. In their  review Weinstein and Lejoyeux [1] report that surveys in the United States and Europe have indicated prevalence rates varying between 1.5% and 8.2%. Other reports place the rates between 6% and 18.5% [29]. â€Å"Some obvious differences with respect to the methodologies, cultural factors, outcomes and assessment tools forming the basis for these prevalence rates notwithstanding, the rates we encountered were generally high and sometimes alarming.† [24] ETIOLOGY There are different models available for the development and maintenance of IAD like the cognitive-behavioral model of problematic Internet use [21], the anonymity, convenience and escape (ACE) model [30], the access, affordability, anonymity (Triple-A) engine [31], a phases model of pathological Internet use by Grohol [32], and a comprehensive model of the development and maintenance of Internet addiction by Winkler Dà ¶rsing [24], which takes into account socio-cultural factors (e.g., demographic factors, access to and acceptance of the Internet), biological vulnerabilities (e.g., genetic factors, abnormalities in neurochemical processes), psychological predispositions (e.g., personality characteristics, negative affects), and specific attributes of the Internet to explain â€Å"excessive engagement in Internet activities† [24]. NEUROBIOLOGICAL VULNERABILITIES It is known that addictions activate a combination of sites in the brain associated with pleasure, known together as the â€Å"reward center† or â€Å"pleasure pathway† of the brain [33, 34]. When activated, dopamine release is increased, along with opiates and other neurochemicals. Over time, the associated receptors may be affected, producing tolerance or the need for increasing stimulation of the reward center to produce a â€Å"high† and the subsequent characteristic behavior patterns needed to avoid withdrawal. Internet use may also lead specifically to dopamine release in the nucleus accumbens [35, 36], one of the reward structures of the brain specifically involved in other addictions [20]. An example of the rewarding nature of digital technology use may be captured in the following statement by a 21 year-old male in treatment for IAD: â€Å"I feel technology has brought so much joy into my life. No other activity relaxes me or stimulates me like technolo gy. However, when depression hits, I tend to use technology as a way  of retreating and isolating.† REINFORCEMENT/REWARD What is so rewarding about Internet and video game use that it could become an addiction? The theory is that digital technology users experience multiple layers of reward when they use various computer applications. The Internet functions on a variable ratio reinforcement schedule (VRRS), as does gambling [29]. Whatever the application (general surfing, pornography, chat rooms, message boards, social networking sites, video games, email, texting, cloud applications and games, etc.), these activities support unpredictable and variable reward structures. The reward experienced is intensified when combined with mood enhancing/stimulating content. Examples of this would be pornography (sexual stimulation), video games (e.g. various social rewards, identification with a hero, immersive graphics), dating sites (romantic fantasy), online poker (financial) and special interest chat rooms or message boards (sense of belonging) [29, 37]. BIOLOGICAL PREDISPOSITION There is increasing evidence that there can be a genetic predisposition to addictive behaviors [38, 39]. The theory is that individuals with this predisposition do not have an adequate number of dopamine receptors or have an insufficient amount of serotonin/dopamine [2], thereby having difficulty experiencing normal levels of pleasure in activities that most people would find rewarding. To increase pleasure, these individuals are more likely to seek greater than average engagement in behaviors that stimulate an increase in dopamine, effectively giving them more reward but placing them at higher risk for addiction. MENTAL HEALTH VULNERABILITIES Many researchers and clinicians have noted that a variety of mental disorders co-occur with IAD. There is debate about which came first, the addiction or the co-occurring disorder [18, 40]. The study by Dong et al. [40] had at least the potential to clarify this question, reporting that higher scores for depression, anxiety, hostility, interpersonal sensitivity, and psychoticism were consequences of IAD. But due to the limitations of the study further research is necessary. THE TREATMENT OF INTERNET ADDICTION There is a general consensus that total abstinence from the Internet should not be the goal of the interventions and that instead, an abstinence from problematic applications and a controlled and balanced Internet usage should be achieved [6]. The following paragraphs illustrate the various treatment options for IAD that exist today. Unless studies examining the efficacy of the illustrated treatments are not available, findings on the efficacy of the presented treatments are also provided. Unfortunately, most of the treatment studies were of low methodological quality and used an intra-group design. The general lack of treatment studies notwithstanding, there are treatment guidelines reported by clinicians working in the field of IAD. In her book â€Å"Internet Addiction: Symptoms, Evaluation, and Treatment†, Young [41] offers some treatment strategies which are already known from the cognitive-behavioral approach: (a) practice opposite time of Internet use (discover patientâ €™s patterns of Internet use and disrupt these patterns by suggesting new schedules), (b) use external stoppers (real events or activities prompting the patient to log off), (c) set goals (with regard to the amount of time), (d) abstain from a particular application (that the client is unable to control), (e) use reminder cards (cues that remind the patient of the costs of IAD and benefits of breaking it), (f) develop a personal inventory (shows all the activities that the patient used to engage in or can’t find the time due to IAD), (g) enter a support group (compensates for a lack of social support), and (h) engage in family therapy (addresses relational problems in the family) [41]. Unfortunately, clinical evidence for the efficacy of these strategies is not mentioned. Non-psychological Approaches Some authors examine pharmacological interventions for IAD, perhaps due to the fact that clinicians use psychopharmacology to treat IAD despite the lack of treatment studies addressing the efficacy of pharmacological treatments. In particular, selective serotonin-reuptake inhibitors (SSRIs) have been used because of the co-morbid psychiatric symptoms of IAD (e.g. depression and anxiety) for which SSRIs have been found to be effective [42-46]. Escitalopram (a SSRI) was used by Dell’Osso et al. [47] to treat 14 subjects with impulsive-compulsive Internet usage disorder. Internet usage  decreased significantly from a mean of 36.8 hours/week to a baseline of 16.5 hours/week. In another study Han, Hwang, and Renshaw [48] used bupropion (a non-tricyclic antidepressant) and found a decrease of craving for Internet video game play, total game play time, and cue-induced brain activity in dorsolateral prefrontal cortex after a six week period of bupropion sustained release treatment. Methylphenidate (a psycho stimulant drug) was used by Han et al. [49] to treat 62 Internet video game-playing children diagnosed with attention-deficit hyperactivity disorder. After eight weeks of treatment, the YIAS-K scores and Internet usage times were significantly reduced and the authors cautiously suggest that methylphenidate might be evaluated as a potential treatment of IAD. According to a study by Shapira et al. [50], mood stabilizers might also improve the symptoms of IAD. In addition to these studies, there are some case reports of patients treated with escitalopram [45], citalopram (SSRI)- quetiapine (antipsychotic) combination [43] and naltrexone (an opioid receptor antagonist) [51]. A few authors mentioned that physical exercise could compensate the decrease of the dopamine level due to decreased online usage [52]. In addition, sports exercise prescriptions used in the course of cognitive behavioral group therapy may enhance the effect of the intervention for IAD [53]. Psychological Approaches Motivational interviewing (MI) is a client-centered yet directive method for enhancing intrinsic motivation to change by exploring and resolving client ambivalence [54]. It was developed to help individuals give up addictive behaviors and learn new behavioral skills, using techniques such as open-ended questions, reflective listening, affirmation, and summarization to help individuals express their concerns about change [55]. Unfortunately, there are currently no studies addressing the efficacy of MI in treating IAD, but MI seems to be moderately effective in the areas of alcohol, drug addiction, and diet/exercise problems [56]. Peukert et al. [7] suggest that interventions with family members or other relatives like â€Å"Community Reinforcement and Family Training† [57] could be useful in enhancing the motivation of an addict to cut back on Internet use, although the reviewers remark that control studies with relatives do not exist to date. Reality therapy (RT) is supposed t o encourage individuals to choose to improve their  lives by committing to change their behavior. It includes sessions to show clients that addiction is a choice and to give them training in time management; it also introduces alternative activities to the problematic behavior [58]. According to Kim [58], RT is a core addiction recovery tool that offers a wide variety of uses as a treatment for addictive disorders such as drugs, sex, food, and works as well for the Internet. In his RT group counseling program treatment study, Kim [59] found that the treatment program effectively reduced addiction level and improved self-esteem of 25 Internet-addicted university students in Korea. Twohig and Crosby [60] used an Acceptance Commitment Therapy (ACT) protocol including several exercises adjusted to better fit the issues with which the sample struggles to treat six adult males suffering from problematic Internet pornography viewing. The treatment resulted in an 85% reduction in viewing at post-treatment with results being maintained at the three month follow-up (83% reduction in viewing pornography). Widyanto and Griffith [8] report that most of the treatments employed so far had utilized a cognitive-behavioral approach. The case for using cognitive-behavioral therap y (CBT) is justified due to the good results in the treatment of other behavioral addictions/impulse-control disorders, such as pathological gambling, compulsive shopping, bulimia nervosa, and binge eating-disorders [61]. Wà ¶lfling [5] described a predominantly behavioral group treatment including identification of sustaining conditions, establishing of intrinsic motivation to reduce the amount of time being online, learning alternative behaviors, engagement in new social real-life contacts, psycho-education and exposure therapy, but unfortunately clinical evidence for the efficacy of these strategies is not mentioned. In her study, Young [62] used CBT to treat 114 clients suffering from IAD and found that participants were better able to manage their presenting problems post-treatment, showing improved motivation to stop abusing the Internet, improved ability to control their computer use, improved ability to function in offline relationships, improved ability to abstain from sexually explicit online material, improved ability to engage in offline activities, and improved ability to achieve sobriety from problematic applications. Cao, Su and Gao [63] investigated the effect of group CBT on 29 middl e school students with IAD and found that IAD scores of the experimental group were lower than of the control group  after treatment. The authors also reported improvement in psychological function. Thirty-eight adolescents with IAD were treated with CBT designed particularly for addicted adolescents by Li and Dai [64]. They found that CBT has good effects on the adolescents with IAD (CIAS scores in the therapy group were significant lower than that in the control group). In the experimental group the scores of depression, anxiety, compulsiveness, self-blame, illusion, and retreat were significantly decreased after treatment. Zhu, Jin, and Zhong [65] compared CBT and electro acupuncture (EA) plus CBT assigning forty-seven patients with IAD to one of the two groups respectively. The authors found that CBT alone or combined with EA can significantly reduce the score of IAD and anxiety on a self-rating scale and improve self-conscious health status in patients with IAD, but the effect obtained by the combined therapy was better. Multimodal Treatments A multimodal treatment approach is characterized by the implementation of several different types of treatment in some cases even from different disciplines such as pharmacology, psychotherapy and family counseling simultaneously or sequentially. Orzack and Orzack [66] mentioned that treatments for IAD need to be multidisciplinary including CBT, psychotropic medication, family therapy, and case managers, because of the complexity of these patients’ problems. In their treatment study, Du, Jiang, and Vance [67] found that multimodal school-based group CBT (including parent training, teacher education, and group CBT) was effective for adolescents with IAD (n = 23), particularly in improving emotional state and regulation ability, behavioral and self-management style. The effect of another multimodal intervention consisting of solution-focused brief therapy (SFBT), family therapy, and CT was investigated among 52 adolescents with IAD in China. After three months of treatment, the scores on an IAD scale (IAD-DQ), the scores on the SCL-90, and the amount of time spent online decreased significantly [68]. Orzack et al. [69] used a psychoeducational program, which combines psychodynamic and cognitive-behavioral theoretical perspectives, using a combination of Readiness to Change (RtC), CBT and MI interventions to treat a group of 35 men involved in problematic Internet-enabled sexual behavior (IESB). In this group treatment, the quality of life increased and the level of depressive symptoms decreased  after 16 (weekly) treatment sessions, but the level of problematic Internet use failed to decrease significantly [69]. Internet addiction related symptom scores significantly decreased after a group of 23 middle school students with IAD were treated with Behavioral Therapy (BT) or CT, detoxification treatment, psychosocial rehabilitation, personality modeling and parent training [70]. Therefore, the authors concluded that psychotherapy, in particular CT and BT were effective in treating middle school students with IAD. Shek, Tang, and Lo [71] described a multi-level counseling program designed for young people with IAD based on the responses of 59 clients. Findings of this study suggest this multi-level counseling program (including counseling, MI, family perspective, case work and group work) is promising to help young people with IAD. Internet addiction symptom scores significantly decreased, but the program failed to increase psychological well-being significantly. A six-week group counseling program (including CBT, social competence training, training of self-control strategies and training of communication skills) was shown to be effective on 24 Internet-addicted college students in China [72]. The authors reported that the adapted CIAS-R scores of the experimental group were significantly lower than those of the control group post-treatment. The reSTART Program The authors of this article are currently, or have been, affiliated with the reSTART: Internet Addiction Recovery Program [73] in Fall City, Washington. The reSTART program is an inpatient Internet addiction recovery program which integrates technology detoxification (no technology for 45 to 90 days), drug and alcohol treatment, 12 step work, cognitive behavioral therapy (CBT), experiential adventure based therapy, Acceptance and Commitment therapy (ACT), brain enhancing interventions, animal assisted therapy, motivational interviewing (MI), mindfulness based relapse prevention (MBRP), Mindfulness based stress reduction (MBSR), interpersonal group psychotherapy, individual psychotherapy, individualized treatments for co-occurring disorders, psycho- educational groups (life visioning, addiction education, communication and assertiveness training, social skills, life skills, Life balance plan), aftercare treatments (monitoring of technology use, ongoing psychotherapy and group work), a nd continuing care (outpatient treatment) in an individualized, holistic approach. The first  results from an ongoing OQ45.2 [74] study (a self-reported measurement of subjective discomfort, interpersonal relationships and social role performance assessed on a weekly basis) of the short-term impact on 19 adults who complete the 45+ days program showed an improved score after treatment. Seventy-four percent of participants showed significant clinical improvement, 21% of participants showed no reliable change, and 5% deteriorated. The results have to be regarded as preliminary due to the small study sample, the self-report measurement and the lack of a control group. Despite these limitations, there is evidence that the program is responsible for most of the improvements demonstrated. CONCLUSION As can be seen from this brief review, the field of Internet addiction is advancing rapidly even without its official recognition as a separate and distinct behavioral addiction and with continuing disagreement over diagnostic criteria. The ongoing debate whether IAD should be classified as an (behavioral) addiction, an impulse-control disorder or even an obsessive compulsive disorder cannot be satisfactorily resolved in this paper. But the symptoms we observed in clinical practice show a great deal of overlap with the symptoms commonly associated with (behavioral) addictions. Also it remains unclear to this day whether the underlying mechanisms responsible for the addictive behavior are the same in different types of IAD (e.g., online sexual addiction, online gaming, and excessive surfing). From our practical perspective the different shapes of IAD fit in one category, due to various Internet specific commonalities (e.g., anonymity, riskless interaction), commonalities in the underlying behavior (e.g., avoidance, fear, pleasure, entertainment) and overlapping symptoms (e.g., the increased amount of time spent online, preoccupation and other signs of addiction). Nevertheless more research has to be done to substantiate our clinical impression. Despite several methodological limitations, the strength of this work in comparison to other reviews in the international body of literature addressing the definition, classification, assessment, epidemiology, and co-morbidity of IAD [2-5], and to reviews [6-8] addressing the treatment of IAD, is that it connects theoretical considerations with the clinical practice of interdisciplinary mental health experts working for years in the field of Internet addiction. Furthermore, the current work gives a good  overview of the current state of research in the field of internet addiction treatment. Despite the limitations stated above this work gives a brief overview of the current state of research on IAD from a practical perspective and can therefore be seen as an important and helpful paper for further research as well as for clinical practice in particular.