Academic Writing Guide - City University PDF
Academic Writing Guide - City University PDF
Academic Writing Guide - City University PDF
ACADEMIC WRITING
GUIDE
2010
A Step-by-Step Guide to
Writing Academic Papers
by Anne Whitaker
September 2009
Table of Contents
Why Academic Writing ............................................................................ 2
The Writing Process ................................................................................ 4
Choosing and Narrowing a Topic ............................................................. 4
Thinking (Brainstorming)........................................................................ 6
Doing Research ....................................................................................... 6
Thesis Statement .................................................................................... 7
Planning Basic Outline ......................................................................... 7
Planning Taking Notes ......................................................................... 9
Planning Detailed Outline................................................................... 10
Writing the First Draft ........................................................................... 13
The Introduction ................................................................................... 13
Body Paragraphs ................................................................................... 14
The Conclusion ...................................................................................... 15
Connection between Ideas .................................................................... 16
Revising ................................................................................................ 17
Editing .................................................................................................. 18
Proofreading ......................................................................................... 19
Paper Checklist ..................................................................................... 20
Example Paper ...................................................................................... 21
Bibliography .......................................................................................... 28
Some assignments will have a pre-determined purpose (see the examples above);
for other assignments, you will have to choose a purpose when you choose a topic
(research paper, term paper). And some assignments may have two purposes. In all
cases, the purpose will be clear at the beginning of your paper, and your paper must
achieve its purpose in order to be successful.
Audience Engagement. As with all writing, academic writing is directed to a specific
audience in mind. Unless your instructor says otherwise, consider your audience to
be fellow students with the same level of knowledge as yourself. As students in the
field, they are interested in your topic, but perhaps not so interested in reading a
paper. So you will have to engage them with your ideas and catch their interest with
your writing style. Imagine that they are also skeptical, so that you must use the
appropriate reasoning and evidence to convince them of your ideas.
Clear Point of View. Academic writing, even that with an informative purpose, is
not just a list of facts or summaries of sources. Although you will present other
peoples ideas and research, the goal of your paper is to show what you think about
these things. Your paper will have and support your own original idea about the
topic. This is called the thesis statement, and it is your answer to the question.
Single Focus. Every paragraph (even every sentence) in your paper will support
your thesis statement. There will be no unnecessary, irrelevant, unimportant, or
contradictory information (Your paper will likely include contradictory or alternative
points of view, but you will respond to and critique them to further strengthen your
own point of view).
Logical Organization. Academic writing follows a standard organizational pattern.
For academic essays and papers, there is an introduction, body, and conclusion. Each
paragraph logically leads to the next one.
o
The body paragraphs support the thesis statement. Each body paragraph has
one main point to support the thesis, which is named in a topic sentence. Each
point is then supported in the paragraph with logical reasoning and evidence.
Each sentence connects to the one before and after it. The readers do not have to
work to find the connection between ideas.
The conclusion summarizes the papers thesis and main points and shows the
reader the significance of the papers findings.
Strong Support. Each body paragraph will have sufficient and relevant support for
the topic sentence and thesis statement. This support will consist of facts, examples,
description, personal experience, and expert opinions and quotations.
Clear and Complete Explanations. This is very important! As the writer, you need
to do all the work for the reader. The reader should not have to think hard to
understand your ideas, logic, or organization. English readers expect everything to be
done for them; your thoughts and thought processes should be clearly and
completely explained.
Effective Use of Research. Your paper should refer to a variety of current, highquality, professional and academic sources. You will use your research to support
your own ideas; therefore, it must be integrated into your writing and not presented
separately. That means that source material will be introduced, analyzed, explained,
and then cited. Research and APA Style Guide 2010 covers this topic in depth.
Correct APA Style. All academic papers should follow the guidelines of the American
Psychological Association as found in Research and APA Style Guide 2010, regarding
Then you need to narrow your ideas from subjects to topics. A subject is a broad
concept: conflict management, abortion, the Cold War, capital budgeting, organizational
culture, global warming, Toyotas management style, and EU agricultural subsidies are a
few examples. These are not paper topics; these could all be the subjects of books.
Narrow a subject by looking at its smaller parts, or by choosing a specific problem, time
period, or place to cover. You may need to do a little general research here if you do not
know much about the subject. Also asking yourself Who? What? Where? When? Why?
and How? questions about the subject can help you limit the subject and determine
your interests.
Doing this with abortion, for example, leads to topics like the reasons American women
choose abortion rather than adoption, the psychological effects of previous abortions on
women who become pregnant again, the consequences of Polands ban on abortions on
Polish womens lives, solutions to ending the practice of using abortion as a tool for
gender selection in India, and whether or not the morning after pill should be sold to
girls under 16. From here, choose a topic which fits the prescribed purpose of your paper
(if there is one).
Specific topics like these are much more likely to fit the goal of academic writing and to
fit the number of pages allowed in your paper.
Writing your Topic as a Question
Once you have a specific topic for your paper, write your topic as the question which
your paper will answer. Doing this is a great way to focus your paper and ensure that
you meet the papers purpose. In fact, your purpose will determine the type of question
that you ask.
For example, an argumentative paper would probably have a yes/no question, such as
Should the U.S. have used the atomic bomb in World War II? or Should the morning
after pill be sold to girls under 16? or Should animal organs be used for human
transplants? or Which is a better strategy for the EU to follow to encourage change in
Burma engagement or isolation? And then, of course, your paper would argue for
your answer to the question.
An analytical paper most likely has a why/how question, such as Why has childhood
obesity been increasing in the United States? or How has Polands ban on abortions
affected womens lives? or How effective is the article in supporting the authors
thesis? or How could the EU best reform its agricultural subsidies? And then, of
course, your paper will analyze the various answers, justifying your point of view to the
audience.
An informative paper often has a what/why/how question, such as What are the
negative aspects of wind energy? or What are the causes of anorexia in teenage boys?
or How can managers evaluate whether to invest money in a software upgrade
project? And then, of course, your paper will explain the various answers, giving the
readers a new way of looking at the topic.
Characteristics of a Good Paper Topic
Your question does not have a simple answer. A good question has several
alternative answers, or no accepted answer, or maybe an easy but unsatisfactory
answer. In other words, there is no one right answer to your question. Your paper
will give and justify your own best answer(s), and it will require research and critical
thinking to do this.
Your question is worth answering. The readers will care about the answer to your
question. Your answer will have some significance.
Your paper will achieve its purpose. Will your informative paper truly give your
readers a new perspective? Will your readers accept your analysis in your analytical
paper? Will your persuasive paper succeed in changing your readers view?
This is especially important to consider with persuasive paper topics. Avoid topics in
which arguments are mostly based on (usually unchanging) personal beliefs, rather
than reason and evidence. Whether abortion should be legalized is such a topic.
You are interested in the topic. You will spend a lot of time with this topic, so
choose something that will not bore or torture you.
The topic is the right size for the length of the paper. Make sure you will not
have too little or too much to say for the number of pages allowed.
There is enough (but not too much) information available in reliable
sources. If you find too much information, you will need to narrow your topic
further; if you find too little information, you should widen your topic.
You have enough time to do what you need to do. How much time do you have
before the due date? You may have to limit the complexity of your topic if you have
waited too long to start.
Thinking (Brainstorming)
When you have a topic, start brainstorming. Write down all the possible answers to your
question, and write down all the information, opinions, and questions you have about
your topic. Brainstorming will help you see what you already know, what you think, what
you think you know, and what else you need to find out about your topic. Writing things
down also ensures that you will not forget your great ideas later. (Although this is a
really short section, it is a very important step!)
Doing Research
Doing research is covered on pp. 3-12 of the Research and APA Style Guide. Read them!
What you must remember is that doing good research takes time. Do not expect to do
research once and find everything that you need for your paper. Research is an on-going
part of the writing process. You will start now, doing general research to learn more
about your topic, but you will continue doing research throughout the writing process, as
you discover a thesis, make a basic outline and then a detailed outline, write your paper,
and revise your paper. Also, do not be afraid to change your topic a little (or a lot) if
your research leads you in a different direction.
To make research more effective and less time-consuming, you can do three things:
Plan your research before your start, using the research guides tips (pp. 3-4).
Set up and follow a research schedule. Give yourself a set amount of time to do
your preliminary research. Start working on your paper, and go back to researching
later when you know exactly what you need to find.
Immediately record source information. Write down the address or bookmark
the web page of every good source, even if you are not sure if you will use ityou
may want to later.
Thesis Statement
The thesis statement is the most important sentence in your paper. If someone asked
you, What does your paper say? your answer would be your thesis statement.
Everything you write will support this statement.
A good thesis statement usually includes
Main idea of the paper. ONE idea. The entire paper is based on this statement.
Your opinion or point of view. The thesis statement is not a fact nor a question,
but your view of the topic and what you want to say about it.
Purpose of the paper. From the thesis, it should be clear what the paper will do.
Answer to the research question. Ask yourself the question and then answer it
with your thesis. Is it truly an answer? (if not, change the question or the answer!)
An element of surprise. This means that the thesis is interesting, engaging, and
perhaps not so expected.
Clarity. It should be understandable after one reading and have no mistakes.
When should you write your thesis statement? It depends on when you know the answer
to your research question. You may have an idea before you begin researching, you may
discover it as you research, or you may not know it until you have almost finished
writing your paper. Its useful to have a thesis idea at the beginning to help you focus,
but its also OK to change your thesis statement as you go through the writing process
and learn and think more about your topic.
EXAMPLE BASIC OUTLINE after more thinking and/or research (argumentative paper)
Research Question: Are birth control pills safe for women?
Thesis: Although there are some disadvantages, birth control pills are safe.
Sections:
I. Pills contain nothing harmful to health.
II. Pills bring some health benefits to women.
IV. Myths about birth control pills are wrong.
1. They do not cause ovarian cancer, but prevent it.
2. They do not cause breast cancer.
3. It is safe to use them when breastfeeding if done right.
IV. There are some minor disadvantages, but not for healthy women.
(4 sections, with a total of 6 paragraphs)
8
EXAMPLE BASIC OUTLINE after more thinking and/or research (analysis paper)
Research Question: Why has childhood obesity increased in the United States?
Thesis: Childhood obesity has increased in the United States due to the unhealthy
environment in which many American children are raised.
Sections:
I. Children eat more than in the past (portion sizes have increased).
II. Children often do not eat healthy meals.
1. Healthy food is hard to get (expensive + rare).
2. Schools provide unhealthy food
III. Children do not have as much physical activity as in the past.
1. Physical activity in schools has decreased.
2. Some children live in areas unsafe for outdoor activity.
3. Many children watch too much TV.
IV. Parents model bad habits.
1. Parents do not have time, money, or information to prepare healthy meals.
V. Food companies and advertising may bear some responsibility, but parents should
be able to help children resist them.
(5 sections, with a total of 8 paragraphs)
Take notes in the margin. Write down your comments/questions about the
information. Note which main point from your paper the information supports
(this will help you when you are organizing and writing your paper later).
On a computer file
o Create a separate Word document for each section of your paper.
o
Take notes of important information from paper sources. Dont forget to include
the authors name.
Put text copied from web pages in quotation marks. Be very careful this often
leads to unintentional plagiarism. Dont forget to include the authors name and
web address.
In a notebook
o
Take notes of important information. In the margin, note which main point from
your paper the information supports.
On note cards
o
Put the main point from your paper at the top of the card so you can organize all
the notes later.
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Always include the source of any research that you put in your outline (Author,
year). If you use the sources exact words in your outline, use quotation marks.
5. Now, based on the amount of supporting points and details in each section, you can
determine how many paragraphs you will need.
6. Divide your outline into paragraphs, each with a main point written in sentence form
(preliminary topic sentence) and list of supporting points and details.
EXAMPLE DETAILED OUTLINE - 3 paragraphs (argumentative paper)
Thesis: Although there are some disadvantages, birth control pills are safe.
Section/Paragraph #1 Pills contain nothing harmful to womens health.
1. Pills contain hormones produced by womens bodies.
- Combination (estrogen+progestin) and progestin only (Planned Parenthood, 2003)
- Estrogen activates uterus, thickens walls. Progesterone helps uterus accept egg
(National Cancer Institute, 2003)
2. Pills give women the right amount of hormones so they cant get pregnant
- Estrogen pill stops egg production, progestin pill will thicken cervical mucus so no
fertilization (Planned Parenthood, 2003, Basics section, para. 2)
- Hormones fool the body into acting as if its pregnant (Alice, 1998)
Section/Paragraph #2 Taking birth control pills has benefits for women's health.
1. Avoid unwanted pregnancy
2. Improve skin
- less acne, less excess hair (Greenfield, 2004a)
3. Other benefits are fewer ovarian cysts, and less likelihood of anemia (Greenfield, 2004a)
4. Less painful menstruation
- not so many cramps, lighter flow (Planned Parenthood, 2003)
5. Women can enjoy life
Section III: Myths about birth control pills are wrong.
Paragraph #3 Birth control pills do not cause ovarian cancer.
1. On the contrary, birth control pills help fight against cancer.
- Progestin pill caused increased cell turnover in the ovarian epithelium, indicating that
progestin might lower ovarian cancer risk by activating cancer-preventative molecular
pathways in the ovary Duke Comprehensive Cancer Center (Oral contraceptives,
2002). More cell turnover means pre-cancerous cells are destroyed earlier and faster.
- Women who took pills with more progestin had lower risk of ovarian cancer than women
on pills with more estrogen, but all women taking the pill had lower risk of ovarian
cancer than other women (Oral contraceptives, 2002)
2. Some doctors even advise women to take the pill for five years because of its benefits in
preventing ovarian cancer (Greenfield, 2004b)
3. The longer women use pill, more protection they have against ovarian cancer.
- Women who used pill for 1 year had 10-12% less chance of ovarian cancer.
- Women who use it for 5 years decrease risk of ovarian cancer by 50%. Centers for
Disease Control and Prevention, Harvard Medical School (National Cancer Institute,
2003)
4. Pill can especially help women with ovarian cancer in family history.
..
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The Introduction
The introduction of an academic paper is usually 1-2 paragraphs long longer for longer
papers with more background information. In general, your introduction should do the
following things:
Gain the immediate attention of the audience
Here are some (but not all) of the ways to start an interesting and relevant
introduction:
o
Do NOT be boring! Use the first sentence (often called the hook sentence) to hook
the readers interest.
Do NOT be too general! Immediately dive into your specific topic; dont waste space
with a general introduction of the entire subject area. Remember that your audience
is familiar with the subject area. And never start with the origins of humankind:
Since the beginning of history!
Do NOT begin with your thesis idea! Use the introduction to build up to your thesis
statement, so it comes with a little tension.
Provide any necessary background information or definition of any terms.
Give only the history, facts, or definitions that readers will need to understand your
topic and thesis. Keep in mind what the audience already knows.
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Avoid dictionary and encyclopedia definitions if possible and explain in your own
words what the important concepts in your paper mean.
Use source information to provide background information, but not to answer the
research question or give your opinion.
Make sure that the readers now know enough to follow your paper, but not too much
that they have lost the focus of your paper.
Briefly introduce the main points (sections) of the paper
In academic writing, the writer lets the reader know what to expect. Provide a brief
overview of your papers main points.
Do NOT support or try to prove these points. Do not go into depth.
Do NOT just write a one-sentence list of your points. You can't summarize a great
idea in one word.
Have a thesis statement (often the last sentence)
This guide has covered the thesis statement already, but because its the most
important sentence of your paper, well go over it again. In the thesis,
o
Make sure the purpose and point of view of your paper are clear.
Do NOT write a long, wordy, confusing thesis statement (especially do not try to
include all of your main points).
Do NOT announce your intentions. Avoid This paper will prove or Im going to
write about Dont tell the audience what you are going to do; just do it.
Body Paragraphs
Body paragraphs can be written in many ways, depending on your purpose. However,
each paragraph should have ONE point which supports the thesis statement. Most body
paragraphs will have:
Topic Sentence
Usually, but not always, the first sentence of the paragraph. If its not the first
sentence, it should be very clear which sentence is the topic sentence.
It introduces the paragraph's main idea, makes your point about this idea, and
relates to the thesis statement.
The topic sentence connects to the previous paragraph.
The topic sentence is NOT a fact. It has a point of view.
The topic sentence is NOT something from a source. It is your idea.
Every sentence in the paragraph will support this topic sentence.
Explanation of topic sentence
The sentence(s) after the topic sentence often further describe the main idea of the
paragraph.
Support
The topic sentence is supported by supporting points, details, and explanations, often
presented in sandwiches (review pp. 23-25 in Research and APA Style Guide about
14
Make sure the details are relevant to your point. A common mistake is including
misunderstood source information that does not actually support the students
point.
Remember that one example does not prove something. Use more than one
example or source in a paragraph.
Check with your instructor if you can also include your own personal experience
as a detail.
Clear and complete explanations are very important because the readers are
expecting you to explain everything to them. The readers do not expect to have to
think too hard. So explain why/how the details support the topic sentence, and thus
the thesis.
o
Your explanation should not just repeat the source material, but rather interpret
and analyze it.
Your explanation should not simply repeat your thesis or topic sentence, but
rather explain how the source material supports those ideas.
Do NOT rely on sources too much. Its YOUR paragraph, so it should contain your
ideas about the topic as well. Look at the example papers in this guide and the
Research and APA Style Guide to see how the writers balance source material and
their own ideas about it in each body paragraph.
Make sure all your support has a logical order and good connections.
Concluding sentence
The last sentence should review the body paragraph, emphasize the point and/or
thesis again, or prepare the reader for the next body paragraph.
Do NOT end the paragraph with a source citation. End with your own idea.
A final, important guideline about body paragraphs:
No long body paragraphs!
It is difficult for readers to stay focused on long blocks of text. of a page is generally
as long as a paragraph should be. If your paragraph is much longer, find a logical way to
divide it into two body paragraphs.
The Conclusion
The conclusion may be the shortest paragraph, but its also the most important because
this is what the reader will remember. A conclusion usually does these things:
Connect to the last sentence of the previous paragraph
Use an advanced style. In conclusion, to summarize, at the end are rather boring and
15
Briefly summarize the main points of your paper. Again, say these in a different
way, so readers are not bored by repetition of the same sentences and phrases.
Use your own thoughts, not your sources. The place for source support was in
the body paragraphs, not the conclusion.
Relate your conclusion to the hook sentence(s) from your introduction. This can
be a very effective way of wrapping up your paper.
End with an idea for the reader to think about a prediction or recommendation
perhaps.
Do NOT ask a question that leaves the reader uncertain. The purpose of academic
writing is not to confuse the reader, but to enlighten the reader.
Do NOT be too general. Stay focused on your specific topic.
DO NOT be too shocking, unbelievable, sweet, or obvious.
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These words clearly state the relationship between two sentences. Here are some
transitions; if you are not sure what a word means, look it up in a dictionary.
o
to add a more important idea more importantly, what's worse, what's more
to contrast with the previous idea however, nevertheless, on the other hand
to show the result of the previous idea therefore, thus, consequently, as a result
to give an example of the previous idea for instance, for example, to illustrate
to show a time relationship between ideas first, second, then, next, finally
While they are very helpful, there are two big problems with using these words:
o
Students often use them incorrectly. Please see the box below about proper use
of these words.
USING TRANSITIONS
Sentence. Transition, sentence. OR
Transitions usually connect two sentences. Therefore, they will usually appear at the
beginning of a complete sentence after a period or semi-colon.
The law does not stop teenagers from drinking therefore it is ineffective.
The law does not stop teenagers from drinking, therefore it is ineffective.
The law does not stop teenagers from drinking; therefore, it is ineffective.
The law does not stop teenagers from drinking. Therefore, it is ineffective.
WRONG
WRONG
RIGHT!
RIGHT!
Revising
Your first draft is complete, but your paper is far from finished. The next step is to revise
your paper strengthen the content. Start this at least a week before your paper is due.
In fact, you dont need to wait until you have a complete first draft to start revising. You
can revise individual paragraphs as you finish them as well.
Know what to fix
Before you can revise, you need to know what to fix. How can you find that out?
Get feedback. In some courses, you and your classmates will be asked to exchange
papers to read and comment on them in class or online. If not, ask a friend to read
it. You can also ask your instructor to look at parts of your paper (most instructors
are happy to help if you have started your paper early. They may not be willing if you
ask for advice at the last-minute). Listen to the advice of your reviewers, but
remember that in the end, your paper is your responsibility.
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Editing
When you are happy with your paper's content, it's time to edit. Try to do this in the
week before your paper is due.
Editing will make your writing more precise and easier to understand (not necessarily
shorter, but clearer). When editing, you examine every sentence and ask yourself if has
a purpose and if its complete, clear, and concise in English. A grammar resource and an
English-English dictionary are both helpful editing tools.
Experiment with the following strategies until you find what works best for you.
Read your paper out loud slowly (or ask someone to read it to you).
You will hear mistakes, wordiness, repetition, and lack of clarity, which you can correct.
If you don't know how to correct something, start looking through those grammar books.
Use the spell check and grammar check functions in Microsoft Word.
They will find some things, but not everything. This should not be your only strategy.
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Read the beginning and end of every paragraph to make sure they flow together.
Go through the paper sentence by sentence and find connections between them.
If the ideas don't connect, add a transition, pronoun, repeated word, synonym, or
another sentence.
Wordiness
o
Find all the very long sentences (25 words or more). Can they be rewritten more
clearly and concisely?
Read each sentence. After each one, ask, Is it necessary to the paragraph? Does
it add something new? Could it be eliminated completely or partly? Could it be
combined?
Read each sentence word by word. Is every word necessary? Could some be
eliminated or re-written in a shorter, clearer way? Could passive verbs be
rewritten as active ones?
Read each sentence and ask, What is the purpose of this sentence? Does it
introduce a new idea? Does it support or explain the previous idea? OR does it
just repeat it?
Read the first 5 words of each sentence to find sentences starting in the same
way (such as with a transition word). Change some so your sentences have
variety.
Look at the length of every sentence. There should be a variety of short and long
sentences. Make sentences shorter by dividing them or longer by combining.
Find words which are repeated a lot. Use a thesaurus to find other words to use.
Sentence structure
o
Go through the essay sentence by sentence. Label the subject(s) and the verb(s)
in every sentence. Make sure each sentence has a subject and verb. Make sure
there are not too many subject-verb combinations in each sentence and that
word order is Subject+Verb+Object. Fix fragments, run-ons, and word order.
Word choice
o
Find all the long words. Could some be replaced with shorter, clearer words?
Read your paper without using a lot of effort you're just reading because you
are interested in the topic. If you have to read something twice, it's not clear.
Read your paper and translate it into your native language in your head. If it's
really easy to translate, then maybe the writing is not following English structure
and style.
Say your ideas out loud in English. Write exactly what you said. You probably
speak more clearly than you write.
Proofreading
When you think your paper is ready to turn it, it's time to proofread (check for
mistakes). If you don't proofread, your paper may be full of careless errors, which shows
the audience that you were too lazy, rushed, or uncaring to fix your paper. To proofread:
Do not look at your paper for 24 hours (this requires time management skills!)
Print your paper you'll see mistakes that you might not see on a computer screen.
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Start with the last sentence of your paper and read your paper sentence by sentence,
going backwards. (This will help you focus on grammar, not content).
Cover all the other lines with another piece of paper.
Point your pen at each word.
Think about the grammar, spelling, punctuation, capitalization, meaning... of every
word.
If you are unsure about anything, use a dictionary or grammar book. If you are still
unsure, mark the line and ask someone for help.
Fix any mistakes that you found.
Print your paper and proofread it again!
It is a long, slow, unpleasant experience at first. However, the more you proofread,
the easier it gets, the better your English gets, and the higher your grades get too.
Paper Checklist
Clear Objective, Thesis, and Focus
____
____
____
____
Thesis
Thesis
Thesis
Thesis
is clear
has point of view
answers research question
is surprising
____
____
____
____
Organization/Cohesion
____ Clear introduction, body, conclusion
____ Connections between paragraphs
Introduction
Conclusion
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
Support is explained/analyzed
Balanced source info and own ideas
Each paragraph explains why/how
Specific explanations
No repetition of ideas
No irrelevant ideas or information
Appropriate concluding sentences
Each para. proves its topic sentence
Alternative/opposing views included,
minimized
Body
____
____
____
____
____
____
____
____
____
____
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Example Paper
Gabriela Zurikova
Gabriela_Zurikova@student.sk
IEP 060 Academic Writing Skills
Anne Whitaker
Research Paper
August 30, 2004
22
Janka (24) bought a pregnancy test and now is waiting for the results, which makes
her nervous. One second may change her whole life, and she could become the mother of an
unwanted child. To avoid this stressful situation, it was only necessary to have used a 43year-old method of birth control the birth control pill once a day. It has been taken by
approximately 80% of American women today (Okie, 2002), and its effectiveness is over
99% if used correctly (Planned Parenthood, 2003). However, some women still fear that
taking the birth control pill could harm their health. In fact, the pills composition provides
advantages to women, including prevention of ovarian cancer. There is also no connection
between the pill and breast cancer, and its usage is possible while breastfeeding too. Although
there are a few disadvantages to its use, the birth control pill is safe for women.
Birth control pills contain nothing harmful to womens health. This oral contraception
is divided into two groups. First are combination pills including estrogen and progestin
(synthetic progesterone), and second are progestin-only-pills. Womens ovaries produce both
estrogen and progesterone (Planned Parenthood, 2003). The pill thus contains the same
hormones that womens bodies already have. According to the National Cancer Institute
(2003), estrogen is a hormone which makes the uterus more active when a womens body
becomes sexually mature. It also makes the endometrium (the uterus walls) thicker at the
beginning of the menstrual cycle. Then, the endometrium is ready to accept a fertilized egg
with the help of progesterone, which is made in the second part of the menstrual cycle. The
pill, however, gives women the right amount of these hormones so that they cannot get
pregnant. Planned Parenthood (2003) explained that estrogen in combination pills stops the
ovaries from producing eggs, while progestin-only pills thicken cervical mucus to stop the
fertilization of eggs (Basics section, para. 2). These supplemental hormones fool the body
into acting as if it's pregnant (Alice! Health Promotion Program, 1998). They do not damage
the body; they just make it act in a different way. So, the contents of this oral contraceptive
23
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estrogen; however, all women who took any birth control pill had a lower risk of ovarian
cancer than other women (as cited in Oral contraceptives, 2002). So the pill, especially the
progestine-only one, has been effective in fighting against ovarian cancer. According to Dr.
Greenfield (2004a), the effectiveness of the pill is so great that some doctors now advise
women to take the pill for five years just because of its benefits in preventing ovarian cancer.
From this, it seems that the birth control pill neither increases the danger of cancer of the
ovaries nor damages their functioning, so the myth should be forgotten. In actuality, the
longer women use this form of birth control, the bigger the protection against ovarian cancer
they have. The Centers for Disease Control and Prevention and Harvard Medical School
studies found that women who used the pill for one year had a 10-12% less chance of getting
ovarian cancer, while women decrease the risk of getting the cancer by 50% if they use the
pill for no less than five years. This protection lasts even after women stop using the pill (as
cited in National Cancer Institute, 2003). Thus, continued use of the pill is not a bad decision
because it can help to prevent cancer for a long time in the future. So, especially women
whose mothers or grandmothers had ovarian cancer are protecting themselves in the right
way by taking the birth control pill.
Another claim is that the birth control pill may cause breast cancer, which is a
blunder. The truth is that not only 20- to 30-year-old women, but also women in their 40s,
50s and 60s do not have a higher chance of getting breast cancer just because they used oral
contraceptives. This was shown by a study in The New England Journal of Medicine called
the Women's Contraceptive and Reproductive Experience study. Of 9,200 women between
35 and 64, half of whom had had a breast cancer diagnosis, women who had used the pill did
not have increased breast cancer risk (as cited in National Cancer Institute, 2003). So,
especially older women, who are at greater risk of getting breast cancer because of their age,
do not have to be afraid that taking the pill could lead to breast cancer. There is also another
25
significant fact about women with a history of breast cancer in their families. The same
Womens Contraceptive and Reproductive Experience study showed that women with breast
cancer in their families did not have a higher risk of cancer if they took the pill (as cited in
Okie, 2002). So, women who had breast cancer in the past are free to use the pill as well as
healthy women. They could also use the pill for two, five, or ten years without worrying
because, as Okie (2002) pointed out, the study indicated no higher risk of breast cancer due to
time of usage, or even race or weight. Almost all women can safely use the pill for weeks,
months or years. In conclusion, there is no clear connection between breast cancer and using
the birth control pill.
It is also remarkable that it is possible to use the pill during lactation. Women
breastfeeding their infants also need to use birth control to avoid pregnancies, and hormonal
oral contraceptives, especially the progestin-only-pill, are one of the safe options. According
to the web site of well-known pediatrician Dr. William Sears (n.d.), in comparison with the
combination pill, the progestin-only pill is better to use because it does not contain estrogen,
which could reduce the amount of mothers milk. But his most important point is that the pill
does not affect the childs health at all. This means that women do not have to stop either
taking the pill or breastfeeding their babies. Furthermore, the combination oral contraceptive
is also approved for use by breastfeeding women. Dr. Greenfield (2004b) confirmed that the
combination pill may be used when the milk is well produced, which is six months after birth.
When the mothers body is accustomed to breastfeeding, therefore, it is possible and safe to
use both kinds of oral contraceptive without worrying about the baby or mothers health. In
short, the birth control pill could be used during lactation with no danger to the child.
Although the use of oral contraception has all these benefits, there are also a few
disadvantages. For instance, Planned Parenthood (2003) reported that women taking the pill
for the first time may have terrible headaches and feel sick. They may experience bleeding
26
during the month as well. These are typical side effects of oral contraceptives, but they
usually disappear in three months. It seems that the additional progestin and estrogen cause
those changes, but as womens bodies adjust, the bad effects soon vanish. Plus, if the effects
do not disappear, a doctor can help women to choose another kind of birth control pill.
However, Okie (2002) named one group in danger while taking birth control pills: smokers
over 35. This combination is risky because these women have a higher risk of heart attacks.
Here it is important to note that smoking is the bad habit which endangers women, not the
pill. In general, oral contraceptives benefit women's health and well-being much more than
they hurt.
Using the birth control pill is a safe solution to avoiding unwanted pregnancies. It
contains hormones which do not confuse the systems of womens bodies and bring health
benefits into their lives. The pill has been successful in the prevention of ovarian cancer;
moreover, there is little danger connected with breast cancer. Taking the birth control pill is
also safe for women breastfeeding their babies. On the other hand, there could be a few minor
negative side effects and there are risk groups who should be careful. Oral contraceptives
overall, though, should not be seen as a symbol of jeopardy, but a symbol of womens choice.
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References
Alice! Health Promotion Program. (1998, July 14). How do birth control pills work?
Retrieved August 20, 2004, from Health Services at Columbia University Web site:
http://www.goaskalice.columbia.edu/0663.html
Greenfield, M. (2004a, August 18). Myths and truths about birth control pills. Retrieved
August 20, 2004, from Dr. Spock Web site: http://www.drspock.com/article
/0,1510,5324,00.html
Greenfield, M. (2004b, August 19). Postpartum birth control options. Retrieved August 20,
2004, from Dr. Spock Web site: http://www.drspock.com/article/0,1510,5696,00.html
National Cancer Institute. (2003, November 3). Cancer facts: Oral contraceptives and cancer
risk [fact sheet]. Retrieved August 15, 2004, from http://cis.nci.nih.gov/fact
/3_13.htm
Okie, S. (2002, June 27). Study: Birth control pills not linked to breast cancer. The
Washington Post, p. A1. Retrieved from National Newspapers database.
Oral contraceptives with higher levels of progestin protect against ovarian cancer, study
suggests. (2002, January 2). Science Daily. Retrieved from http://www.sciencedaily
.com/releases/2002/01/020102074449.htm
Planned Parenthood. (2003, November). You and the pill. Retrieved August 15, 2004, from
http://www.plannedparenthood.org/bc/YOU_AND_PILL.HTM
Sears, W. (n.d.). Oral contraceptives while breastfeeding. Retrieved August 15, 2004, from
http://www.askdrsears.com/html/2/T028700.asp
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