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    2764 results match your criteria American journal of psychotherapy[Journal]

    1 OF 56

    Supervisor Allegiance as a Critical Construct: A Brief Communication.
    Am J Psychother 2016 Dec;70(4):439-444
    Allegiance, long regarded as a significant variable in psychotherapy and psychotherapy research, has been ignored in the psychotherapy supervision literature. It is our contention that allegiance is similarly significant for psychotherapy supervision. In this brief communication, we define supervisor allegiance, consider its impact on supervision outcome, and highlight its role in the contextual supervision relationship model (a trans-theoretical model of the supervisory relationship). Read More

    "Our Time is Up": A Relational Perspective on the Ending of a Single Psychotherapy Session.
    Am J Psychother 2016 Dec;70(4):413-427
    This paper, written from a relational perspective, examines the final minutes of an individual psychotherapy session, and is organized around the topics of boundary negotiation, unwitting self-disclosures, visual challenges, and countertransference. Attending to session-ending material is important because the separation involved lends heightened emotional intensity to the oftensignificant material that appears in the final minutes. This material often serves as a bridge to the psychotherapeutic work to be taken up in subsequent sessions. Read More

    Psychodynamic Intervention in Crisis.
    Am J Psychother 2016 Dec;70(4):393-412
    This paper presents a framework for brief, intensive psychotherapeutic intervention for acute distress, manifested by feelings of depression, anxiety or anger, isolation and loneliness, that arise when crises provoke unconscious conflict. This therapy uses a technique to develop a "benevolent transference" for symptom relief and as a groundwork for gaining insight. Interventions to facilitate this process will be illustrated with case illustrations. Read More

    Introducing a Clinical Course-Graphing Scale for DSM-5 Mood Disorders.
    Am J Psychother 2016 Dec;70(4):383-392
    Assessment of clinical course to aid in the diagnosis of patients and to guide treatment planning has gained momentum in recent years. A course-graphing scale for the DSM-5 Mood Disorders is presented to facilitate clinical history-taking and diagnosis of the mood disorders during the screening interview. The scale can be administered in the more traditional historytaking portion of the screening interview. Read More

    Metacognitive Interpersonal Therapy for Personality Disorders Swinging from Emotional Over-Regulation to Dysregulation: A Case Study.
    Am J Psychother 2016 Dec;70(4):365-381
    Many patients with personality disorders (PD) display emotional inhibition or over-regulation (EOR); others display emotional dysregulation (ED)- heightened sensitivity to emotional stimuli with difficulty toning down arousal. To date, most treatments focus on patients with ED, particularly those with borderline disorders, though some focus on EOR. Patients with complex PD often swing from periods of EOR to ED. Read More

    Practicing Psychoanalysis and Psychodynamic Psychotherapies in Developing Societies.
    Am J Psychother 2016;70(3):329-342
    University of Social Welfare and Rehabilitation Sciences (USWR), Razi Psychiatric Hospital, Tehran, Iran.
    Vital to the contemporary exercise of psychiatry is the biopsychosocial approach, with psychotherapy as its well-defined, and requisite, constituent. The key objectives of psychoanalysis and other related therapies are the amelioration of symptoms and modification of character by probing the unconscious. But the practice of psychoanalysis and similar insight-oriented techniques is in developing nations is different from developed countries due to cultural and educational reasons, along with a shortage of required facilities. Read More

    Can Frontline Clinicians in Public Psychiatry Settings Provide Effective Psychotherapy For Psychosis?
    Am J Psychother 2016;70(3):301-328
    NYC CBTp, Brooklyn, NY, USA.
    This report consists of the personal reflections of seven frontline clinicians who participated in a formal training program for the psychotherapy of psychosis implemented in a large public clinic setting. The training was part of a quality improvement initiative, consisting of 12 hours of didactic presentation followed by 30 hours of weekly peer-group supervision. The clinicians comment on ways of working with patients prior to the training, and how their views and techniques changed as a result of the training. Read More

    The Cardiac Rhythm of the Unconscious in a Case of Panic Disorder.
    Am J Psychother 2016;70(3):277-300
    University of Ottawa, Department of Psychiatry, Institut de Recherche de l'Hôpital Montfort, Ottawa, Ontario, Canada.
    The field of psychodynamic psychotherapy would benefit from a comprehensive model that integrates its constructs with neurobiology. Research on the autonomic nervous system activity during the psychotherapeutic process is necessary because it is key in affective experiences and defensive behavior. The current case study reports physiological findings on heart rate dynamics in a patient suffering from panic disorder during two therapeutic sessions in which we used Davanloo's Intensive Short-term Dynamic Psychotherapy. Read More

    A Four-Component Model of Sexual Orientation & Its Application to Psychotherapy.
    Am J Psychother 2016;70(3):251-276
    Centre for Theoretical Research in Psychiatry & Clinical Psychology.
    Distress related to sexual orientation is a common focus in psychotherapy. In some instances the distress is external in nature as with persecution, and in others it is internal as with self-acceptance issues. Complicating matters, sexual orientation is a very complex topic producing a great deal of confusion for both clients and therapists. Read More

    The Talking Cure of Avoidant Personality Disorder: Remission through Earned-Secure Attachment.
    Am J Psychother 2016;70(3):233-250
    Mental Health Clinic, Wright-Patterson Air Force Base, OH, USA.
    The concept of earned security is important and has significant implications for psychotherapy. Understanding how individuals with insecure attachment styles can develop secure attachment styles through reparative relationships, such as the therapeutic relationship, can assist psychotherapists in helping patients to overcome the effects of early negative life experiences. Personality disorders are commonly associated with negative experiences, such as abuse, neglect, and other empathic failures. Read More

    A Procedure to Graph the Quality of Psychosocial Functioning Affected by Symptom Severity.
    Am J Psychother 2016 ;70(2):222-31
    Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
    Assessment of the variations of clinical course to aid in diagnosis, assessment of patients' functioning and to guide treatment planning has gained momentum in recent years. A specific scale is introduced to plot the temporal course to assist empirically-minded psychotherapists and researchers who treat the DSM-5 Disorders and who want to monitor the quality of the course of psychosocial functioning over time. A Timeline Course Graphing Scale to Chart the Quality of Psychosocial Functioning Affected by Symptom Severity (PFS) is described and accompanied by administration guidelines. Read More

    The Relationship between Depression Severity and Cognitive Errors.
    Am J Psychother 2016 ;70(2):203-21
    Department of Counselling Psychology, McGill University, Montreal, Canada.
    Cognitive errors (CEs) are evidenced to be related to depressive thinking in major depressive disorder (Beck Et Al., 1979; Dozois & Beck, 2008). Studies using self-report questionnaires demonstrate that CEs are more prevalent in individuals with depression than in non-depressed individuals (Gupta & Kar, 2008) and that CEs are related to depression severity (Miranda & Mennin, 2007). Read More

    Naturalistic Outcomes of Evidence-Based Therapies for Borderline Personality Disorder at a Medical University Clinic.
    Am J Psychother 2016 ;70(2):167-84
    Department of Psychiatry, SUNY Upstate Medical University, Syracuse, USA.
    Dialectical behavior therapy (DBT) and dynamic deconstructive psychotherapy (DDP) are listed in the National Registry of Evidence-Based Programs and Practices based on their performances in randomized controlled trials. However, little is known about their effectiveness in real-world settings. In the present study, the authors observed the naturalistic outcomes of 68 clients with borderline personality disorder (BPD) who were treated at a medical university clinic by experienced therapists using either comprehensive DBT (n = 25) or DDP (n = 27), with 16 clients treated with unstructured psychotherapy serving as a control. Read More

    Cultural Humility in Psychotherapy Supervision.
    Am J Psychother 2016 ;70(2):149-66
    University of North Texas, Denton, TX, USA.
    As a core component of multicultural orientation, cultural humility can be considered an important attitude for clinical supervisees to adopt and practically implement. How can cultural humility be most meaningfully incorporated in supervision? In what ways can supervisors stimulate the development of a culturally humble attitude in our supervisees? We consider those questions in this paper and present a model for addressing cultural humility in clinical supervision. The primary focus is given to two areas: (a) modeling and teaching of cultural humility through interpersonal interactions in supervision, and (b) teaching cultural humility through outside activities and experiences. Read More

    An Introduction to Using the Method of Levels (MOL) Therapy to Work with People Experiencing Psychosis.
    Am J Psychother 2016 ;70(1):125-48
    School of Psychological Sciences, University of Manchester, Manchester, UK.
    This paper provides a basic introduction to using method of levels (MOL) therapy with people experiencing psychosis. As MOL is a direct application of perceptual control theory (PCT), a brief overview of the three main theoretical principles of this theory--control, conflict, and reorganization will be outlined in relation to understanding psychosis. In particular, how these principles form the basis of problem conceptualisation and determine what an MOL therapist is required to do during therapy will be illustrated. Read More

    Cognitive-Behavioral Therapy for Olfactory Hallucinations and Associated Delusions: A Case Report.
    Am J Psychother 2016 ;70(1):117-23
    Department of Psychiatry, Columbia University, NY, USA.
    Olfactory hallucinations (OH) are experienced by a substantial minority of people with schizophrenia, often leading to social anxiety, depression and suffering. Yet, despite their prevalence and clinical significance, OH in schizophrenia are under-researched and poorly understood, with scarce information about potential treatments. To address this gap in the literature, the author describes a case report of successfully using Cognitive-Behavioral Therapy for psychosis (CBTp) to address OH, related delusions, as well as mood and social functioning difficulties in a male patient with schizophrenia. Read More

    Hidden in Plain Sight on Locked Wards--On Finding and Being Found.
    Am J Psychother 2016 ;70(1):101-16
    Boston Psychoanalytic Institute, Harvard Medical School at the Cambridge Health Alliance, Cambridge, MA, USA.
    Lost and falling, the feeling that life is disorienting: none of us escapes the experience. For those clinicians who venture on to inpatient wards, lost-ness takes on a special urgency. But what does it mean to "find" another? Surely feeling lost is at the heart of our existential search for grounding. Read More

    Psychotherapy Techniques for Patients Diagnosed with Schizophrenia.
    Am J Psychother 2016 ;70(1):63-78
    Columbia University, NY, NY, USA.
    The paper describes how standard psychotherapy techniques need to be modified to suit the specialized needs of patients diagnosed with schizophrenia. Patients with psychosis often have lost their ability to use words to describe their inner states. As a result, traditional forms of psychotherapy which depend so crucially on the use of language are compromised. Read More

    Psychosis, Trauma, and Ordinary Mental Life.
    Am J Psychother 2016 ;70(1):35-62
    SUNY Downstate Faculty, Psychoanalytic Institute at NYU Medical Center, USA.
    Psychotherapy has gained wide acceptance as a primary treatment for nonpsychotic psychological disorders but has yet to find the same acceptance in the treatment of psychosis. One reason for this is the idea that schizophrenia is a genetically determined brain disease unlikely to respond to psychological treatments. A second reason is the difficulty most people have in relating the symptoms of psychosis such as hallucinations and delusions to their own mental processes. Read More

    Social Adversity in the Etiology of Psychosis: A Review of the Evidence.
    Am J Psychother 2016 ;70(1):5-33
    Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
    Despite increasing evidence for the role of psychosocial factors in the onset and continuance of psychosis, the experiences involved are still largely considered the result of a biogenetic anomaly for which medication is the first-line treatment response. This review summarizes the extensive literature demonstrating that adverse events involving trauma, loss, stress, and disempowerment have a central etiological role in psychosis. Evidence is further presented to show that many neurological changes traditionally considered indicative of a disease process can in fact be accounted for as secondary effects to the physiology of stress or the residual of long-term neuroleptic prescription. Read More

    Introduction: Psychotherapy for Psychosis.
    Am J Psychother 2016 ;70(1):1-4
    Clinical Services, SUNY Downstate Faculty, Psychoanalytic Institute at NYU Medical Center, USA.
    Beginning with Paul Federn--a contemporary of Sigmund Freud--every generation of psychotherapists for the past hundred years has included a small number of determined clinicians who have worked psychotherapeutically with psychotic patients, and written about their work. This special issue of the American Journal of Psychotherapy contains seven papers by clinicians in this generation who are using psychotherapy in the treatment of psychosis. Read More

    The Major Mobilization of the Unconscious and the Total Removal of Resistance in Davanloo's Intensive Short-term Dynamic Psychotherapy Part II: Treating the Transference Neurosis.
    Am J Psychother 2015 ;69(4):441-54
    Geriatric Psychiatry Day Hospital, Dr. L.A. Miller Center, St. John's Newfoundland, USA.
    Davanloo's Intensive Short-term Dynamic Psychotherapy has been the subject of various reviews. The first article in this series focused on a review of Davanloo's early work as well as a discussion of some of his most recent research findings. A case from the Montreal closed circuit training program was reviewed. Read More

    The Major Mobilization of the Unconscious and the Total Removal of Resistance in Davanloo's Intensive Short-term Dynamic Psychotherapy Part I: An Introduction.
    Am J Psychother 2015 ;69(4):423-39
    Geriatric Psychiatry Day Hospital, Dr. L.A. Miller Center, St. John's, Newfoundland, Canada.
    Davanloo's Intensive Short-term Dynamic Psychotherapy has been the subject of various reviews. Davanloo has published extensively on his early work, but there have been no publications on his most recent work-most notably his Montreal Closed-circuit training program. This program focuses on his most recent discoveries and techniques and is a unique, videotaped supervisory program. Read More

    Examining Our Tears: Therapists' Accounts of Crying in Therapy.
    Am J Psychother 2015 ;69(4):399-421
    Alliant International University, San Diego, CA, USA.
    Objectives: The majority of psychologists experience therapist crying in therapy (TCIT). This study aimed to determine typical clinical contexts for, and psychologists' experiences of, TCIT.

    Method: Data was examined from 411 psychologists' and psychology trainees' accounts of their most recent TCIT experience. Read More

    Patients' Self-presentational Tactics as Predictors of the Early Therapeutic Alliance.
    Am J Psychother 2015 ;69(4):379-97
    Department of Clinical Psychology and Psychotherapy, University of Bern, Switzerland.
    Objectives: The early therapeutic alliance is an important predictor for therapy outcome. However, knowledge about predictors of the therapeutic alliance is still limited. We examined if patients' self-presentational behaviors can predict the early therapeutic alliance. Read More

    Abnormal Grief: Should We Consider a More Patient-Centered Approach?
    Am J Psychother 2015 ;69(4):361-78
    Private practice psychiatrist, Thônex, Switzerland.
    Grief, the psychological reaction to the loss of a significant other, varies complexly in its cause, experience, evolution, and prognosis. Although most bereaved individuals experience a normal grieving process, some develop complicated grief (CG) or major depressive disorder (MDD). The DSM-5, which controversially altered the nosology, recognizes grief-related major depression (GRMD) as a diagnostic subtype if a patient meets MDD criteria two weeks post bereavement. Read More

    Of God and Psychotherapy.
    Am J Psychother 2015 ;69(4):357-60
    Department of Psychiatry & Behavioral Sciences, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
    Psychotherapy is an instrument for remediation of psychological deficits and conflict resolution, as well as an instrument for growth and self-cultivation. In fact, psychotherapy is the finest form of life education. All of this is done without psychotherapists' playing a teacher, a minister, a priest, a rabbi, an imam, or a Buddhist monk, but by being familiar with what they know and more. Read More

    My Patient, My Stalker Empathy as a Dual-Edged Sword: A Cautionary Tale.
    Am J Psychother 2015 ;69(3):331-55
    Private practice, Hastings-on-Hudson, NY, USA.
    Success in psychotherapy is correlated with the "fit" between patient and therapist, a factor related to attachment. For psychotherapists of any orientation, empathy and building the bond of attachment is our stock-in-trade. When empathy builds the bond of attachment with someone starved for connection, a therapist may inadvertently set him- or herself up to become a victim of a stalker. Read More

    Perfectionism and Personality Disorders as Predictors of Symptoms and Interpersonal Problems.
    Am J Psychother 2015 ;69(3):317-30
    Centro di Terapia Metacognitiva Interpersonale, Roma, Italy.
    Maladaptive perfectionism is a common factor in many disorders and is correlated with some personality dysfunctions. Less clear is how dimensions, such as concern over mistakes, doubts about actions, and parental criticism, are linked to overall suffering. Additionally, correlations between perfectionism and personality disorders are poorly explored in clinical samples. Read More

    Specific Techniques Vs. Common Factors? Psychotherapy Integration and its Role in Ethical Practice.
    Am J Psychother 2015 ;69(3):301-16
    Department of Psychology, Macquarie University, Sydney, Australia.
    Important change in competent practice in psychological therapy is increasingly being influenced by evidence-based practice. This paper explores major issues related to the evidence-based literature with regard to specific techniques and common factors. Increasing evidence that support common factors provides validity for the psychotherapy integration movement. Read More

    Coming Together to Move Apart: Family Therapy for Enhancing Adolescent Development.
    Am J Psychother 2015 ;69(3):285-99
    Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY, USA.
    An important goal of adolescent development is emotional separation from the family of origin. Differing views on how to accomplish this task exist, and these are reflected in the choice of treatment modality. It has been common practice in the treatment of adolescents for work with parents to be done separately from the adolescent. Read More

    Intensive Individual and Group Cognitive Behavioural Therapy for Obsessive-Compulsive Disorder.
    Am J Psychother 2015 ;69(3):269-84
    King's College London, De Crespigny Park, London, UK.
    Whilst there is good evidence to show intensive individual therapy can be effective for obsessive-compulsive disorder (OCD), this treatment can be challenging to deliver for therapists in the National Health Service (NHS). We report on a novel means of delivering intensive cognitive behavioural therapy (CBT) by combining it with group work, which allowed therapists to offer each other mutual support and permitted patients to gain the interpersonal benefits of working with others. This case study describes the combined intensive individual and group CBT programme for a 46-year-old woman with OCD. Read More

    The Beginning Psychotherapist and Borderline Personality Disorder: Basic Treatment Principles and Clinical Foci.
    Am J Psychother 2015 ;69(3):241-68
    Independent Practice, Washington, District of Columbia, USA.
    Borderline personality disorder is a prevalent psychopathology; thus, most graduate students in psychology, residents in psychiatry, and early career clinicians will encounter patients with this disorder in the course of their training or initial professional practice. This paper provides clear and concise guidelines for conducting treatment geared toward the clinician's developmental level. It builds upon the knowledge and skills that are typically acquired during graduate education and training to provide an accessible framework for undertaking psychotherapy with patients who have borderline personality disorder. Read More

    Active Change in Psychodynamic Therapy: Moments of High Receptiveness.
    Am J Psychother 2015 ;69(1):65-86
    Hospital Universitario Infanta Sofía Madrid, Spain.
    This article presents the concept of "moments of high receptiveness" (MoHR or "Momentos de Alta Receptividad"), which is derived from the concept of "experiential coupling" ("Acoplamiento de Experiencias") proposed by Bleichmar (2001). Experiential coupling recently received empirical support by the work of Schiller and colleagues (2010). We will also show the conceptual placing of moments of high receptiveness with respect to the developments of Stern and colleagues (Stern and et al. Read More

    The Dual-Dialectical Conceptualization in Psychotherapy.
    Am J Psychother 2015 ;69(1):53-63
    The Evens Program in Conflict Resolution and Mediation, Tel Aviv University, Tel Aviv, Israel.
    The current paper describes the dual-dialectical conceptualization, a theoretical psychotherapeutic conceptualization based on three major rules: duality, contradiction, and complementarity. The paper surveys these rules with respect to various theoretical approaches in philosophy and psychotherapy. The essential feature of this conceptualization lies in its reinterpretation of problems that patients habitually regard as being one dimensional (e. Read More

    Allowing for Psychosis to be Approachable and Understandable as a Human Experience: A Role for the Humanities in Psychotherapy Supervision.
    Am J Psychother 2015 ;69(1):35-51
    School of Psychological Sciences, University of Indianapolis, Indianapolis, Indiana, USA.
    Psychiatry and related mental health fields, in particular psychotherapy, have a long history of close ties with the humanities. That bond has weakened, however, over the last few decades as medicalized views of mental health and treatment have emerged. In this paper, we explore the potential of the reintroduction of the humanities, specifically novels and related literary genre, into the supervision of student clinicians working with clients who have psychosis. Read More

    An Instance of Emotional Absence of a Father Traumatized by War-Clinical Material and Musical Illustration.
    Am J Psychother 2015 ;69(1):19-33
    Weisfeld School of Social Work at Ba-Ilan University, Israel.
    In his minor essay from 1914, Some Reflections on Schoolboy Psychology, Freud placed immense significance upon the father-son relationship as enabling or inhibiting the individual quest towards a mature, separate, and healthy development. In this essay, I will explore Freud's observations to illuminate the journey taken by Assaff, a 34-year old man who, during the early stages of his adolescence, had a father who was emotionally absent due a traumatic experience during his military service in the Israeli Defense Forces. Through transference work, the impact of the emotional absence will be shown. Read More

    An Empirical Investigation of Defense Interpretation Depth, Defensive Functioning, and Alliance Strength in Psychodynamic Psychotherapy.
    Am J Psychother 2015 ;69(1):1-17
    McGill University, Montreal, Quebec, Canada.
    The present study examined the relationship between depth of defense interpretations by therapists, and patient defensive functioning, on the therapeutic alliance in a sample of 36 patients undergoing short-term dynamic psychotherapy. Defense interpretation depth was defined as the degree to which therapist interpretations contained information regarding the motivation for patient defenses and historical origins of the defensive processes (Greensen, 1967). Mean depth of interpretation was compared between sessions that were identified beforehand as either high-alliance or low-alliance sessions using the Helping Alliance Questionnaire (HAq-II: Luborsky et al. Read More

    Towards the Development of an Effective Working Alliance: The Application of DBT Validation and Stylistic Strategies in the Adaptation of a Manualized Complex Trauma Group Treatment Program for Adolescents in Long-Term Detention.
    Am J Psychother 2015 ;69(2):219-39
    Georgia State University, Atlanta, GA, USA.
    The current paper details a case of adapting a manualized group therapy treatment for youths experiencing chronic stress. It was used for use with a highly traumatized and behaviorally disordered group of adolescents (ages 14 to 17 years) in long-term juvenile detention. The authors argue for a phasic approach to treatment for this population, with the goal of the essential, initial phase being the development of an authentic therapeutic alliance before other treatment goals are pursued. Read More

    Mentalization and Dialectical Behavior Therapy.
    Am J Psychother 2015 ;69(2):199-217
    University of Massachusetts Medical School, Department of Psychiatry, Worcester, MA, USA.
    Dialectical Behavior Therapy (DBT) and Mentalization-Based Treatment (MBT) are two approaches to the treatment of borderline personality disorder (BPD). While DBT has the most empirical support, MBT has a small but significant evidence base. Dialectical behavior therapy synthesizes behaviorism, mindfulness, and dialectics, while MBT is conceptually anchored in psychoanalysis, attachment theory, cognitive neuroscience, and developmental psychopathology. Read More

    Radically Open-Dialectical Behavior Therapy for Disorders of Over-Control: Signaling Matters.
    Am J Psychother 2015 ;69(2):141-62
    School of Psychology, University of Southampton, Highfield Campus, Southampton, UK.
    Radically Open-Dialectical Behavior Therapy (RO-DBT) is a transdiagnostic treatment designed to address a spectrum of difficult-to-treat disorders sharing similar phenotypic and genotypic features associated with maladaptive over-control-such as anorexia nervosa, chronic depression, and obsessive compulsive personality disorder. Over-control has been linked to social isolation, aloof and distant relationships, cognitive rigidity, high detailedfocused processing, risk aversion, strong needs for structure, inhibited emotional expression, and hyper-perfectionism. While resting on the dialectical underpinnings of standard DBT, the therapeutic strategies, core skills, and theoretical perspectives in RO-DBT often substantially differ. Read More

    Dialectical Behavior Therapy and Eating Disorders: The Use of Contingency Management Procedures to Manage Dialectical Dilemmas.
    Am J Psychother 2015 ;69(2):129-40
    The Emily Program - Cleveland and Case Western Reserve University, Cleveland, OH, USA.
    Several researchers have adapted and/or applied dialectical behavior therapy (DBT) for populations with eating disorders. There is a growing body of research that indicates that DBT is an effective treatment option for this population, including those who have co-occurring Axis II disorders. The goal of the current paper is to summarize the research conducted in the area of DBT with those individuals who present with eating disorders only as well as those who present with both eating disorders and Axis II disorders. Read More

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