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Illustrations | |
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Preface to the Fifth Edition | |
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Preface to the First Edition, 1983 | |
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Acknowledgments | |
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The Inner World of Madness: View from the Inside | |
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Alterations of the Senses | |
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Inability to Interpret and Respond | |
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Delusions and Hallucinations | |
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Altered Sense of Self | |
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Changes in Emotions | |
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Changes in Movements | |
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Changes in Behavior | |
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Decreased Awareness of Illness | |
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The Black-Red Disease | |
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Recommended Further Reading | |
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Defining Schizophrenia: View from the Outside | |
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Official Criteria for Diagnosis | |
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Subtypes of Schizophrenia | |
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Delusional Disorders | |
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Schizotypal, Schizoid, Paranoid, and Borderline Personality Disorders | |
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Schizoaffective Disorder and Manic-Depressive Illness | |
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"Manicdephrenia" | |
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Recommended Further Reading | |
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Conditions Sometimes Confused with Schizophrenia | |
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A "Split Personality" | |
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Psychosis Caused by Street Drugs | |
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Psychosis Caused by Prescription Drugs | |
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Psychosis Caused by Other Diseases | |
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Psychosis Caused by Head Trauma | |
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Psychosis with Mental Retardation | |
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Infantile Autism | |
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Antisocial Personality Disorders and Sexual Predators | |
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Culturally Sanctioned Psychotic Behavior | |
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Recommended Further Reading | |
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Onset, Course, and Prognosis | |
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Childhood Precursors | |
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Onset and Early Symptoms | |
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Childhood Schizophrenia | |
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Postpartum Schizophrenia | |
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Late-Onset Schizophrenia | |
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Predictors of Outcome | |
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Male-Female Differences | |
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Possible Courses: Ten Years Later | |
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Possible Courses: Thirty Years Later | |
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The "Recovery Model" | |
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Causes of Death: Why Do People with Schizophrenia Die at a Younger Age? | |
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Recommended Further Reading | |
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Research Findings on the Causes of Schizophrenia | |
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The Normal Brain | |
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The Brain with Schizophrenia | |
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The disease is familial | |
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There may be neurochemical changes | |
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There are structural and neuropathological changes | |
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There are neuropsychological deficits | |
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There are neurological abnormalities | |
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There are electrical abnormalities | |
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There are immunological and inflammatory abnormalities | |
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Individuals with schizophrenia are born disproportionately in the winter and spring | |
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Individuals with schizophrenia are born and/or raised disproportionately in urban areas | |
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Other abnormalities: pregnancy and birth complications, minor physical anomalies, and an absence of rheumatoid arthritis | |
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What Parts of the Brain Are Affected? | |
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When Does the Brain Damage Begin? | |
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Recommended Further Reading | |
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Theories About the Causes of Schizophrenia | |
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Genetic Theories | |
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Neurochemical Theories | |
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Developmental Theories | |
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Infectious and Immune Theories | |
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Nutritional Theories | |
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Endocrine Theories | |
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Stress Theories | |
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Obsolete Theories | |
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Masturbation and Demons | |
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Bad Mothers | |
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Bad Families | |
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Bad Cultures | |
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Thomas Szasz | |
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Ronald Laing | |
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Recommended Further Reading | |
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The Treatment of Schizophrenia: Non-Medication Aspects | |
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How to Find a Good Doctor | |
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What Is an Adequate Diagnostic Workup? | |
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Hospitalization: Voluntary and Involuntary | |
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Alternatives to Hospitalization | |
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Payment for Treatment and Insurance Parity | |
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Outpatient Treatment and Managed Care | |
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Services for Children | |
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Services in Rural Areas | |
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Counseling, or Supportive "Psychotherapy" | |
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Insight-oriented Psychotherapy | |
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Cognitive Behavioral Therapy | |
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Electroconvulsive Therapy (ECT) | |
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Dietary Treatments | |
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Herbal Treatments | |
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Experimental Treatments: TMS and VNS | |
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Recommended Further Reading | |
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The Treatment of Schizophrenia: Medications | |
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First-Generation Antipsychotics | |
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Adverse Effects | |
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Second-Generation Antipsychotics | |
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Adverse Effects | |
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Clozapine (Clozaril, Leponex) | |
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Olanzapine (Zyprexa) | |
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Risperidone (Risperdal) | |
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Quetiapine (Seroquel) | |
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Ziprasidone (Geodon) | |
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Aripiprazole (Abilify) | |
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Which Antipsychotic Should You Try? The Influence of the Pharmaceutical Industry on Prescribing Patterns | |
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Which Antipsychotic Should You Try? The Bottom Line | |
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Interactions of Antipsychotics with Other Medications | |
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Other Drugs to Try If Antipsychotics Fail | |
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New Medications on the Horizon | |
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Drug Prices and the Use of Generics | |
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Medications for Early Treatment or Prevention | |
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The Medication-Savvy Consumer and Family | |
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Recommended Further Reading | |
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The Rehabilitation of Schizophrenia | |
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Money and Food | |
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Housing | |
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Employment | |
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Friendship and Social Skills Training | |
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Medical and Dental Care | |
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Quality of Life Measures | |
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The Need for Asylum | |
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Recommended Further Reading | |
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Ten Major Problems | |
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Cigarettes and Coffee | |
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Alcohol and Street Drugs | |
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Sex, Pregnancy, and AIDS | |
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Victimization | |
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Confidentiality | |
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Medication Noncompliance | |
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Assisted Treatment | |
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Assaultive and Violent Behavior | |
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Arrest and Jail | |
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Suicide | |
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Recommended Further Reading | |
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How Can Patients and Families Survive Schizophrenia? | |
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The Right Attitude | |
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The Importance of Education | |
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Survival Strategies for Patients | |
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Survival Strategies for Families | |
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Effects of Schizophrenia on Siblings, Children, and Spouses | |
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Minimizing Relapses | |
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Recommended Further Reading | |
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Commonly Asked Questions | |
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Does Schizophrenia Change the Underlying Personality? | |
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Are People with Schizophrenia Responsible for Their Behavior? | |
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Does Schizophrenia Affect the Person's IQ? | |
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Should People with Schizophrenia Drive Vehicles? | |
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How Do Religious Issues Affect People with Schizophrenia? | |
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Should You Tell People That You Have Schizophrenia? | |
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Genetic Counseling: What Are the Chances of Getting Schizophrenia? | |
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Why Do Some Adopted Children Develop Schizophrenia? | |
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What Will Happen When the Parents Die? | |
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Recommended Further Reading | |
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Schizophrenia in the Public Eye | |
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Schizophrenia in the Movies | |
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Schizophrenia in Literature | |
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Schizophrenia, Creativity, and Famous People | |
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The Problem of Stigma | |
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Recommended Further Reading | |
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Dimensions of the Disaster | |
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How Many People Have Schizophrenia in the United States? | |
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Where Are They? | |
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Do Some Groups Have More Schizophrenia Than Others? | |
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Is Schizophrenia Increasing or Decreasing? | |
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Is Schizophrenia of Recent Origin? | |
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Deinstitutionalization: A Cradle for Catastrophe | |
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What Is the Cost of Schizophrenia? | |
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Recommended Further Reading | |
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Issues for Advocates | |
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Congress, State Government, and the Politics of Neglect | |
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Scientologists, Anti-Psychiatrists, and "Consumer Survivors" | |
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NIMH and Research Funding | |
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Educating the Public | |
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Decreasing Stigma | |
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Improving Services | |
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How to Organize for Advocacy | |
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Recommended Further Reading | |
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An Annotated List of the Best and the Worst Books on Schizophrenia | |
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Useful Web sites on Schizophrenia | |
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Other Useful Resources on Schizophrenia | |
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Notes | |
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Index | |