Obsessive compulsive disorder

Obsessive-compulsive disorder (OCD) features a pattern of unwanted thoughts and fears (obsessions) that lead you to do repetitive behaviors (compulsions). These obsessions and compulsions interfere with daily activities and cause significant distress. You may try to ignore or stop your obsessions, but that only increases your distress and anxiety Obsessive-Compulsive Disorder (OCD) is a common, chronic, and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and/or behaviors (compulsions) that he or she feels the urge to repeat over and over Obsessive compulsive disorder (OCD) is a common mental health condition where a person has obsessive thoughts and compulsive behaviours. OCD can affect men, women and children. Some people start having symptoms early, often around puberty, but it usually starts during early adulthood

Obsessive-compulsive disorder (OCD) is a mental illness that causes repeated unwanted thoughts or sensations (obsessions) or the urge to do something over and over again (compulsions). Some people.. Obsessive-compulsive disorder (OCD) is a disorder in which people have recurring, unwanted thoughts, ideas or sensations (obsessions) that make them feel driven to do something repetitively (compulsions). The repetitive behaviors, such as hand washing, checking on things or cleaning, can significantly interfere with a person's daily activities and social interactions Obsessive-compulsive disorder (OCD) is a mental disorder in which people experience unwanted and repeated thoughts, feelings, images, or sensations (obsessions) and engage in behaviors or mental.. Obsessive-compulsive disorder (OCD) has two main parts: obsessions and compulsions. Obsessions are unwelcome thoughts, images, urges, worries or doubts that repeatedly appear in your mind. They can make you feel very anxious (although some people describe it as 'mental discomfort' rather than anxiety). You can read more about obsessions here

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides a broad definition of obsessive-compulsive disorder that includes the presence of obsessions and/or compulsions that cause major distress or disruption to daily living

Obsessive-compulsive disorder (OCD) - Symptoms and causes

  1. e whether you might have an obsessive-compulsive disorder (OCD) that may benefit from professional attention. For each item, indicate the extent to.
  2. For someone with the anxiety disorder known as obsessive compulsive disorder (OCD), obsessions or compulsions (acts performed to alleviate the distress or neutralise the thought), or both, are present. People with OCD often feel intense shame about their need to carry out these compulsions
  3. Obsessive compulsive disorder (OCD) is an anxiety disorder that affects two to three percent of the population (more than 500,000 Australians). It usually begins in late childhood or early adolescence. People with OCD experience recurrent and persistent thoughts, images or impulses that are intrusive and unwanted (obsessions)

NIMH » Obsessive-Compulsive Disorder

Overcoming Obsessive-Compulsive Disorder: a self-help book using cognitive-behavioural techniques by David Veale and Robert Willson, Constable and Robinson. References Veale D, Freeston M, Krebs G, Heyman I, Salkovskis P. Risk assessment and management in obsessive-compulsive disorder Obsessive compulsive disorder (OCD) is a mental health disorder that affects people of all ages and walks of life, and occurs when a person gets caught in a cycle of obsessions and compulsions. Obsessions are unwanted, intrusive thoughts, images, or urges that trigger intensely distressing feelings Die Zwangsstörung oder Zwangserkrankung (englisch obsessive-compulsive disorder bzw. OCD) gehört zu den psychischen Störungen. Es besteht für erkrankte Personen ein innerer Zwang oder Drang, bestimmte Dinge zu denken oder zu tun Obsessive compulsive disorder (OCD) is a type of anxiety disorder. It can be serious, but it is treatable. People with OCD have repeating thoughts, images or feelings that are distressing. These are sometimes known as 'obsessions' or 'obsessive thoughts'

Obsessive compulsive disorder (OCD) - NH

  1. This is a Films for the Humanities and Sciences video that I am making available to my Psych 1 students only
  2. Obsessive-compulsive disorder (OCD) is a mental disorder in which you have thoughts (obsessions) and rituals (compulsions) over and over. They interfere with your life, but you cannot control or stop them. What causes obsessive-compulsive disorder (OCD)? The cause of obsessive-compulsive disorder (OCD) is unknown
  3. Obsessive-Compulsive Disorder in Children - Including common symptoms and behaviors. (KidsHealth) Build a Fear Ladder - How to create and use fear ladders. (Anxiety Canada Youth) (VIDEO) Obsessive compulsive disorder (Khan Foundation) Hotlines and support. In the U.S.: Call the NAMI Helpline at 1-800-950-6264. Or Find a Therapist
  4. g, and the only way a person can relieve these intrusive thoughts is to repeat an action until they are quelled
  5. The mission of the International OCD Foundation is to help everyone affected by obsessive compulsive disorder (OCD) and related disorders to live full and productive lives. Our aim is to increase access to effective treatment, end the stigma associated with mental health issues, and foster a community for those affected by OCD and the professionals who treat them
  6. Obsessive Compulsive Disorder can be a difficult, confusing experience. To overcome OCD, you need a clear understanding of how OCD works. The Ultimate Doubting Disease. Obsessive Compulsive Disorder bedevils millions of people with repetitive thoughts and rituals. It's the ultimate doubter's disease

Obsessive-compulsive disorder (OCD) is a mental health condition that involves distressing, intrusive, obsessive thoughts and repetitive, compulsive physical or mental acts. Approximately 2% of the.. While the onset of obsessive-compulsive disorder usually occurs during adolescence or young adulthood, younger children sometimes have symptoms that look like OCD. However, the symptoms of other disorders, such as ADHD , autism, and Tourette's syndrome, can also look like obsessive-compulsive disorder, so a thorough medical and psychological exam is essential before any diagnosis is made Obsessive-compulsive disorder (OCD) is often a disabling condition consisting of bothersome intrusive thoughts that elicit a feeling of discomfort. To reduce the anxiety and distress associated with these thoughts, the patient may employ compulsions or rituals. These rituals may be personal and private, or they may involve others to participate Obsessive-Compulsive Disorder presents itself in many guises, and certainly goes far beyond the common misconception that OCD is merely a little hand washing or checking light switches The obsessions or compulsions are time-consuming (e.g., take more than 1 hour per day) or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

Obsessive Compulsive Disorder bedevils millions of people with repetitive thoughts and rituals. It's the ultimate doubter's disease. Overcoming OCD will require you to work differently with uncertainty and doubts. Like all anxiety disorders, OCD works by tricking you Obsessive-Compulsive Personality Disorder Individuals with OCPD tend to think their way of doing things is the right and best way, and they are fixated with following set procedures or routines in their work or daily living, even when these routines are inefficient The Mayo Clinic defines obsessive-compulsive disorder as: Unreasonable thoughts and fears (obsessions) that lead you to do repetitive behaviors (compulsions).OCD is a form of anxiety. Based on themes arising from real life interviews, TOUCH WOOD looks at the nature of Obsessive Compulsive Disorder. The action takes place over one night whe.. Recent findings: With a lifetime prevalence estimated at 2.5%, OCD is a common condition that can also present comorbidly with neurologic disease. The core symptoms of OCD are obsessions and compulsions. Obsessions are intrusive repetitive thoughts, urges, images, or impulses that trigger anxiety and that the individual is not able to suppress

Obsessive-Compulsive Disorder (OCD) - WebM

Obsessive-compulsive disorder (OCD) is a type of anxiety disorder. Obsessions are recurring thoughts. Compulsions are recurring behaviors. A child with OCD has obsessive thoughts that are not wanted Obsessive-compulsive disorder (OCD) is characterized by distressing, intrusive obsessive thoughts and/or repetitive compulsive physical or mental acts. Once believed to be rare, OCD was found to.. SOURCES: Cleveland Clinic: Obsessive-Compulsive Disorder. National Institute of Mental Health: Obsessive-Compulsive Disorder: When Unwanted Thoughts or Irresistible Actions Take Over. Obsessive-Compulsive Disorder (OCD) is characterized by intrusive obsessive thoughts that result in compulsive ritualistic behaviors and routines. While it's possible to have only obsessive symptoms or only compulsive symptoms, they usually occur in conjunction. People suffering from OCD experience uncontrollable, distressing thoughts or fears.

Obsessive-compulsive disorder (OCD) is a mental health condition characterized by features called obsessions and compulsions. Obsessions are intrusive thoughts, mental images, or urges to perform specific actions. While the particular obsessions vary widely, they often include fear of illness or contamination; a desire for symmetry or getting. The Obsessive-Compulsive Cognitions Working Group, an international group of researchers who have proposed that the onset and maintenance of OCD are associated with maladaptive interpretations of cognitive intrusions, has identified six types of dysfunctional beliefs associated with OCD: 1 The Relationship Between Alcohol and Obsessive-Compulsive Disorder. Obsessive-Compulsive Disorder, (OCD), is a common co-occurring disorder that is often present alongside alcoholism. The compulsions one feels seem to be lessened with the effects of alcohol; however, alcohol actually can make compulsions become more intense

What Is Obsessive-Compulsive Disorder

Obsessive-Compulsive Personality Disorder (OCPD) and Obsessive-Compulsive Disorder (OCD) sound the same, and are often confused and mistakenly interchanged as being the same illness, but not withstanding similar names, they are in fact two separate conditions. Whilst OCD is considered an anxiety disorder, OCPD, as the name suggests, is actually a personality disorder OCD is an anxiety disorder. People living with OCD are troubled by recurring unwanted thoughts, images, or impulses, as well as obsessions and repetitive rituals. People with OCD are usually aware that their symptoms are irrational and excessive, but they find the obsessions uncontrollable and the compulsions impossible to resist

Obsessive-Compulsive Disorder Psychology Toda

  1. In Obsessive-Compulsive Disorder, Dr. R. Reid Wilson demonstrates and discusses his cognitive-behavioral approach to treating obsessive-compulsive disorder (OCD).OCD is a common anxiety disorder that involves obsessive thinking accompanied by compulsive behavior. Dr. Wilson's approach is to focus closely on a client's thought processes so as to make the client realize the irrational.
  2. What is obsessive-compulsive disorder in children? Obsessive-compulsive disorder (OCD) is a type of anxiety disorder. Obsessions are recurring thoughts. Compulsions are recurring behaviors. A child with OCD has obsessive thoughts that are not wanted. They are linked to fears, such as touching dirty objects. He or she uses compulsive rituals to control the fears, such as excessive handwashing
  3. Overview. Compulsive sexual behavior is sometimes called hypersexuality, hypersexuality disorder or sexual addiction. It's an excessive preoccupation with sexual fantasies, urges or behaviors that is difficult to control, causes you distress, or negatively affects your health, job, relationships or other parts of your life
  4. e entitlement rather than the condition itself
  5. OCD Action is the national charity focusing on Obsessive Compulsive Disorder (OCD). We provide support and information to anybody affected by OCD, work to raise awareness of the disorder amongst the public and front-line healthcare workers, and strive to secure a better deal for people with OCD
  6. Obsessive-compulsive disorder (OCD) is a condition that causes kids to have unwanted thoughts, feelings, and fears. These are called obsessions, and they can make kids feel anxious. To relieve the obsessions and anxiety, OCD leads kids to do behaviors called compulsions (also called rituals)
  7. d and cause a great deal of anxiety or discomfort, which the child/teen then tries to reduce by engaging in repetitive behaviors or mental acts (compulsions)

Obsessive-compulsive disorder (OCD) - Min

Obsessive Compulsive Disorder. is a kind of: mental disorder » Anxiety Disorders; mental disorder; mental disorder » affective spectrum disorder; People diagnosed with OCD spend over one hour daily struggling with repetitive intrusive thoughts, impulses and/or behavioral urges that increase their anxiety. They try to. Obsessive-compulsive disorder is a mental illness. It's made up of two parts: obsessions and compulsions. People may experience obsessions, compulsions, or both, and they cause a lot of distress. Obsessions are unwanted and repetitive thoughts, urges, or images that don't go away. They cause a lot of anxiety

Doctors and researchers have not yet determined exactly what causes Obsessive-Compulsive Disorder (OCD), but they have identified several risk factors that increase the likelihood that an individual will develop the disorder. Genetic Predisposition People who are distressed by recurring, unwanted, and uncontrollable thoughts or who feel driven to repeat specific behaviors may have obsessive-compulsive disorder (OCD). The thoughts and behaviors that characterize OCD can interfere with daily life, but treatment can help people manage their symptoms Children may have an obsessive-compulsive disorder (OCD) when unwanted thoughts, and the behaviors they feel they must do because of the thoughts, happen frequently, take up a lot of time (more than an hour a day), interfere with their activities, or make them very upset. The thoughts are called obsessions. The behaviors are called compulsions

Obsessive-compulsive disorder is a severe and disabling clinical condition that usually arises in late adolescence or early adulthood and, if left untreated, has a chronic course. Whether this disorder should be classified as an anxiety disorder or in a group of putative obsessive-compulsive-related disorders is still a matter of debate Obsessive-Compulsive Disorder (OCD) is a brain and behavior disorder that is categorized as an anxiety disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).OCD causes severe anxiety in those affected and involves both obsessions and compulsions that interfere with daily life Obsessive-compulsive disorder, or OCD, is an anxiety disorder in which an individual experiences recurring thoughts that cause irrational fears and anxiety. Individuals with OCD engage in repeated, compulsive rituals, such as counting items, hand washing and organizing

Anxiety disorders and obsessive-compulsive disorder (OCD) are disabling psychiatric conditions, and major contributors to the global burden of nonfatal illness. The lifetime prevalence of anxiety. Moreover, this chapter presents the occupational therapy interventions in stigma both in adults and children with obsessive compulsive disorder. Stigmatizing attitudes and behaviors of the society can be associated with avoidance of treatment-seeking behaviors and reduced quality of life for the individual with mental illness. Among these. Obsessive-Compulsive Disorder: Obsessive-compulsive disorder (OCD) impacts a person with a pattern of repeated, intrusive thoughts and compulsive, often ritualistic behaviors. Common obsessions include fear of germs or a need for symmetry and order; common compulsions might be excessive cleaning or repeating the same word or phrase over and over Obsessive-compulsive personality disorder (OCPD), or anankastic personality disorder, is a personality disorder that is characterized by a general psychological inflexibility, rigid conformity to rules and procedures, perfectionism, moral code, and/or excessive orderliness.. Obsessive-compulsive personality disorder (OCPD) is often confused with obsessive-compulsive disorder (OCD) Both schizoid personality disorder and obsessive-compulsive personality disorder may be characterized by an apparent formality and social detachment. In obsessive-compulsive personality disorder, this stems from discomfort with emotions and excessive devotion to work, whereas in schizoid personality disorder there is a fundamental lack of.

Obsessive-compulsive disorder, or OCD, is a specific type of anxiety disorder characterized by these obsessions or compulsions. Obsessions are recurrent and intrusive thoughts that are typically unwanted and tough to get out of your brain Obsessive-compulsive disorder is a mental disorder characterized by having irresistible ideas or images (obsessions) and/or specific rituals/behaviors (compulsions) that are often controlled or driven by the obsessions.. People with OCS show signs and symptoms such as adherence to rituals, repetitive behaviors, and unwanted and intrusive thoughts For those with obsessive-compulsive disorder, COVID-19 brings extra challenges, but also some lessons about dealing with anxiety. This one time, Justin Keyes came in from the grocery store, washed. Obsessive-compulsive Disorder. Obsessive-compulsive disorder (OCD) is characterized by repetitive, unwanted, intrusive thoughts (obsessions) and irrational, excessive urges to do certain actions (compulsions). Although people with OCD may know that their thoughts and behavior don't make sense, they are often unable to stop them

More than five million adults in the US are diagnosed with obsessive-compulsive disorder (OCD) in their lifetime. * Source: National Institute of Mental Health Featured Twee Obsessive-compulsive disorder (OCD) Explains obsessive-compulsive disorder (OCD), including possible causes and how you can access treatment and support. Includes tips for helping yourself, and guidance for friends and family. View this information as a PDF (new window).

The Types of Obsessive-Compulsive Disorder - Verywell Min

Cognitive behavior therapy has shown to be one of the most effective psychological treatments for obsessive compulsive disorder. The cognitive aspects of therapy focus on pointing out how the obsessive and compulsive behaviors are negatively impacting your life Obsessive-compulsive disorder definition is - an anxiety disorder characterized by recurrent obsessions or compulsions or both that cause significant distress, are time-consuming or interfere with normal daily functioning, and are recognized by the individual affected as excessive or unreasonable —abbreviation OCD Obsessive thinking disorder or obsessive compulsive disorder is a type of anxiety disorder, that enslaves a person in a vicious cycle of thoughts and behavior. People with this disorder often find themselves troubled by a series of harrowing thoughts and obsessions, which they feel are out of their control Like other psychological disorders such as depression or anxiety, obsessive compulsive disorder is believed to be caused by a combination of factors related to both nature and nurturing. In other words, a person with OCD most likely has some degree of a genetic predisposition to abnormal thinking patterns and brain structure, but their disorder is also likely being triggered by their upbringing and environment

Obsessive-compulsive disorder (OCD) is characterized by intrusive thoughts, images, urges, or impulses that are interpreted as threating (obsessions). These lead to active and counterproductive attempts to reduce the thoughts and/or discharge the perceived responsibility associated with them (compulsions) Obsessive compulsive disorder (OCD) is characterized by unwanted, intrusive thoughts and anxiety (obsessions) about something and the behaviors (compulsions) that people who suffer from the condition use to relieve the anxiety. This particular anxiety disorder represents a very serious condition that often grips the victim's mind with fear and, in a very real way, controls their lives We all have unwanted thoughts from time to time, but mostly we can push them aside and move on. However, for people with obsessive-compulsive disorder (OCD) unwanted negative thoughts can be constant and can start to take control of their lives. OCD is a treatable anxiety disorder that affects more than 500,000 people in Australia Having more than one illness at the same time can make it difficult to diagnose and treat the different conditions. Depression and substance abuse are among the conditions that occasionally complicate obsessive-compulsive disorder People who experience both obsessions and compulsions are said to have obsessive compulsive disorder (OCD) and it is thought that between 1 and 2 people out of every 100 experience OCD every year [1]. OCD responds well to psychological treatments including cognitive behavioral therapy (CBT) and exposure and response prevention (ERP)..

Obsessive-Compulsive Disorder (OCD) Screening Qui

Obsessive-compulsive disorder (OCD), one of the anxiety disorders, is a potentially disabling illness that traps people in endless cycles of repetitive thoughts and behaviors. People with OCD are plagued by recurring and distressing thoughts, fears, or images (obsessions) they cannot control Obsessive-compulsive personality disorder (OCPD) is a mental condition in which a person is preoccupied with: Rules; Orderlininess; Control; Causes. OCPD tends to occur in families, so genes may be involved. A person's childhood and environment may also play roles. This disorder can affect both men and women. It occurs most often in men. Symptom Obsessive compulsive disorder (OCD) is characterized by the sufferer experiencing either obsessions or compulsions that occur repeatedly and persistently and interfere with their daily life. Obsessions are recurrent thoughts or worries that intrude on the person's normal thinking and that the sufferer knows are excessive or unwarranted Obsessive-compulsive disorder (OCD) is a neuropsychiatric disorder characterized by recurrent distressing thoughts and repetitive behaviors or mental rituals performed to reduce anxiety. Symptoms.. Obsessive-compulsive disorder (OCD) is a mental health condition that makes a person have thoughts (obsessions) and rituals (compulsions) over and over that they cannot control or stop. People with OCD often also have anxiety and depression. OCD, like anxiety and depression, is treatable

Obsessive compulsive disorder (OCD) - Beyond Blu

Obsessive-compulsive personality disorder (OCPD) is a medical condition that causes a person to experience an overwhelming need for order, perfectionism, and mental and interpersonal control Obsessive Compulsive Disorder can sometimes run in families, although no specific genes have been linked to it. A person with OCD is four times more likely to have another family member with the condition compared with someone who does not have OCD

Obsessive compulsive disorder - Better Health Channe

Obsessive compulsive disorder (OCD) can be very frustrating for the sufferer and difficult to understand for her friends and loved ones. People with OCD have obsessions - recurring, persevering thoughts that are usually unpleasant. These thoughts provoke compulsions - repeated actions or rituals that serve to cope with the obsessions Obsessive-Compulsive Disorder (OCD) is a condition in which an individual experiences intrusive thoughts, images, or impulses which create a high degree of emotional distress. Although these emotions primarily involve anxious arousal; guilt and disgust may also be experienced


3 Minute Obsessive Compulsive Disorder (OCD) Tes

People with obsessive-compulsive disorder (OCD) experience obsessions, compulsions or both.. Obsessions are unwanted and disturbing thoughts, images or impulses that suddenly pop into the mind and cause a great deal of anxiety or distress. Compulsions are deliberate behaviours (e.g. washing, checking, ordering) or mental acts (e.g. praying, counting, repeating phrases) that are carried out to. Obsessive-compulsive disorder (OCD) is a condition where you have recurring obsessions, compulsions, or both. The usual treatments are cognitive behavioural therapy (CBT), a selective serotonin reuptake inhibitor (SSRI) antidepressant medicine, or both. Treatment often works well to reduce the symptoms and distress of OCD greatly Obsessive compulsive disorder (OCD) is a type of anxiety disorder in which a man or a woman experiences repeated thoughts, feelings, sensations, behaviors, or ideas (compulsions) that lead them to the engagement of a ritual or repeated habit (compulsion)

OCD: Symptoms, Signs, and Risk Factor

Obsessive-compulsive disorder (OCD): Patients with OCD have true obsessions (repetitive, unwanted, intrusive thoughts that cause marked anxiety) and compulsions (ritualistic behaviors that they feel they must do to control their obsessions). Patients with OCD are often distressed by their lack of control over compulsive drives; in patients with obsessive-compulsive personality disorder, the. Obsessive-compulsive disorder (often shortened to OCD) is a mental disorder that causes repeated and unwanted thoughts and/or feelings (obsessions) and actions (compulsions). Anxiety is one of the most common symptoms and can lead the individual to believe that if a task is not completed, something bad may happen Obsessive compulsive disorder (OCD) is a common form of anxiety disorder involving distressing, repetitive thoughts that can affect anyone regardless of gender, age, ethnicity or socioeconomic status. It is estimated that OCD occurs in around 1.1% of the general population in the UK. 1 The term obsessive-compulsive disorder emerged as a compromise. In the last quarter of the nineteenth century, the diagnostic category, neurasthenia (inadequate tonus of the nervous system), engulfed OCD along with numerous other disorders. As the twentieth century opened, both Pierre Janet (1859-1947) and Sigmund Freud (1856-1939) isolated.

Obsessive-compulsive personality disorder - Wikipedi

Obsessive-compulsive disorder is a common, disabling psychiatric disorder. First-line therapies include exposure and response prevention, which uses repeated and prolonged exposures to fear. Obsessive-compulsive disorder (OCD) is an anxiety disorder. Children and teens with OCD keep thinking that something is wrong, dirty or could hurt them. These repeated worries are called obsessions. The worries make kids with OCD repeat the same behaviors over and over (compulsions or rituals) This quality standard addresses care for people with obsessive-compulsive disorder. It applies to care for people in all settings but focuses on primary and community care. This quality standard focuses on care for adults but includes content that is relevant for children and adolescents. It does not address care for some disorders related to OCD (e.g., body dysmorphic disorder, hoarding. Quirks like this can usually be chalked up to personality or preference, but in some cases they may point to a more serious issue: obsessive-compulsive disorder (OCD), a condition marked by.

強迫性障害 - Wikipedi

Obsessive-Compulsive Personality Disorder (OCPD) is defined by exhibiting at least four of the following: Preoccupation with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost Obsessive Compulsive Spectrum Disorders. Unlike traditional psychiatry, which rarely looks at the brain, Amen Clinics uses brain imaging technology to identify brain patterns associated with obsessive compulsive disorder and related conditions Obsessive compulsive disorder and driving You must tell DVLA if your obsessive compulsive disorder affects your driving. You can be fined up to £1,000 if you don't tell DVLA about a medical.

Obsessive-compulsive personality disorder causes interpersonal problems with family members, friends, and coworkers. For example, when you have an obsessive-compulsive personality, you may work very hard, but your preoccupation with perfectionism and rigid rule conformity makes you inefficient The name OCD is short for obsessive-compulsive disorder. Disorder is a medical way of saying that something in the body isn't working properly. Obsessive means that OCD is playing tricks on the mind to make worries seem bigger and more important than they really are. Compulsive is a medical word used to describe the rituals that kids. Regional homogeneity of spontaneous brain activity in adult patients with obsessive-compulsive disorder before and after cognitive behavioural therapy. Journal of Affective Disorders, Vol. 188, Issue. , p. 243

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