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Disorder Out of Chaos (The American Psychiatric Association wants to drop Aspergerís syndrome.)
NY Times ^ | February 10, 2010 | ROY RICHARD GRINKER

Posted on 02/13/2010 4:28:39 PM PST by neverdem

IF you ask my daughter, Isabel, what autism means to her, she won’t say that it is a condition marked by impaired social communication and repetitive behaviors. She will say that her autism makes her a good artist, helps her to relate to animals and gives her perfect pitch.

The stigma of autism is fading fast. One reason is that we now understand that autism is a spectrum with an enormous range. Some people with autism are nonverbal with profound cognitive disabilities, while others are accomplished professionals.

Many people with milder symptoms of autism have, for the past 20 years or so, received a diagnosis of Asperger’s disorder. Some autistic adults call themselves “Aspies” to celebrate their talents and differences. And many parents have embraced the label because they have found it less stigmatizing, and so it has eased their sense of loss.

This may soon change, however. The American Psychiatric Association, with its release this week of proposed revisions to its authoritative Diagnostic and Statistical Manual of Mental Disorders, is recommending that Asperger’s be dropped. If this revision is adopted, the condition will be folded into the category of “autism spectrum disorder,” which will no longer contain any categories for distinct subtypes of autism like Asperger’s and “pervasive developmental disorder not otherwise specified” (a category for children with some traits of autism but not enough to warrant a diagnosis).

The change is welcome, because careful study of people with Asperger’s has demonstrated that the diagnosis is misleading and invalid, and there are clear benefits to understanding autism as one condition that runs along a spectrum...

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Editorial; News/Current Events
KEYWORDS: apa; asd; autism; disorders; dsm; dsmv; psychology
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1 posted on 02/13/2010 4:28:39 PM PST by neverdem
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To: neverdem

There’s always a brouhaha when the DSM gets revised and categories altered. This, too, shall pass.


2 posted on 02/13/2010 4:34:15 PM PST by worst-case scenario (Striving to reach the light)
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To: neverdem

Meaning what really?

I guy who worked for me died recently because of caused by his Aspergers.

Aren’t these the same folks that have other questionable recommendations.


3 posted on 02/13/2010 4:36:41 PM PST by driftdiver (I could eat it raw, but why do that when I have a fire.)
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To: worst-case scenario

If they’re going to get rid of Asperger’s syndrome, they should get rid of Schizoid personality disorder, since schizoid is the mildest form of schizophrenia and is the mildest part of a spectrum much like Autism.


4 posted on 02/13/2010 4:39:10 PM PST by TypeZoNegative (Pro life & Vegan because I respect all life, Republican because our enemies don't respect ours.)
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To: worst-case scenario

You mean like same sex attraction?


5 posted on 02/13/2010 4:41:33 PM PST by IrishCatholic (No local Communist or Socialist Party Chapter? Join the Democrats, it's the same thing!)
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To: neverdem

In other news, Pluto has completed 1.40045658857714 percent of it’s orbit around the sun since it was declared to be “not a planet” on August 24, 2006.


6 posted on 02/13/2010 4:44:46 PM PST by Steely Tom (Obama goes on long after the thrill of Obama is gone)
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To: Steely Tom

7 posted on 02/13/2010 4:53:29 PM PST by musicman (Until I see the REAL Long Form Vault BC, he's just "PRES__ENT" Obama = Without "ID")
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To: TypeZoNegative
If they’re going to get rid of Asperger’s syndrome, they should get rid of Schizoid personality disorder, since schizoid is the mildest form of schizophrenia and is the mildest part of a spectrum much like Autism.

It seems to me as if the tendency has been to postulate a "light" form of whatever the pathology du jour happens to be, to cover the asses of those who need an excuse for some kind of untoward behavior but don't quite come up to the criteria for the "full" version.

8 posted on 02/13/2010 4:56:24 PM PST by Mr Ramsbotham ("Did I give you carbolic acid? I'd love to.")
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To: neverdem

Everything is a spectrum. We are all on it somewhere.

No one is completely rational. We all have our moments, at least. It’s just a matter of scale.


9 posted on 02/13/2010 5:09:49 PM PST by Persevero
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To: worst-case scenario

The problem is the pharmaceutical companies have their two cents worth as far as picking DSM criteria. Its all bullshit.


10 posted on 02/13/2010 5:16:28 PM PST by goseminoles
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To: Persevero

In order to deal with the rather ‘insane’ world around us, it helps to be a little ‘insane’.


11 posted on 02/13/2010 5:18:39 PM PST by UCANSEE2
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To: goseminoles
The problem is the pharmaceutical companies have their two cents worth as far as picking DSM criteria. Its all bullshit.

Yep. Especially since it seems apparent that you can cure yourself of Asperger's by just getting laid.

12 posted on 02/13/2010 5:20:30 PM PST by UCANSEE2
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To: neverdem

mark


13 posted on 02/13/2010 5:24:18 PM PST by nkycincinnatikid
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To: Steely Tom

I was about to post something along the same lines in reference to Pluto because this is essentially the same nominal exercise. This would be like saying “The biological label of ‘Death’ is being removed in recognition that there exist, between conception and full decomposition, a full spectrum of political involvement.”


14 posted on 02/13/2010 5:24:26 PM PST by Brass Lamp
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To: musicman

lol!


15 posted on 02/13/2010 5:26:14 PM PST by Yardstick
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To: neverdem
Are they going to add Liberalism and Homosexuality to the list of mental disorders?

It would make more sense to add them than to drop Asperger's.

Garde la Foi, mes amis! Nous nous sommes les sauveurs de la République! Maintenant et Toujours!
(Keep the Faith, my friends! We are the saviors of the Republic! Now and Forever!)

LonePalm, le Républicain du verre cassé (The Broken Glass Republican)

16 posted on 02/13/2010 5:27:22 PM PST by LonePalm (Commander and Chef)
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To: UCANSEE2

True, at certain points being all calm and cheerful seems a bit nuts.

I think it is also strange that at least partially crazy people are the ones deciding whether other partially crazy people are crazy. Who’s psychoanalyzing the psychoanalysts?


17 posted on 02/13/2010 5:39:15 PM PST by Persevero
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To: UCANSEE2

Yep. Especially since it seems apparent that you can cure yourself of Asperger’s by just getting laid.
****
Are you serious? I truly don’t know when people are kidding me any more.


18 posted on 02/13/2010 6:11:02 PM PST by Finalapproach29er (Obama will sink as fast as he rose. Idolatry will not succeed. Be patient, folks...)
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To: Finalapproach29er

My husband and son have Asperger’s. Agreed that we all have issues. Asperger’s is a neurological disorder of the frontal lobe. In other words, it is a physical impairment that prevents people with the condition from perceiving meaning that most people (neurotypicals) understand without even thinking about it. When my son was being diagnosed, the psychologist asked what he was happy about. Son, “I’m not happy.” Dr, “I see you sparkling eyes, your dimples, your broad smile, and you look happy. Is there something you’re happy about?” Son: “I didn’t know I was smiling.”

She handed him a handout that described what people typically look like when they’re feeling different emotions. My son (16) grabbed it, said, “This is GREAT!” took it home and studied it. My son can’t read people, does not realize what he is feeling, and does not realize how what is saying or doing affect others. It’s a difficult disorder to live with. Divorce rates for Neurotypicals married to Aspies is estimated to be above 80%. And I think that’s low. I don’t have an opinion about the label, but I live with Asperger’s, and it’s not a joke.


19 posted on 02/13/2010 6:40:41 PM PST by federalist1
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To: federalist1

I have two teenage boys with Aspergers and a flock of associated stuff. Sometimes my wife and I want to run away.


20 posted on 02/13/2010 6:50:02 PM PST by gitmo (FR vs DU: n4mage vs DUmage)
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To: Persevero
"Everything is a spectrum. We are all on it somewhere."

Agree 100%
21 posted on 02/13/2010 7:13:29 PM PST by Hegemony Cricket (The emperor has no pedigree.)
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To: gitmo

“I have two teenage boys with Aspergers and a flock of associated stuff. Sometimes my wife and I want to run away.”

hear hear.

No matter what you call it - it’s very difficult and can drive you to your limit.


22 posted on 02/13/2010 7:18:20 PM PST by Scotswife
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To: UCANSEE2

All getting laid as social therapy has left me is with the doctor at the local free clinic knowing me by first name basis, some of my belongings stolen and nearly ending up in jail because I have stress-related mutism whenever I’m under stress and an officer thought I was being avoidant. (Long story).

The kind of women you pick up if you try to get laid when you’re on the spectrum are women who don’t really care too much about themselves. Bar whores with sandpapery voices, fat chicks with personality disorders, women with low self esteem and bipolar women. I’ve seen it with some of my friends from my support group.

The kind of women that would ordinarially have some sort of care for themselves are ordinarially repulsed by some Autistic quirks and have nothing to do with you. Either that, or they look like men.


23 posted on 02/13/2010 7:20:33 PM PST by TypeZoNegative (Pro life & Vegan because I respect all life, Republican because our enemies don't respect ours.)
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To: UCANSEE2

All getting laid as social therapy has left me is with the doctor at the local free clinic knowing me by first name basis, some of my belongings stolen and nearly ending up in jail because I have stress-related mutism whenever I’m under stress and an officer thought I was being avoidant. (Long story).

The kind of women you pick up if you try to get laid when you’re on the spectrum are women who don’t really care too much about themselves. Bar whores with sandpapery voices, fat chicks with personality disorders, women with low self esteem and bipolar women. I’ve seen it with some of my friends from my support group.

The kind of women that would ordinarially have some sort of care for themselves are ordinarially repulsed by some Autistic quirks and have nothing to do with you. Either that, or they look like men.


24 posted on 02/13/2010 7:20:33 PM PST by TypeZoNegative (Pro life & Vegan because I respect all life, Republican because our enemies don't respect ours.)
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To: neverdem

The APA is a fraud. I remember when homosexuality was identified in the DSM as a psychiatric disorder. Then homosexual activists within the APA had that changed.

It was a political decision and as far as I am concerned the APA no longer has any credibility.


25 posted on 02/13/2010 7:21:50 PM PST by SkipW
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To: federalist1

Thanks.


26 posted on 02/13/2010 7:26:40 PM PST by Finalapproach29er (Obama will sink as fast as he rose. Idolatry will not succeed. Be patient, folks...)
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To: neverdem

Bump.....


27 posted on 02/13/2010 7:53:14 PM PST by Intolerant in NJ
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To: LonePalm

They’re not dropping Aspbergers...they’re lumping it in with Autism...
It’s already on the Autism spectrum scale..


28 posted on 02/13/2010 9:03:54 PM PST by M0sby (Proud military wife..(MSgte-USMC-Ret.))
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To: neverdem

For me, this is good news.
In my job, I help parents access services such as The Division of Developmental Disabilities.
This agency, along with The Division of Vocational Rehabilitation helps children and adults gain access to training and assistance and accommodations for employment.

Some agencies will only accept the diagnosis of Autism as a qualifying disorder. The diagnoses of Aspergers does not count.
It’s so frustrating for parents who were “happy” that their child “had Aspergers” instead of “autism” which is usually perceived as being more disabling.
At that point I get to tell them that they could have easily pushed for the other DSM # Autism and had more available to their child. But now, they have to go back and try to get the broader diagnosis that they once fought against.
My heart truly goes out to these parents.
They’re worried about services for their adult children who may not ever be self sufficient without their support.
But, to be diagnosed with AUTISM instead of Aspbergers or Pervasive Developmental disorder just feels so much MORE...More...well disabling..to them, as their hearts are already breaking..

It’s just goofy to me that one diagnosis is a slam dunk..but another (on the SAME SCALE) is not.
Seems like it should certainly be ABILITY based rather than so subjective!

Anyway..thank you for posting the article!
I didn’t know this was anywhere on the radar :-)


29 posted on 02/13/2010 9:09:02 PM PST by M0sby (Proud military wife..(MSgte-USMC-Ret.))
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To: neverdem

So the shrinks are set to vote on a new list of phony disorders? Are they going to keep “internet addiction”? My favorite mental disorder is “disagreeing with a shrink’s diagnosis”? But “Can’t do math” is a close second. LOL!


30 posted on 02/13/2010 9:26:30 PM PST by Seruzawa (If you agree with the French raise your hand - If you are French raise both hands.)
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To: Finalapproach29er

It was a joke.

I cannot say it would really cure Asperger’s syndrome, but if your problem is lack of social contact, a successful ‘date’ does improve your morale.


31 posted on 02/13/2010 9:43:00 PM PST by UCANSEE2
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To: TypeZoNegative

Did you ever see ‘One Flew over the Cuckoo’s Nest’?


32 posted on 02/13/2010 9:46:38 PM PST by UCANSEE2
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To: worst-case scenario
There’s always a brouhaha when the DSM gets revised and categories altered. This, too, shall pass.

Was there a brouhaha when they removed homosexuality from the DSM? As I recall, it was a "political" decision and not a research driven change.

33 posted on 02/13/2010 10:14:57 PM PST by highlander_UW (Obama has lost or not saved over 4 million jobs!)
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To: UCANSEE2

I think I’ll take you’re advice and get a date.


34 posted on 02/13/2010 10:39:45 PM PST by Finalapproach29er (Obama will sink as fast as he rose. Idolatry will not succeed. Be patient, folks...)
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To: El Gato; Ernest_at_the_Beach; Robert A. Cook, PE; lepton; LadyDoc; jb6; tiamat; PGalt; Dianna; ...
Rhubarb Crumble – The New Cancer-Busting Superfood

Restrict Sodium Consumption? Not Without Evidence, Researcher Argues

Yale Scientists Synthesize Unique Family of Anti-Cancer Compounds

Researchers develop dietary formula that maintains youthful function into old age

FReepmail me if you want on or off my health and science ping list.

35 posted on 02/13/2010 11:33:12 PM PST by neverdem
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To: neverdem

OK, seriously, how is this pronounced? Because around here I always hear it pronounced as “ass burgers” and that just can’t be right.


36 posted on 02/13/2010 11:38:50 PM PST by Nik Naym (Hey Sarah, I luv ya, but stumping for McCain???)
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To: TypeZoNegative
The kind of women you pick up if you try to get laid...

I think you're just going about it all wrong.

One of my best friends had a stepson who was mentally retarded. After he was of legal drinking age, we used to take him to our favorite bar.

He sided up to more women than anyone else could, and most often he picked the best looking one's to boot.

In his case, it was because he had no concept of where he was on the spectrum, and we always treated him like he was normal. He had no concept that the 'pretty' women were somehow 'better' than he was. And he didn't treat the 'pretty' ones any different than he did the one's that fit some of your descriptions. (It drives the pretty one's crazy when you treat all of them the same)

He treated them as if he could have his choice of anyone, and if they didn't respond, he simply moved on to the next.

There are some other skills that can be used to increase a woman's desire to be with you, but this isn't the time or place to go into them.

37 posted on 02/14/2010 12:04:07 AM PST by UCANSEE2
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To: neverdem

A related article I posted earlier in the week

http://www.freerepublic.com/focus/f-chat/2448628/posts


38 posted on 02/14/2010 12:12:48 AM PST by GOP_Raider (<----Click over there for a special message from GOP_Raider)
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To: Nik Naym

It is pronounced “aus bergers”. The “aus” is pronounced as in Australia


39 posted on 02/14/2010 1:30:42 AM PST by taxcontrol
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To: neverdem
I've been stranded in the combat zone
I walked through Bedford Sty alone
Even rode my motorcycle in the rain

And you told me not to drive
But I made it home alive
So you said that only proves that I'm insane

You may be right, I might be crazy
But it just may be a Lunatic you're looking for.

Billy Joel is a seer.
40 posted on 02/14/2010 4:47:53 AM PST by Condor51 (The difference between stupidity and genius is that genius has its limits [A. Einstein])
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To: driftdiver
I guy who worked for me died recently because of caused by his Aspergers.

People don't die from Aspergers syndrome.

BTW, you may want to check your grammar on that sentence.

41 posted on 02/14/2010 4:57:45 AM PST by johniegrad
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To: johniegrad

I rewrote it several times and obviously failed to proof read.

He died from complications from a condition that was caused by behaviors tied to Aspergers.

A normal person would not have had the same problem.


42 posted on 02/14/2010 5:02:19 AM PST by driftdiver (I could eat it raw, but why do that when I have a fire.)
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To: Brass Lamp

Exactly. There’s Chicago Dead, and then there’s Too Dead to Vote.


43 posted on 02/14/2010 5:29:47 AM PST by PLMerite (Ride to the sound of the Guns - I'll probably need help.)
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To: driftdiver

Asperger’s isn’t fatal; it’s a form of autism. Maybe you’re confusing it with something else that sounds similar?


44 posted on 02/14/2010 6:29:42 AM PST by Born Conservative ("I'm a fan of disruptors" - Nancy Pelosi)
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To: UCANSEE2

You really think Asperger’s Syndrome and mental retardation is the same thing? If you do, then your advice probably is not worth that much.


45 posted on 02/14/2010 6:39:50 AM PST by TypeZoNegative (Pro life & Vegan because I respect all life, Republican because our enemies don't respect ours.)
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To: Black Agnes

ping


46 posted on 02/14/2010 6:41:42 AM PST by Travis McGee (----www.EnemiesForeignAndDomestic.com----)
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To: M0sby
All right, but when are they adding the other do since they are obviously mental and emotional disorders.

Garde la Foi, mes amis! Nous nous sommes les sauveurs de la République! Maintenant et Toujours!
(Keep the Faith, my friends! We are the saviors of the Republic! Now and Forever!)

LonePalm, le Républicain du verre cassé (The Broken Glass Republican)

47 posted on 02/14/2010 8:23:25 AM PST by LonePalm (Commander and Chef)
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To: highlander_UW

I remember the 1972 atmosphere, and, yes, there was a large political upheaval when homosexuality was removed. Whether one considered it a research-driven change or not depended on your opinion of homosexuality.

Certainly, there are people still selling “treatments” to “cure” homosexuality. Now, however, they can’t get insurance companies to cover the costs anymore - patients have to pay out of pocket.

But more and more people have to pay out of pocket for medical, dental and psychiatric procedures these days. Psychiatric in-stay treatments aren’t covered, in most csses, unless they are considered emergencies that threaten the life of the patient. Even eating disorders have to fall into a critical category.

Of course, if there was a pill that someone developed which ostensibly “cured” homosexuality, then perhaps that category would be once again included. So many of these psychiatric illnesses seem to be nothing more than excuses to sell more pharmaceuticals. I’d argue that the influence of drug companies is much larger on the medical community than any political argument, from which the doctors are well-shielded.


48 posted on 02/14/2010 9:03:54 AM PST by worst-case scenario (Striving to reach the light)
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To: worst-case scenario
I remember the 1972 atmosphere, and, yes, there was a large political upheaval when homosexuality was removed. Whether one considered it a research-driven change or not depended on your opinion of homosexuality.

I was still in High School and wasn't paying attention to the field of psychology (although I ultimately earned a degree in Psychology, oddly enough).

Of course, if there was a pill that someone developed which ostensibly “cured” homosexuality, then perhaps that category would be once again included. So many of these psychiatric illnesses seem to be nothing more than excuses to sell more pharmaceuticals. I’d argue that the influence of drug companies is much larger on the medical community than any political argument, from which the doctors are well-shielded.

If there were a pill to "cure" homosexuality there would be an outcry that it's hateful to market such a thing. I know that the ex-homosexuals get treated quite badly, both by the media and the homosexual community because their mere existence counters the lie that one has no choice in being homosexual or not.

49 posted on 02/14/2010 11:18:46 AM PST by highlander_UW (Obama has lost or not saved over 4 million jobs!)
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To: TypeZoNegative
You really think Asperger’s Syndrome and mental retardation is the same thing?

No. I was trying to provide an example where the subject would be someone most people would consider to have a 'dating' issue.

If you do, then your advice probably is not worth that much.

Whether I do, or not, MY advice is probably worth exactly what you paid for it.

50 posted on 02/14/2010 11:40:05 AM PST by UCANSEE2
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