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[PMID]:27772015
[Au] Autor:Angus LE; Boritz T; Bryntwick E; Carpenter N; Macaulay C; Khattra J
[Ad] Endereço:a Department of Psychology , York University , Toronto , Ontario , Canada.
[Ti] Título:The Narrative-Emotion Process Coding System 2.0: A multi-methodological approach to identifying and assessing narrative-emotion process markers in psychotherapy.
[So] Source:Psychother Res;27(3):253-269, 2017 May.
[Is] ISSN:1468-4381
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Recent studies suggest that it is not simply the expression of emotion or emotional arousal in session that is important, but rather it is the reflective processing of emergent, adaptive emotions, arising in the context of personal storytelling and/or Emotion-Focused Therapy (EFT) interventions, that is associated with change. METHOD: To enhance narrative-emotion integration specifically in EFT, Angus and Greenberg originally identified a set of eight clinically derived narrative-emotion integration markers were originally identified for the implementation of process-guiding therapeutic responses. Further evaluation and testing by the Angus Narrative-Emotion Marker Lab resulted in the identification of 10 empirically validated Narrative-Emotion Process (N-EP) markers that are included in the Narrative-Emotion Process Coding System Version 2.0 (NEPCS 2.0). RESULTS: Based on empirical research findings, individual markers are clustered into Problem (e.g., stuckness in repetitive story patterns, over-controlled or dysregulated emotion, lack of reflectivity), Transition (e.g., reflective, access to adaptive emotions and new emotional plotlines, heightened narrative and emotion integration), and Change (e.g., new story outcomes and self-narrative discovery, and co-construction and re-conceptualization) subgroups. To date, research using the NEPCS 2.0 has investigated the proportion and pattern of narrative-emotion markers in Emotion-Focused, Client-Centered, and Cognitive Therapy for Major Depression, Motivational Interviewing plus Cognitive Behavioral Therapy for Generalized Anxiety Disorder, and EFT for Complex Trauma. Results have consistently identified significantly higher proportions of N-EP Transition and Change markers, and productive shifts, in mid- and late phase sessions, for clients who achieved recovery by treatment termination. CONCLUSIONS: Recovery is consistently associated with client storytelling that is emotionally engaged, reflective, and evidencing new story outcomes and self-narrative change. Implications for future research, practice and training are discussed.
[Mh] Termos MeSH primário: Emoções
Narração
Avaliação de Processos e Resultados (Cuidados de Saúde)/métodos
Processos Psicoterapêuticos
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Adulto
Transtornos de Ansiedade/terapia
Terapia Cognitiva/métodos
Transtorno Depressivo Maior/terapia
Seres Humanos
Entrevista Motivacional/métodos
Trauma Psicológico/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1080/10503307.2016.1238525


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[PMID]:29301428
[Au] Autor:Barkil-Oteo A; Abdallah W; Mourra S; Jefee-Bahloul H
[Ad] Endereço:From the Department of Psychiatry, Yale University, New Haven, Conn.; the Department of Psychiatry, Howard University Hospital, Washington, DC; the Department of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles; and the Department of Psychiatry, UMass Medical School, Worcester, Mass.
[Ti] Título:Trauma and Resiliency: A Tale of a Syrian Refugee.
[So] Source:Am J Psychiatry;175(1):8-12, 2018 Jan 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ansiedade
Depressão
Exposição à Violência/psicologia
Psicoterapia/métodos
Refugiados/psicologia
Inibidores da Captação de Serotonina/administração & dosagem
Transtornos de Estresse Pós-Traumáticos
Síncope
[Mh] Termos MeSH secundário: Adulto
Ansiedade/diagnóstico
Ansiedade/terapia
Depressão/diagnóstico
Depressão/psicologia
Feminino
Seres Humanos
Sintomas Inexplicáveis
Dor/etiologia
Dor/psicologia
Processos Psicoterapêuticos
Campos de Refugiados
Resiliência Psicológica
Autogestão/métodos
Apoio Social
Transtornos de Estresse Pós-Traumáticos/complicações
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/psicologia
Síncope/etiologia
Síncope/psicologia
Síria
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Serotonin Uptake Inhibitors)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2017.17030358


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[PMID]:28456025
[Au] Autor:Quilty LC; Taylor GJ; McBride C; Bagby RM
[Ad] Endereço:Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, Canada M5T 1R8; Department of Psychiatry, University of Toronto, 250 College Street Toronto, ON, Canada M5T 1R8. Electronic address: lena.quilty@camh.ca.
[Ti] Título:Relationships among alexithymia, therapeutic alliance, and psychotherapy outcome in major depressive disorder.
[So] Source:Psychiatry Res;254:75-79, 2017 Aug.
[Is] ISSN:1872-7123
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:Previous studies have found that alexithymia predicts process and outcome of psychodynamic psychotherapy across a range of psychiatric disorders. There is preliminary evidence that alexithymia may exert its effects on outcome through the therapist. Other studies have found that alexithymia does not influence outcome of cognitive-behavioral therapy (CBT). The aim of the current study was to investigate the capacity of alexithymia to predict therapist- and patient-rated therapeutic alliance and response to CBT and interpersonal psychotherapy (IPT) for major depressive disorder. A total of 75 adults with major depressive disorder were randomized to receive weekly sessions of manualized individual CBT or IPT for a period of 16 weeks. Pre-treatment alexithymia exhibited a positive direct effect on depression change, and a negative indirect effect on depression change via patient-rated alliance at week 13. There was no mediating role of therapist-rated alliance. Although these findings are preliminary, they suggest that pre-treatment alexithymia has meaningful links to psychotherapy process and outcome, and that nuanced analyses incorporating intervening variables are necessary to elucidate the nature of these links.
[Mh] Termos MeSH primário: Sintomas Afetivos/psicologia
Sintomas Afetivos/terapia
Transtorno Depressivo Maior/psicologia
Transtorno Depressivo Maior/terapia
Escalas de Graduação Psiquiátrica
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Adulto
Sintomas Afetivos/diagnóstico
Terapia Cognitiva/métodos
Terapia Cognitiva/tendências
Transtorno Depressivo Maior/diagnóstico
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Processos Psicoterapêuticos
Psicoterapia/tendências
Psicoterapia Psicodinâmica/métodos
Psicoterapia Psicodinâmica/tendências
Distribuição Aleatória
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


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[PMID]:29251896
[Au] Autor:Kitson E
[Ti] Título:WHERE THERE'S SMOKE: UNCOVERING THE BENEFITS OF A NON-RESIDENTIAL CANNABIS WITHDRAWAL.
[So] Source:Aust Nurs Midwifery J;24(6):43, 2016 12.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Drug and alcohol dependence continues to ignite the interest of the media. The 'epidemic' of methamphetamine use, the controversy of private residential rehabs and the burden of substance use on the healthcare system are prominent in the news and across social media.
[Mh] Termos MeSH primário: Assistência Domiciliar
Abuso de Maconha/enfermagem
Abuso de Maconha/reabilitação
[Mh] Termos MeSH secundário: Seres Humanos
Relações Enfermeiro-Paciente
Processos Psicoterapêuticos
Prevenção Secundária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


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[PMID]:28598956
[Au] Autor:Perry JC; Bond M; Békés V
[Ad] Endereço:McGill University at the Institute of Community and Family Psychiatry, Jewish General Hospital, Montréal, Québec, Canada.
[Ti] Título:The Rate of Improvement in Long-Term Dynamic Psychotherapy For Borderline Personality Disorder.
[So] Source:J Nerv Ment Dis;205(7):517-524, 2017 Jul.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Controlled trials of psychotherapy and follow-up studies of borderline personality disorder (BPD) have shown significant, but usually limited, improvement. We examined the hypothesis that BPD changes more slowly than nonborderline disorders. In a study of long-term dynamic psychotherapy, 16 subjects with BPD and 35 with non-BPD disorders were treated for a median of 3 years with a follow-up of 5 years. From periodic assessments, we calculated the rate of change for each subject over the course of the study on each measure of symptoms and functioning. At intake, borderline psychopathology was associated with higher levels on 76% of 17 measures of comorbid axis I disorders, symptoms, and functioning. BPD psychopathology was associated with faster (not slower) rates of improvement on three measures, but after controlling for the initial level of each measure, there were no significant associations. These findings counsel both optimism and patience in the long-term treatment of patients with BPD.
[Mh] Termos MeSH primário: Transtorno da Personalidade Borderline/terapia
Transtornos Mentais/terapia
Avaliação de Resultados (Cuidados de Saúde)/métodos
Processos Psicoterapêuticos
Psicoterapia Psicodinâmica/métodos
[Mh] Termos MeSH secundário: Adulto
Transtorno da Personalidade Borderline/epidemiologia
Comorbidade
Feminino
Seguimentos
Seres Humanos
Masculino
Transtornos Mentais/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000697


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[PMID]:28300508
[Au] Autor:Howard HA
[Ad] Endereço:a George Washington University School of Medicine , Washington , DC , USA.
[Ti] Título:Promoting Safety in Hypnosis: A Clinical Instrument for the Assessment of Alertness.
[So] Source:Am J Clin Hypn;59(4):344-362, 2017 Apr.
[Is] ISSN:2160-0562
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hypnosis has long demonstrated its power to facilitate various approaches to psychotherapy. Like other potent modalities, hypnosis may produce unwanted effects. Although its negative sequelae are usually mild and transient, more serious complications may occur. Recently, attention has been drawn to the powerful role of failures of dehypnosis or alerting/realerting in producing unwanted effects. Traditionally, alerting has been viewed as a relatively uncomplicated process that requires little more than the simple suggestion that the subject will return or awaken from trance, and exiting from trance has generally been considered the cessation of the phenomena suggested during induction and thereafter. Newer findings challenge these assumptions and suggest that restoring the subject to a prehypnotic baseline level of alertness is of equal or greater importance. Here, I describe the Howard Alertness Scale (HAS), with which subjects can be made aware of their baseline levels of alertness to help them understand the unique ways that their trance states differ from their normal alert states, and assess and measure their subjective perception of alertness before and after hypnosis. Furthermore, regular use of the HAS holds potential to enhance both the therapeutic alliance and the patient's sense of safety and mastery. The development and use of the HAS is discussed along with three vignettes illustrating its clinical application.
[Mh] Termos MeSH primário: Conscientização
Hipnose/métodos
Segurança do Paciente
Psicometria/instrumentação
Processos Psicoterapêuticos
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Segurança
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170404
[Lr] Data última revisão:
170404
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.1080/00029157.2016.1203281


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[PMID]:28291968
[Au] Autor:Jovanovic MD; Svrakic D
[Ad] Endereço:Department of Psychology, Faculty of Media and Communications, Karadordeva 65, Belgrade, Serbia, mirjana.divac@fmk.edu.rs.
[Ti] Título:Integrative Treatment of Personality Disorder. Part I: Psychotherapy.
[So] Source:Psychiatr Danub;29(1):2-13, 2017 Mar.
[Is] ISSN:0353-5053
[Cp] País de publicação:Croatia
[La] Idioma:eng
[Ab] Resumo:In this paper, we outline the concept of integrative therapy of borderline personality, also referred to as fragmented personality, which we consider to be the core psychopathology underlying all clinical subtypes of personality disorder. Hence, the terms borderline personality, borderline disorder, fragmented personality, and personality disorder are used interchangeably, as synonyms. Our integrative approach combines pharmacotherapy and psychotherapy, each specifically tailored to accomplish a positive feedback modulation of their respective effects. We argue that pharmacotherapy and psychotherapy of personality disorder complement each other. Pharmacological control of disruptive affects clears the stage, in some cases builds the stage, for the psychotherapeutic process to take place. In turn, psychotherapy promotes integration of personality fragments into more cohesive structures of self and identity, ultimately establishing self-regulation of mood and anxiety. We introduce our original method of psychotherapy, called reconstructive interpersonal therapy (RIT). The RIT integrates humanistic-existential and psychodynamic paradigms, and is thereby designed to accomplish a deep reconstruction of core psychopathology within the setting of high structure. We review and comment the current literature on the strategies, goals, therapy process, priorities, and phases of psychotherapy of borderline disorders, and describe in detail the fundamental principles of RIT.
[Mh] Termos MeSH primário: Transtorno da Personalidade Borderline/terapia
Prestação Integrada de Cuidados de Saúde/métodos
Transtornos da Personalidade/terapia
Psicoterapia/métodos
Psicotrópicos/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Transtorno da Personalidade Borderline/diagnóstico
Transtorno da Personalidade Borderline/psicologia
Terapia Combinada
Feminino
Seres Humanos
Relações Interpessoais
Transtornos do Humor/diagnóstico
Transtornos do Humor/psicologia
Transtornos do Humor/terapia
Poder Familiar/psicologia
Transtornos da Personalidade/diagnóstico
Transtornos da Personalidade/psicologia
Processos Psicoterapêuticos
Transtorno Reativo de Vinculação na Infância/diagnóstico
Transtorno Reativo de Vinculação na Infância/psicologia
Transtorno Reativo de Vinculação na Infância/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Psychotropic Drugs)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE


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[PMID]:28263657
[Au] Autor:Jofen-Miller S; Fiori KL
[Ad] Endereço:Adelphi University.
[Ti] Título:The impact of psychotherapist training and experience on posttermination contact.
[So] Source:Psychotherapy (Chic);54(1):114-122, 2017 Mar.
[Is] ISSN:1939-1536
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study sought to enhance our understanding of posttermination contact, with a particular focus on the role of training and experience in shaping attitudes and behaviors with respect to the posttermination period. We collected anonymous online survey data related to attitudes, policies, and experience of posttermination contact from 144 licensed clinicians. Our sample was composed of an experienced group of clinicians, with 20.7 years in practice on average. Clinicians had a range of clinical orientations and ∼25% of respondents were from outside of the United States. Over 90% of the participants (130) endorsed having had some form of posttermination contact, and 25% (36) reported initiating posttermination contact with a past patient. Only 62 participants (43.4%) reported receiving graduate training related to posttermination contact, and those with graduate training were more likely to have an established posttermination policy that they reviewed with patients. In addition, recent graduates were more likely to report having had training on this topic than older graduates. In terms of attitudes, therapists were more likely to anticipate positive rather than negative consequences of posttermination contact for both patients and themselves, and the longer a therapist had been in practice the less likely they were to anticipate negative consequences of posttermination contact. Additionally, a clinician's contact with their own therapist made them more likely to anticipate positive consequences for both themselves and their patients. Given the ubiquity of posttermination contact, the posttermination period should be given more attention in training programs and research. (PsycINFO Database Record
[Mh] Termos MeSH primário: Assistência ao Convalescente/psicologia
Atitude do Pessoal de Saúde
Relações Profissional-Paciente
Processos Psicoterapêuticos
Psicoterapia
Apoio ao Desenvolvimento de Recursos Humanos
Resultado do Tratamento
[Mh] Termos MeSH secundário: Adulto
Idoso
Emoções
Feminino
Seres Humanos
Masculino
Meia-Idade
Motivação
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; WEBCASTS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE
[do] DOI:10.1037/pst0000105


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[PMID]:28263656
[Au] Autor:Marmarosh CL; Thompson B; Hill C; Hollman S; Megivern M
[Ad] Endereço:George Washington University.
[Ti] Título:Therapists-in-training experiences of working with transfer clients: One relationship terminates and another begins.
[So] Source:Psychotherapy (Chic);54(1):102-113, 2017 Mar.
[Is] ISSN:1939-1536
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Data from interviews with 12 graduate-level trainees about their experiences of working with clients who had been transferred to them from another therapist were analyzed using consensual qualitative research. Trainees reported a range of helpful and hindering aspects about the transfer experience related to the client (e.g., client had experienced a prior termination and transfer, client had severe character pathology), the prior therapist (e.g., prior therapist prepared client for transfer, prior therapists did not process their termination with client), themselves (e.g., participant was open to addressing grief, participant was fearful of rejection), supervision (e.g., the supervisor provided important feedback on dealing with loss, the supervisor failed to address the unique nature of transferring), training (e.g., there was not adequate readings on termination and transfer, there was no readings on transfers), and clinic practices (e.g., meeting with the prior therapist and current therapist facilitated process, having clients end treatment with debt hindered the development of the new relationship). Participants also provided recommendations for improving the transfer process. Implications of these findings for clinical practice, training, and research are addressed. (PsycINFO Database Record
[Mh] Termos MeSH primário: Apego ao Objeto
Avaliação de Resultados (Cuidados de Saúde)
Transferência de Pacientes
Relações Profissional-Paciente
Psicoterapia/educação
Apoio ao Desenvolvimento de Recursos Humanos
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adulto
Atitude do Pessoal de Saúde
Caráter
Feminino
Seres Humanos
Entrevista Psicológica
Masculino
Pacientes Desistentes do Tratamento/psicologia
Satisfação do Paciente
Processos Psicoterapêuticos
[Pt] Tipo de publicação:JOURNAL ARTICLE; WEBCASTS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE
[do] DOI:10.1037/pst0000095


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[PMID]:28263655
[Au] Autor:Olivera J; Challú L; Gómez Penedo JM; Roussos A
[Ad] Endereço:Facultad de Psicología, Instituto de Investigaciones, Universidad de Buenos Aires, Conicet.
[Ti] Título:Client-therapist agreement in the termination process and its association with therapeutic relationship.
[So] Source:Psychotherapy (Chic);54(1):88-101, 2017 Mar.
[Is] ISSN:1939-1536
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There is no consensus among different therapeutic approaches on the process of termination when therapy does not have a prefixed duration. Moreover, both clinicians and researchers are still exploring decision making in the termination of treatment. The present study assessed former client's perspective of therapy termination in a nonprobabilistic sample from Buenos Aires, Argentina. Seventy-three semistructured interviews, lasting ∼60 min each, were conducted with participants that had finished a therapeutic treatment or dropped out. They were asked about several aspects of therapy, including their experience of termination, specifically who decided to terminate, if there was agreement on termination or not, and their thoughts on the termination process. All interviews were transcribed and analyzed using an adaptation of Consensual Qualitative Research (CQR). Quantitative analyses were also conducted to examine associations between variables. Two main factors emerged from the analysis: client/therapist initiative on termination; and level of agreement between client and therapist regarding termination. Whereas nearly all (95%) of therapist-initiated termination cases agreed on termination, client-initiated termination cases could be sorted in agreed (49%) and disagreed (51%) terminations. Both therapist-initiated terminations and agreed upon terminations presented more categories of positive termination motives, better therapeutic bond, and higher overall satisfaction with treatment. Implications for research and clinical practice are discussed. (PsycINFO Database Record
[Mh] Termos MeSH primário: Comportamento Cooperativo
Relações Profissional-Paciente
Processos Psicoterapêuticos
Psicoterapia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adulto
Idoso
Feminino
Seres Humanos
Entrevista Psicológica
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)
Satisfação do Paciente
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; WEBCASTS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170307
[St] Status:MEDLINE
[do] DOI:10.1037/pst0000099



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