Personality disorders最新文献

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The structure of antagonism: A hierarchical model of self- and interview-rated psychopathology. 对抗的结构:自我评定和访谈评定的精神病理学的层次模型。
Personality disorders Pub Date : 2023-07-01 Epub Date: 2022-09-22 DOI: 10.1037/per0000603
William R Calabrese, Maria Martin Lopez, Harold W Koenigsberg, Antonia S New, Daniel R Rosell, Erin A Hazlett, Margaret M McClure, Mercedes M Perez-Rodriguez
{"title":"The structure of antagonism: A hierarchical model of self- and interview-rated psychopathology.","authors":"William R Calabrese, Maria Martin Lopez, Harold W Koenigsberg, Antonia S New, Daniel R Rosell, Erin A Hazlett, Margaret M McClure, Mercedes M Perez-Rodriguez","doi":"10.1037/per0000603","DOIUrl":"10.1037/per0000603","url":null,"abstract":"<p><p>Recent initiatives in the empirically based classification of psychopathology, namely, the Hierarchical Taxonomy of Psychopathology (HiTOP), have made significant strides in addressing the limitations of traditional taxonomies (i.e., <i>Diagnostic and Statistical Manual of Mental Disorders, International Classification of Diseases</i>). The current study aimed to extend this work by helping to clarify the lower order structure of an understudied dimension of psychopathology-antagonism (i.e., HiTOP antagonistic externalizing spectrum)-a core feature of many externalizing disorders and related to important outcomes such as interpersonal problems, childhood conduct problems, and incarceration. We examined the hierarchical structure of several measures of antagonistic externalizing features across both self-report and clinical interview ratings for 2,279 community participants with a diverse range of personality pathology (~75% with a personality disorder) and antagonistic behaviors (~30% with intermittent explosive disorder). Exploratory structural equation modeling was used to account for the shared variance between variables within self-report and interview methods. Results revealed an optimal lower order structure consisting of six factors labeled Antisociality, Anger, Hostility, Narcissism, Mistrust, and Attention Seeking. Factor scores yielded expected relations with self-report and interview ratings of psychopathology, personality, and childhood trauma. Implications for future research in classification and treatment of psychopathology are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"441-451"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Symptoms of borderline personality and related pathologies behave as temporal and contemporaneous networks. 边缘型人格的症状和相关病理表现为时间和同期网络。
Personality disorders Pub Date : 2023-07-01 DOI: 10.1037/per0000618
Haya Fatimah, Lance M Rappaport, Marina A Bornovalova
{"title":"Symptoms of borderline personality and related pathologies behave as temporal and contemporaneous networks.","authors":"Haya Fatimah,&nbsp;Lance M Rappaport,&nbsp;Marina A Bornovalova","doi":"10.1037/per0000618","DOIUrl":"https://doi.org/10.1037/per0000618","url":null,"abstract":"<p><p>In contrast to latent variable models suggesting a common etiology, network theory proposes that symptoms of psychopathology co-occur because of direct, dynamic associations among them. We examined how symptoms associated with borderline personality disorder, depression, and anxiety mutually reinforce one another over time, forming a network. We further identified symptoms that drove the network by exerting the most influence on other symptoms. Participants were 37 undergraduate students aged 18 to 26. Following baseline assessment, participants were prompted to answer a Qualtrics-based survey of current symptoms of BPD, depression, and anxiety twice daily for 40 days. Multilevel time-series network analyses were conducted with (a) BPD symptoms alone and (b) BPD, depressive and anxiety symptoms. In the network of BPD symptoms, momentary interpersonal difficulties predicted later dissociation, which predicted later affective fluctuation at the within-person level. Dissociation exerted the strongest influence on the overall symptom network. When depressive and anxiety symptoms were included, the networks identified several cross-disorder connections, such as anhedonia and feeling tense, which highlight potential pathways that describe the comorbidity of BPD with anxiety and depressive syndromes. Overall, cognitive symptoms and dissociation were identified as the most influential symptoms across the networks. This study indicates that BPD, depression, and anxiety symptoms may mutually reinforce one another concurrently and over time. Cognitive symptoms exert the highest influence on the cross-disorder networks, such that they influence BPD, depressive, and anxiety symptoms. Our results support the need of targeting cognitions in the treatment of comorbid BPD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"467-477"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9691734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
BPD Compass is an accessible alignment of dimensional assessment and treatment. BPD指南针是一种可访问的尺寸评估和治疗校准。
Personality disorders Pub Date : 2023-07-01 DOI: 10.1037/per0000604
Shannon Sauer-Zavala, Matthew W Southward
{"title":"BPD Compass is an accessible alignment of dimensional assessment and treatment.","authors":"Shannon Sauer-Zavala,&nbsp;Matthew W Southward","doi":"10.1037/per0000604","DOIUrl":"https://doi.org/10.1037/per0000604","url":null,"abstract":"<p><p>BPD Compass is a short-term (18-session) intervention for borderline personality disorder (BPD) that was designed to address the higher-order dimensions of personality implicated in this condition in the Alternative Model of Personality Disorders (AMPD): Negative affectivity, Antagonism, and Disinhibition. We received three commentaries on our manuscript describing the conceptual background for BPD Compass; the purpose of this rejoinder is to respond to that feedback. In our rejoinder, we challenge researchers and clinicians to stretch their assumptions about what treatment for BPD should look like, describe the utility of a cognitive-behavioral approach for subsequent dissemination, and discuss how information Criterion A of the AMPD can also be used to personalize course of treatment with BPD Compass. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"388-390"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9695429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conceptual development and case data for a modular, personality-based treatment for borderline personality disorder. 基于人格的边缘型人格障碍模块化治疗的概念发展和案例数据。
Personality disorders Pub Date : 2023-07-01 Epub Date: 2022-01-27 DOI: 10.1037/per0000520
Shannon Sauer-Zavala, Matthew W Southward, Caitlyn O Hood, Sohayla Elhusseini, Martina Fruhbauerova, Nicole E Stumpp, Stephen A Semcho
{"title":"Conceptual development and case data for a modular, personality-based treatment for borderline personality disorder.","authors":"Shannon Sauer-Zavala, Matthew W Southward, Caitlyn O Hood, Sohayla Elhusseini, Martina Fruhbauerova, Nicole E Stumpp, Stephen A Semcho","doi":"10.1037/per0000520","DOIUrl":"10.1037/per0000520","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is a heterogenous condition, and variations in its presentation may be accounted for by individual differences in personality dimensions. Extant treatments for BPD are long term and intensive; it is possible that prioritizing the personality-based difficulties that underlie an individual's symptoms may improve the efficiency of care. This article describes the conceptual background for the development of a novel, personality-based intervention for BPD (BPD Compass), which was informed by recent research on personality mechanisms maintainin this condition, and was designed to address gaps left by existing treatments and to be maximally efficient and disseminable. BPD Compass is a comprehensive, short-term package with a fully modular design that allows for personalization (e.g., all skills can be presented in isolation or in any order based on pretreatment assessment). We discuss the theoretical background for its development, an overview of the skills included in the treatment, as well as preliminary efficacy data. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"369-380"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9748867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9731737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rivalry and admiration-seeking in a social competition: From traits to behaviors through contextual cues. 社会竞争中的竞争和寻求钦佩:通过情境线索从特征到行为
Personality disorders Pub Date : 2023-07-01 Epub Date: 2023-01-02 DOI: 10.1037/per0000610
Anna Szücs, Elizabeth A Edershile, Aidan G C Wright, Alexandre Y Dombrovski
{"title":"Rivalry and admiration-seeking in a social competition: From traits to behaviors through contextual cues.","authors":"Anna Szücs, Elizabeth A Edershile, Aidan G C Wright, Alexandre Y Dombrovski","doi":"10.1037/per0000610","DOIUrl":"10.1037/per0000610","url":null,"abstract":"<p><p>To gain social status, humans employ two strategies, rivalry and admiration-seeking, and these strategies are over-expressed in trait narcissism, according to the Narcissistic Admiration and Rivalry Concept (NARC) and the Status Pursuit in Narcissism (SPIN) model. Whether one engages in rivalry or admiration-seeking behaviors is thought to depend on the interaction between underlying traits and status-relevant social cues, with status threats encouraging rivalry and status-boosting experiences encouraging admiration-seeking. However, experimental studies of how traits and environment influence rivalry and admiration-seeking are lacking, and we do not know whether status-relevant cues selectively activate congruent traits (i.e., whether defeat primarily activates trait rivalry and victory, trait admiration-seeking). We used a rigged video game tournament with three randomized blocks with defeat manipulations of varying intensity, measuring behavioral rivalry (stealing points from opponents) and admiration-seeking (paying to boost rank in the tournament) in a sample of 434 undergraduates assessed for trait rivalry and trait admiration-seeking with the Narcissistic Admiration and Rivalry Questionnaire. We found trait-congruent main effects: behavioral rivalry scaled with trait rivalry and behavioral admiration-seeking with trait admiration-seeking. Exploratory analyses found modest support for <i>trait</i> × <i>environment</i> interactions wherein trait rivalry primarily increased status-pursuit behaviors following defeats and trait admiration-seeking following victories. However, these effects were not robust. These results support the NARC's two-dimensional conceptualization of narcissistic grandiosity. Future studies with greater within-subject power are needed to test the interactionist model of status pursuit. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"429-440"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10118091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
BPD Compass: A different direction to the treatment of borderline personality disorder?: Comment on Sauer-Zavala et al. (2022). BPD指南:治疗边缘型人格障碍的不同方向?:评论Sauer-Zavala et al.(2022)。
Personality disorders Pub Date : 2023-07-01 DOI: 10.1037/per0000542
W John Livesley
{"title":"BPD Compass: A different direction to the treatment of borderline personality disorder?: Comment on Sauer-Zavala et al. (2022).","authors":"W John Livesley","doi":"10.1037/per0000542","DOIUrl":"https://doi.org/10.1037/per0000542","url":null,"abstract":"<p><p>Comments on an article by S. Sauer-Zavala et al. (see record 2022-23735-001), which presents BPD-Compass as a new intervention for borderline personality disorder (BPD). In this comment, the author says that BPD-Compass is described as comprehensive and short term. But, it is difficult to be both. As a short-term intervention, is the Compass proposed as a first-line treatment? If so, why are crises, self-harm, and suicidality, dominant issues in the early stages of most therapies, not addressed systematically? (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"383-384"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10051266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How much does that cost? Examining the economic costs of crime in North America attributable to people with psychopathic personality disorder. 那要花多少钱?检视北美因精神病性人格障碍而导致的犯罪的经济成本。
Personality disorders Pub Date : 2023-07-01 DOI: 10.1037/per0000575
Dylan T Gatner, Kevin S Douglas, Madison F E Almond, Stephen D Hart, P Randall Kropp
{"title":"How much does that cost? Examining the economic costs of crime in North America attributable to people with psychopathic personality disorder.","authors":"Dylan T Gatner,&nbsp;Kevin S Douglas,&nbsp;Madison F E Almond,&nbsp;Stephen D Hart,&nbsp;P Randall Kropp","doi":"10.1037/per0000575","DOIUrl":"https://doi.org/10.1037/per0000575","url":null,"abstract":"<p><p>Cost of illness research has established that mental disorders lead to significant social burden and massive financial costs. A significant gap exists for the economic burden of many personality disorders, including psychopathic personality disorder (PPD). In the current study, we used a top-down prevalence-based cost of illness approach to estimate bounded crime cost estimates of PPD in the United States and Canada. Three key model parameters (PPD prevalence, relative offending rate of individuals with PPD, and national costs of crime for each country) were informed by existing literature. Sensitivity analyses and Monte Carlo simulations were conducted to provide bounded and central tendency estimates of crime costs, respectively. The estimated PPD-related costs of crime ranged from $245.50 billion to $1,591.57 billion (simulated means = $512.83 to $964.23 billion) in the United States and $12.14 billion to $53.00 billion (simulated means = $25.33 to $32.10 billion) in Canada. These results suggest that PPD may be associated with a substantial economic burden as a result of crime in North America. Recommendations are discussed regarding the burden-treatment discrepancy for PPD, as the development of future effective treatment for the disorder may decrease its costly burden on health and justice systems. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"391-400"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10058907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Isn't criterion A rather than B the language of psychotherapy?: Comment on Sauer-Zavala et al. (2022). 标准A而不是标准B不是心理治疗的语言吗?:评论Sauer-Zavala et al.(2022)。
Personality disorders Pub Date : 2023-07-01 DOI: 10.1037/per0000543
Joost Hutsebaut
{"title":"Isn't criterion A rather than B the language of psychotherapy?: Comment on Sauer-Zavala et al. (2022).","authors":"Joost Hutsebaut","doi":"10.1037/per0000543","DOIUrl":"https://doi.org/10.1037/per0000543","url":null,"abstract":"<p><p>Comments on the article by S. Sauer-Zavala et al. (see record 2022-23735-001), which presents BPD-Compass as a new intervention for borderline personality disorder (BPD). Sauer-Zavala et al. have written a stimulating article that challenges fixed beliefs about the treatment of personality disorders and offers the first attempt to design a treatment according to the heuristic framework of the alternative model of personality disorders. This article presents several elements of the direction our field is developing to but may have underrated the importance of Criterion A in designing good-quality generic PD treatment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"385-387"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10051265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Psychopathy and substance use predict recidivism in women: A 7-year prospective study. 心理变态和药物使用可预测女性的累犯行为:一项为期 7 年的前瞻性研究。
Personality disorders Pub Date : 2023-07-01 Epub Date: 2023-01-02 DOI: 10.1037/per0000615
Bethany G Edwards, Aparna R Gullapalli, J Michael Maurer, Devin M Ulrich, Carla L Harenski, Nicholas D Thomson, Sasha Davenport, Kent A Kiehl
{"title":"Psychopathy and substance use predict recidivism in women: A 7-year prospective study.","authors":"Bethany G Edwards, Aparna R Gullapalli, J Michael Maurer, Devin M Ulrich, Carla L Harenski, Nicholas D Thomson, Sasha Davenport, Kent A Kiehl","doi":"10.1037/per0000615","DOIUrl":"10.1037/per0000615","url":null,"abstract":"<p><p>Recidivism places a significant burden on society and efforts aimed at reducing cyclical criminal justice involvement are needed. This prospective study tested the utility of psychopathic traits in predicting general, felony, and substance-related rearrest in women following release from a correctional facility. The extent to which psychopathic traits offered incremental utility in predicting outcomes, above and beyond other established risk factors, including substance use disorder, was examined. Participants included 327 incarcerated adult women who completed comprehensive clinical and psychiatric assessments prior to release from correctional facilities. Psychopathic traits and lifetime substance use disorder were measured using the Hare Psychopathy Checklist-Revised (PCL-R) and Structured Clinical Interview for DSM-IV-TR Axis I Disorders, respectively. Results showed that general, felony, and substance-related rearrest following institutional release were associated with higher PCL-R Factor 2 scores, assessing lifestyle/behavioral and antisocial/developmental psychopathic traits. Additionally, when controlling for other risk factors associated with recidivism, including age at release, number of prior adult prison terms, and substance use disorder, higher PCL-R Factor 2 scores remained significantly associated with rearrest outcomes in women. Findings inform risk prediction and treatment efforts aimed at reducing recidivism in justice-involved women. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"419-428"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10118090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Borderline personality disorder (BPD) Compass is a promising complementary intervention to dialectical behavior therapy: Comment on Sauer-Zavala (2022). 边缘型人格障碍(BPD)指南针是对辩证行为治疗的一种有希望的补充干预:评论Sauer-Zavala(2022)。
Personality disorders Pub Date : 2023-07-01 DOI: 10.1037/per0000541
Sheila E Crowell, Parisa R Kaliush, Robert D Vlisides-Henry
{"title":"Borderline personality disorder (BPD) Compass is a promising complementary intervention to dialectical behavior therapy: Comment on Sauer-Zavala (2022).","authors":"Sheila E Crowell,&nbsp;Parisa R Kaliush,&nbsp;Robert D Vlisides-Henry","doi":"10.1037/per0000541","DOIUrl":"https://doi.org/10.1037/per0000541","url":null,"abstract":"<p><p>Comments on the article by S. Sauer-Zavala et al. (see record 2022-23735-001). Since its empirical debut in the early 1990s, dialectical behavior therapy (DBT) has amassed substantial support for treating individuals struggling with chronic suicidality, emotion dysregulation, impulsivity, and interpersonal distress. Today, it is known to be one of the most effective psychotherapies for complex mental health presentations, such as in borderline personality disorder (BPD). In this comment, the authors highlight strengths and limitations of one promising intervention, BPD Compass, as presented by Sauer-Zavala et al. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":74420,"journal":{"name":"Personality disorders","volume":"14 4","pages":"381-382"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9748130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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