Where There Is No Child Psychiatrist: A mental healthcare manual
Valsamma Eapen, Philip Graham and Shoba Srinath
Mental health problems and worries are common
among infants, children and adolescents in every part of the world.
This book is a practical manual for primary healthcare
professionals, teachers and anyone who works with children –
especially in places where specialist psychiatric care is not
available.
After giving the reader an overview of child
mental health problems, the manual goes on to deal with the various
developmental, behavioural and emotional problems that arise in as
many as 10% of the youth population. For each problem it first
provides a case study and then describes how to find out more about
a child with this problem. It suggests what can be done to help the
child and their family.
It also examines the mental health aspects of childhood
maltreatment and exposure to natural or man-made
disasters.
- Covers problems that health
workers and teachers in low- and middle-income countries often have
to deal with.
- Written in simple language
with many case examples and pictures.
- The only comprehensive book on
mental healthcare in young people for those with no access to
specialist medical advice.
Readership:
This book is intended for anyone who works with children or young
people, but who does not have specialist training in mental health
problems. This includes: primary care doctors and nurses, community
health workers and teachers.
About the authors:
Valsamma Eapen -
Professor & Chair, Infant, Child and Adolescent Psychiatry,
University of New South Wales, Sydney, Australia.
Philip Graham - Emeritus Professor of Child
Psychiatry, Institute of Child Health, London.
Shoba Srinath - Professor & Head of Child and
Adolescent Psychiatry, National Institute of Mental Health and
Neurosciences, Bangalore, India.
Contents
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Preface
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Acknowledgements
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Abbreviations
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List of tables and boxes
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1.
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Introduction
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1.1
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Mental health problems in
children and adolescents
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1.2
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Types of mental health
problems
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1.3
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Importance of mental health
problems
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1.4
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Main causes of mental health
problems in childhood
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2.
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Assessment
and treatment: general principles
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2.1
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Assessment
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2.2
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Taking into account local
culture
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2.3
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Treatment
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3.
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Making a
summary and action plan
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3.1
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Making a summary
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3.2
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Example of an action
plan
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4.
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Development
and developmental problems
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4.1
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Assessment of developmental
delay
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4.2
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Language delay
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4.3
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Stammering
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4.4
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Reading difficulties
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4.5
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Clumsiness
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4.6
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Autism spectrum disorder
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5.
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Intellectual
disability
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5.1
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Information about
intellectual disability
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5.2
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Finding out more about
children with intellectual disability
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5.3
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Helping children with
intellectual disability
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6.
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Habit
disorders
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6.1
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Feeding problems
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6.2
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Obesity
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6.3
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Sleeping difficulties
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6.4
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Bed-wetting
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6.5
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Soiling
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6.6
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Tics and other jerky
movements
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7.
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Emotional
problems
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7.1
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Introduction to anxiety
problems
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7.2
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Panic attacks
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7.3
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Fears and phobias
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7.4
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Refusal to go to school
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7.5
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Separation anxiety
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7.6
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Excessive shyness
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7.7
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Depression, misery and
unhappiness
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7.8
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Obsessions and
compulsions
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8.
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Behaviour
and related problems
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8.1
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Temper tantrums and
disobedience
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8.2
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Hyperactivity and attention
problems (ADHD)
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8.3
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Aggressive behaviour and
bullying
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8.4
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Fire-setting
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8.5
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Lying
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8.6
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Stealing
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8.7
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Truancy
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9.
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Specific
problems in adolescence
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9.1
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Introduction
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9.2
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Sexual development
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9.3
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Self-starvation (anorexia
nervosa)
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9.4
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Self-harm
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10.
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Alcohol and
drug dependency
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10.1
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Alcohol problems
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10.2
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Drug problems
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11.
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Psychotic
disorders
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11.1
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Bipolar disorder
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11.2
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Schizophrenia
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12.
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Chronic
physical illness and disability
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12.1
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Physical illness and mental
health
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12.2
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Physical disability
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12.3
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Hearing impairment
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12.4
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Visual impairment
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12.5
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Cerebral palsy
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12.6
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Seizures/fits (epilepsy)
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12.7
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Diabetes mellitus
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12.8
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HIV/AIDS
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12.9
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Sickle cell disease
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12.1
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Mental health aspects of
life-threatening illness
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13.
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Physical
illness without an identifiable physical explanation
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13.1
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Assessment of physical
symptoms
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13.2
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Weakness without physical
cause
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13.3
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Stomach aches
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13.4
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Headaches
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13.5
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Tiredness/fatigue
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14.
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Stressful
situations
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14.1
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Parental marriage
relationships and children
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14.2
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Grief and loss
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14.3
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Physical abuse
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14.4
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Sexual abuse
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14.5
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Emotional abuse
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14.6
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Neglect
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14.7
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Children in disasters
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14.8
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Post-traumatic stress
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15.
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Parents and
the needs of children
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15.1
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Basic physical care
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15.2
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Secure sense of
attachment
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15.3
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Love and affection
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15.4
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Age-appropriate
stimulation
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15.5
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Guidance and control
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15.6
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Encouraging independence
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15.7
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Respecting the child as a
person
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15.8
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Building self-esteem and
confidence
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16.
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Mental
health promotion
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16.1
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Preventing intellectual
disability
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16.2
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Working with teachers
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16.3
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Anti-bullying programmes in
schools
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16.4
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Social networking
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17.
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Medication
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References and suggested reading
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Appendix 1: My star chart
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Appendix 2: Guide to medication for use in
childhood mental disorders
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Index
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