Using systemic theory as the framework, this qualitative study focused on the parentification experiences of young adults with typical development who have siblings with special needs. The sample c...
本定性研究以系统理论为框架，聚焦于有特殊需要的兄弟姐妹的典型发育青年的父母教养经验。样品c…
{"title":"Siblings Under the Shadow: A Qualitative Study of Young Adults’ Parentification Experiences with Siblings with Special Needs","authors":"Lale Hanöz, Serkan Özgün, Senem Zeytinoğlu Saydam, Celia Naivar Şen, Emine Ayyıldız","doi":"10.1080/2692398x.2023.2282954","DOIUrl":"https://doi.org/10.1080/2692398x.2023.2282954","url":null,"abstract":"Using systemic theory as the framework, this qualitative study focused on the parentification experiences of young adults with typical development who have siblings with special needs. The sample c...","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"27 2","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138512800","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}
Pub Date : 2023-11-19DOI: 10.1080/2692398x.2023.2282205
Jerry C. Middleton, Shanna Williams, Jessica Ruglis
Many pioneering family therapists exuded exemplary personal characteristics that at many instances were incorporated into their clinical work and theoretical approaches to psychotherapy. While such...
{"title":"Leveraging the Clinical Importance of the Therapist as a Person in Family Therapy","authors":"Jerry C. Middleton, Shanna Williams, Jessica Ruglis","doi":"10.1080/2692398x.2023.2282205","DOIUrl":"https://doi.org/10.1080/2692398x.2023.2282205","url":null,"abstract":"Many pioneering family therapists exuded exemplary personal characteristics that at many instances were incorporated into their clinical work and theoretical approaches to psychotherapy. While such...","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 4","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138512799","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}
Pub Date : 2022-07-01DOI: 10.2500/jfa.2022.4.220018
Marion Groetch, Audrey DunnGalvin, Carina Venter
Although research in oral immunotherapy for food allergy is perceived primarily as a biomedical endeavor, the involvement of multiple disciplines is required to ensure optimum outcomes for patients and their caregivers. This is a narrative review of research in which we also provide expert opinion due to the small number of studies addressing the role of dietitians and psychologists in oral immunotherapy to foods. Dietitians support patient education with instructions on how to measure and prepare the immunotherapy dose, incorporate the dose into the daily diet, and transition to equivalent foods to meet dosing needs. Dietitians play an important role in assessing the impact of oral immunotherapy on nutritional health. Psychological distress in food allergy is largely driven by the persistent fear of an adverse reaction, therefore the principal objective of food allergy treatment is to improve patient outcomes, e.g., quality of life. Psychologists must be involved in the design of patient related outcome measures in clinical trials to inform clinical decision-making and health-care policy; an important step in selecting and supporting patients who will benefit most from a particular treatment. Psychologists and dietitians can play a critical role during all phases of oral immunotherapy to foods.
{"title":"The role of dietitians and psychologists to promote optimum patient related outcomes in oral immunotherapy.","authors":"Marion Groetch, Audrey DunnGalvin, Carina Venter","doi":"10.2500/jfa.2022.4.220018","DOIUrl":"10.2500/jfa.2022.4.220018","url":null,"abstract":"<p><p>Although research in oral immunotherapy for food allergy is perceived primarily as a biomedical endeavor, the involvement of multiple disciplines is required to ensure optimum outcomes for patients and their caregivers. This is a narrative review of research in which we also provide expert opinion due to the small number of studies addressing the role of dietitians and psychologists in oral immunotherapy to foods. Dietitians support patient education with instructions on how to measure and prepare the immunotherapy dose, incorporate the dose into the daily diet, and transition to equivalent foods to meet dosing needs. Dietitians play an important role in assessing the impact of oral immunotherapy on nutritional health. Psychological distress in food allergy is largely driven by the persistent fear of an adverse reaction, therefore the principal objective of food allergy treatment is to improve patient outcomes, e.g., quality of life. Psychologists must be involved in the design of patient related outcome measures in clinical trials to inform clinical decision-making and health-care policy; an important step in selecting and supporting patients who will benefit most from a particular treatment. Psychologists and dietitians can play a critical role during all phases of oral immunotherapy to foods.</p>","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"28 1","pages":"71-77"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75582286","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}
Pub Date : 2020-10-01DOI: 10.1080/08975353.2020.1809916
Jeff Chang, Monica Sesma Vazquez, K. M. Cheang, Shannon McIntosh, K. Tomm
ABSTRACT The IPscope (IP signifying Interpersonal Patterns), developed at the Calgary Family Therapy Center by Karl Tomm and colleagues, provides a way of understanding behavior in context. Building on our work using the IPscope to conceptualize the functioning of families, we have also used the IPscope to bring a relational ethos to CFT supervision. After describing the development of the IPscope and its use at the CFTC, we describe specific applications of the IPscope to several key foci of clinical supervision: cross-cultural issues; the supervisory working alliance, with specific reference to supervisee nondisclosure and informal supervision; supporting supervisees to develop case conceptualization skills with the IPscopic reflectogram; dealing with impasses in therapy or supervision, usually labeled intrapsychically as countertransference, and a practical approach to isomorphism. Finally, we address limitations and critique of the IPscope.
{"title":"The IPscope: Applications to Couple and Family Therapy Supervision","authors":"Jeff Chang, Monica Sesma Vazquez, K. M. Cheang, Shannon McIntosh, K. Tomm","doi":"10.1080/08975353.2020.1809916","DOIUrl":"https://doi.org/10.1080/08975353.2020.1809916","url":null,"abstract":"ABSTRACT The IPscope (IP signifying Interpersonal Patterns), developed at the Calgary Family Therapy Center by Karl Tomm and colleagues, provides a way of understanding behavior in context. Building on our work using the IPscope to conceptualize the functioning of families, we have also used the IPscope to bring a relational ethos to CFT supervision. After describing the development of the IPscope and its use at the CFTC, we describe specific applications of the IPscope to several key foci of clinical supervision: cross-cultural issues; the supervisory working alliance, with specific reference to supervisee nondisclosure and informal supervision; supporting supervisees to develop case conceptualization skills with the IPscopic reflectogram; dealing with impasses in therapy or supervision, usually labeled intrapsychically as countertransference, and a practical approach to isomorphism. Finally, we address limitations and critique of the IPscope.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"114 - 140"},"PeriodicalIF":1.3,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2020.1809916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47972416","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}
Pub Date : 2020-10-01DOI: 10.1080/2692398X.2020.1865768
S. Simms, P. Mehta, C. W. Jones, P. Johnston
ABSTRACT The 2020 COVID-19 pandemic and resulting stay at home orders halted face-to-face in-home therapy for youth at risk of out-of-home placement in Pennsylvania and Delaware. Three family therapy training centers collaborated with state officials managed care organizations, and supervisors to create a two-step process for orchestrating an abrupt, unwanted shift to technology-assisted intensive in-home family therapy. The first step encouraged supervisors to set the stage for this change through an ethics-based lens. The central tenet was to tenaciously advance the wellbeing of the child and their family. The second step encouraged supervisors to remain grounded in the basic principles of treatment and supervision that they followed before telehealth, but with a few adaptations. Three principles are emphasized. Principle one focused on securing clinician commitment to a adapting a family therapy model to a telehealth format. Principle two focused on an unremitting adherence to a preferred family therapy model by using a checklist adapted for technology-based challenges. Finally, principle three focused on fostering professional competence through attending to case conceptualization, supervision-based practice, person-of-the-self challenges, and family-clinician-supervisor isomorphic patterns. Two case examples illustrate the beginning and ending phases of technology-assisted intensive in-home family therapy. Based on feedback from in-home agencies, implementation of these two-steps helped supervisors effectively lead pandemic-induced, practice-based change to a telehealth format with intentionality, conviction, and self-efficacy.
{"title":"A Supervisory Approach to Implementing A Pandemic-Induced, Practice-Based Change to Telehealth","authors":"S. Simms, P. Mehta, C. W. Jones, P. Johnston","doi":"10.1080/2692398X.2020.1865768","DOIUrl":"https://doi.org/10.1080/2692398X.2020.1865768","url":null,"abstract":"ABSTRACT The 2020 COVID-19 pandemic and resulting stay at home orders halted face-to-face in-home therapy for youth at risk of out-of-home placement in Pennsylvania and Delaware. Three family therapy training centers collaborated with state officials managed care organizations, and supervisors to create a two-step process for orchestrating an abrupt, unwanted shift to technology-assisted intensive in-home family therapy. The first step encouraged supervisors to set the stage for this change through an ethics-based lens. The central tenet was to tenaciously advance the wellbeing of the child and their family. The second step encouraged supervisors to remain grounded in the basic principles of treatment and supervision that they followed before telehealth, but with a few adaptations. Three principles are emphasized. Principle one focused on securing clinician commitment to a adapting a family therapy model to a telehealth format. Principle two focused on an unremitting adherence to a preferred family therapy model by using a checklist adapted for technology-based challenges. Finally, principle three focused on fostering professional competence through attending to case conceptualization, supervision-based practice, person-of-the-self challenges, and family-clinician-supervisor isomorphic patterns. Two case examples illustrate the beginning and ending phases of technology-assisted intensive in-home family therapy. Based on feedback from in-home agencies, implementation of these two-steps helped supervisors effectively lead pandemic-induced, practice-based change to a telehealth format with intentionality, conviction, and self-efficacy.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"141 - 156"},"PeriodicalIF":1.3,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/2692398X.2020.1865768","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47249233","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}
Pub Date : 2020-09-27DOI: 10.1080/08975353.2020.1823144
W. F. Northey, M. Rivett
This special issue of the Journal of Family Psychotherapy was initially conceived at the 2019 World Family Therapy Congress sponsored by the International Family Therapy Association (IFTA) in Aberd...
{"title":"Editorial to the Special Issue of the Journal for Family Psychotherapy: International Approaches to Innovative Supervisory Practice","authors":"W. F. Northey, M. Rivett","doi":"10.1080/08975353.2020.1823144","DOIUrl":"https://doi.org/10.1080/08975353.2020.1823144","url":null,"abstract":"This special issue of the Journal of Family Psychotherapy was initially conceived at the 2019 World Family Therapy Congress sponsored by the International Family Therapy Association (IFTA) in Aberd...","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"73 - 78"},"PeriodicalIF":1.3,"publicationDate":"2020-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2020.1823144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47519756","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}
Pub Date : 2020-09-18DOI: 10.1080/08975353.2020.1818500
Y. Watters, W. F. Northey
ABSTRACT Online telesupervision (OTS) is synchronous (real-time) audio and video interactions between a supervisor and a clinician who are not in the same physical location. The COVID-19 pandemic created an abrupt pivot to OTS, requiring systemic supervisors and clinicians to adopt and utilize technologies which were unfamiliar to many. To facilitate the effective adoption and implementation of OTS we draw attention to three distinct competencies critical to the effective use of OTS: technological, contextual, and relational. These competencies are in no way exhaustive but lay the ground work for systemic supervisors to engage and connect with supervisees using video conferencing technology. In addition to the competencies, specific techniques and strategies are suggested to assist supervisors hone their skills in OTS and subsequently improve the quality and effectiveness of supervision in a virtual environment.
{"title":"Online Telesupervision: Competence Forged in a Pandemic","authors":"Y. Watters, W. F. Northey","doi":"10.1080/08975353.2020.1818500","DOIUrl":"https://doi.org/10.1080/08975353.2020.1818500","url":null,"abstract":"ABSTRACT Online telesupervision (OTS) is synchronous (real-time) audio and video interactions between a supervisor and a clinician who are not in the same physical location. The COVID-19 pandemic created an abrupt pivot to OTS, requiring systemic supervisors and clinicians to adopt and utilize technologies which were unfamiliar to many. To facilitate the effective adoption and implementation of OTS we draw attention to three distinct competencies critical to the effective use of OTS: technological, contextual, and relational. These competencies are in no way exhaustive but lay the ground work for systemic supervisors to engage and connect with supervisees using video conferencing technology. In addition to the competencies, specific techniques and strategies are suggested to assist supervisors hone their skills in OTS and subsequently improve the quality and effectiveness of supervision in a virtual environment.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"157 - 177"},"PeriodicalIF":1.3,"publicationDate":"2020-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2020.1818500","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47701125","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}
Pub Date : 2020-08-12DOI: 10.1080/08975353.2020.1802175
Hannah Sherbersky, M. Gill
ABSTRACT This paper provides a description of an integrative model of systemic and psychodramatic supervision practice; conceptualizing and illustrating the clinical use of time, space, and action within supervision. By introducing specific supervisory skills and key principles, the authors propose that in addition to language, action within supervision can support clinicians to become creative and responsive whilst remaining clear and rigorous in their practice. Rather than seeing the integration of disciplines as novel, the authors remind us that the schools of psychodrama and systemic therapy have shared roots and through the use of a supervisory exercise, demonstrate that these ideas have the potential to further cross-fertilize and enhance techniques for supervision and therapy practice.
{"title":"Creative Action Techniques in Supervision","authors":"Hannah Sherbersky, M. Gill","doi":"10.1080/08975353.2020.1802175","DOIUrl":"https://doi.org/10.1080/08975353.2020.1802175","url":null,"abstract":"ABSTRACT This paper provides a description of an integrative model of systemic and psychodramatic supervision practice; conceptualizing and illustrating the clinical use of time, space, and action within supervision. By introducing specific supervisory skills and key principles, the authors propose that in addition to language, action within supervision can support clinicians to become creative and responsive whilst remaining clear and rigorous in their practice. Rather than seeing the integration of disciplines as novel, the authors remind us that the schools of psychodrama and systemic therapy have shared roots and through the use of a supervisory exercise, demonstrate that these ideas have the potential to further cross-fertilize and enhance techniques for supervision and therapy practice.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"79 - 95"},"PeriodicalIF":1.3,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2020.1802175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44124887","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}
Pub Date : 2020-08-04DOI: 10.1080/08975353.2020.1804799
Alba Niño, Senem Zeytinoğlu-Saydam
ABSTRACT Despite evidence of the importance of self-of-the-therapist factors for positive clinical outcomes, supervisors interested in helping their supervisees enhance their therapeutic effectiveness by honing their use of self may not have the framework to guide this process. In this article, we present the Person-of-the-Therapist Training (POTT) as a model that offers a clear philosophical perspective and specific tools to incorporate self of the therapist work in supervision. We start with a general introduction to POTT, its philosophical underpinnings, and its main concepts. Then, we describe the POTT supervision goals and specific emphasis. Subsequently, we present two POTT instruments (signature theme and case presentations and papers). With a vignette, we illustrate the use of the two instruments and show how this work on the person of the supervisee translates into the supervisee’s clinical work with their clients. Specific recommendations about the implementation of POTT supervision are also included.
{"title":"Helping Supervisees Use Their Self in Their Clinical Work: The Person-of-The-Therapist Training Model (POTT) in Supervision","authors":"Alba Niño, Senem Zeytinoğlu-Saydam","doi":"10.1080/08975353.2020.1804799","DOIUrl":"https://doi.org/10.1080/08975353.2020.1804799","url":null,"abstract":"ABSTRACT Despite evidence of the importance of self-of-the-therapist factors for positive clinical outcomes, supervisors interested in helping their supervisees enhance their therapeutic effectiveness by honing their use of self may not have the framework to guide this process. In this article, we present the Person-of-the-Therapist Training (POTT) as a model that offers a clear philosophical perspective and specific tools to incorporate self of the therapist work in supervision. We start with a general introduction to POTT, its philosophical underpinnings, and its main concepts. Then, we describe the POTT supervision goals and specific emphasis. Subsequently, we present two POTT instruments (signature theme and case presentations and papers). With a vignette, we illustrate the use of the two instruments and show how this work on the person of the supervisee translates into the supervisee’s clinical work with their clients. Specific recommendations about the implementation of POTT supervision are also included.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"96 - 113"},"PeriodicalIF":1.3,"publicationDate":"2020-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2020.1804799","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60036185","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}
Pub Date : 2020-04-02DOI: 10.1080/08975353.2020.1759019
K. Mark, Donna L. Schuman
ABSTRACT In couple’s therapy, secrets between the couple often arise, and couple’s therapists must navigate a balance between their ethical and therapeutic responsibilities. This paper provides a scoping review of the literature on how couple’s therapists handle secrets in the context of couple’s therapy and discusses the ethical and clinical considerations in the context of the ethical standards of the AAMFT. Online databases were used to systematically identify peer-reviewed academic, English-language articles that focused on recommendations for therapists in handling secrets between couples in therapy. Seven articles met the search criteria. The empirical evidence supports a model of professional judgment, whereby the therapist can use their discretion about whether or not to disclose a secret on behalf of a client. To operate within the confines of ethical practice, we recommend therapists pair professional judgment with a clearly informed and signed written client policy.
{"title":"A Scoping Review of the Practice Recommendations of Secrets in Couple’s Therapy","authors":"K. Mark, Donna L. Schuman","doi":"10.1080/08975353.2020.1759019","DOIUrl":"https://doi.org/10.1080/08975353.2020.1759019","url":null,"abstract":"ABSTRACT In couple’s therapy, secrets between the couple often arise, and couple’s therapists must navigate a balance between their ethical and therapeutic responsibilities. This paper provides a scoping review of the literature on how couple’s therapists handle secrets in the context of couple’s therapy and discusses the ethical and clinical considerations in the context of the ethical standards of the AAMFT. Online databases were used to systematically identify peer-reviewed academic, English-language articles that focused on recommendations for therapists in handling secrets between couples in therapy. Seven articles met the search criteria. The empirical evidence supports a model of professional judgment, whereby the therapist can use their discretion about whether or not to disclose a secret on behalf of a client. To operate within the confines of ethical practice, we recommend therapists pair professional judgment with a clearly informed and signed written client policy.","PeriodicalId":44427,"journal":{"name":"Journal of Family Psychotherapy","volume":"31 1","pages":"56 - 71"},"PeriodicalIF":1.3,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08975353.2020.1759019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43153648","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}
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