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Saúde mental em contextos indígenas: Escassez de pesquisas brasileiras, invisibilidade das diferenças 土著背景下的心理健康:缺乏巴西研究,差异不可见
4区 心理学 Q3 Psychology Pub Date : 2016-12-01 DOI: 10.5935/1678-4669.20160039
Marianna Queiróz Batista, Valeska Zanello
Mental health in indigenous contexts: Scarcity of Brazilian researches, invisibility of differences. This study aimed to conduct a survey of articles produced on the topic mental health in indigenous contexts between the years 1999 and 2012 in the main Brazilian scientific platforms (SciELO and BVS-PSI). Three groups of descriptors were used, totaling 62 searches, which found 5510 results. Of these, only 14 articles remained after analysis. Data was collected on the distribution by year of publication, subject and object of research, ethnicity and geographic region covered, participation or not of psychology professionals in the study, among others. Also, we assessed whether the concepts of mental health and indigenous were or not problematized, taking into account the alterity and cultural diversity of these people. It was concluded that the researches are incipient and lack on epistemological reflection to support the complexity of this intercultural dialogue, which discusses knowledge arising from references that are originally so distinct.
土著背景下的心理健康:巴西研究缺乏,差异不可见。这项研究的目的是对1999年至2012年期间在巴西主要科学平台(SciELO和BVS-PSI)上发表的关于土著背景下心理健康问题的文章进行调查。使用了三组描述符,总共62次搜索,发现5510个结果。其中,经过分析,只剩下14篇文章。收集了按出版年份、研究主题和对象、所涵盖的种族和地理区域、心理学专业人员是否参与研究等方面的分布数据。此外,考虑到这些人的多样性和文化多样性,我们评估了心理健康和土著的概念是否存在问题。结论是,这些研究还处于起步阶段,缺乏认识论反思来支持这种跨文化对话的复杂性,这种对话讨论的知识来自最初如此不同的参考文献。
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引用次数: 9
Eccentricity dimension of the Dimensional Clinical Personality Inventory: Review and psychometric properties 维度临床人格量表的偏心维度:回顾与心理测量特性
4区 心理学 Q3 Psychology Pub Date : 2016-12-01 DOI: 10.5935/1678-4669.20160035
Lucas de Francisco Carvalho, Giselle Pianowski, F. Silveira, J. T. Bacciotti, P. Vieira
We aimed to review of the Eccentricity dimension of the Dimensional Clinical Personality Inventory (IDCP), through two steps. The first one focused on developing new items and the second on testing the psychometric properties in a sample of 225 subjects (70.1% females), aging between 18 and 66 years, mostly undergraduate students (58.9%). The subjects answered the IDCP, and the Brazilian versions of the NEO-PI-R, PID-5 and MIS. The first step resulted in 42 items, which 22 were new. The second step resulted in a composite of 18 items, pooled in six interpretable factors, as Interpersonal detachment, Eccentric style, Paranormality, Persecutory style, Depersonalization and Emotional inexpressiveness, with internal consistency coefficients of .85 for the total score, and between .60 and .82 for the factors. The correlations between instruments revealed consistent and expected relations. The data suggested adequacy of the new Eccentricity dimension of IDCP.
我们的目的是通过两个步骤来回顾维度临床人格量表(IDCP)的偏心维度。第一项研究的重点是开发新项目,第二项研究的重点是测试225名受试者(70.1%为女性)的心理测量特性,这些受试者年龄在18至66岁之间,主要是本科生(58.9%)。受试者回答了IDCP、巴西版NEO-PI-R、PID-5和MIS。第一步得到42个项目,其中22个是新的。第二步的结果是由18个项目组成的综合结果,包括人际超脱、古怪风格、超自然风格、迫害风格、人格解体和情感缺乏6个可解释因素,总分的内部一致性系数为0.85,各因素的内部一致性系数在0.60 ~ 0.82之间。仪器之间的相关性显示出一致的和预期的关系。这些数据表明新的IDCP偏心率尺寸是适当的。
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引用次数: 13
Assimilation of problematic experiences in Brief Strategic Therapy: Olivia and her fear of dying / La asimilación de experiencias problemáticas en la Terapia Breve Estratégica: Olivia y su miedo a morir 在简短的策略治疗中同化问题经验:奥利维亚和她对死亡的恐惧/策略简短治疗中同化问题经验:奥利维亚和她对死亡的恐惧
4区 心理学 Q3 Psychology Pub Date : 2016-09-01 DOI: 10.1080/02109395.2016.1204785
Sergio Pérez-Ruiz, Isabel Caro-Gabalda
Abstract In this research process, Stiles’ assimilation of problematic experiences scale is used to study Olivia’s process of change. The objectives of this study are: first, to describe Olivia’s therapeutically successful assimilation of the problematic experience of fear of dying, treated with brief strategic therapy; and second, to study how that pattern of assimilation unfolded. We can conclude that Olivia assimilated her problematic experience of fear of dying by following a fluctuating and irregular pattern.
在本研究过程中,采用斯泰尔斯问题经验同化量表来研究奥利维亚的变化过程。本研究的目的是:首先,描述奥利维亚在治疗上成功地同化了恐惧死亡的问题经验,并接受了简短的策略治疗;第二,研究这种同化模式是如何展开的。我们可以得出结论,奥利维亚通过遵循波动和不规则的模式吸收了她对死亡的恐惧的问题经历。
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引用次数: 3
Introduction: current developments in psychotherapy process research / Introducción: desarrollos actuales en la investigación del proceso psicoterapéutico 简介:心理治疗过程研究的现状/简介:心理治疗过程研究的现状
4区 心理学 Q3 Psychology Pub Date : 2016-09-01 DOI: 10.1080/02109395.2016.1227574
M. Krause, Carolina Altimir
Abstract The questions that guide psychotherapy process research are: what changes in psychotherapy? And, how does that change occur? These questions have been present in clinical settings and psychotherapy research for decades, generating a substantial amount of knowledge for the discipline. Based on a questioning of the limitations of traditional psychotherapy research, whose primary focus has been the study of final outcomes of treatment, this area of research has exposed important conceptual and methodological proposals for the study of the process. Despite its long and productive tradition, research into the psychotherapeutic process is currently gathering a new momentum from the growing conviction of the need to focus efforts on studies that can account for the elements, mechanisms and processes associated with change. In this introduction we organize the field of psychotherapy process research, according to its units of analysis — macro- or micro-processes — and the foci on which they are based: content, factors and mechanisms of change. The different ways in which these components are organized are exemplified with the articles included in this monograph. We then give an overview of the most used methods in this field of study, also referring to the studies that report on the application of these methods in this special issue of Studies in Psychology.
指导心理治疗过程研究的问题是:心理治疗发生了哪些变化?这种变化是如何发生的?这些问题已经在临床环境和心理治疗研究中存在了几十年,为该学科产生了大量的知识。传统心理治疗研究的主要焦点是研究治疗的最终结果,基于对其局限性的质疑,这一领域的研究为研究这一过程暴露了重要的概念和方法建议。尽管有悠久而富有成效的传统,但对心理治疗过程的研究目前正在积聚新的动力,因为人们越来越坚信,需要集中精力研究能够解释与变化相关的要素、机制和过程。在这篇导论中,我们根据其分析单位——宏观或微观过程——以及它们所基于的焦点:变化的内容、因素和机制,来组织心理治疗过程研究领域。这些组成部分组织的不同方式在本专著中包含的文章中得到了例证。然后,我们概述了这一研究领域中最常用的方法,也参考了在本期《心理学研究》特刊中报道这些方法应用的研究。
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引用次数: 16
Therapeutic verbal communication in change episodes: a comparative microanalysis of linguistic basic forms / Comunicación verbal terapéutica en episodios de cambio: un microanálisis comparativo de las formas lingüísticas básicas 变化事件中的治疗性语言交际:语言基本形式的比较微分析/变化事件中的治疗性语言交际:基本语言形式的比较微分析
4区 心理学 Q3 Psychology Pub Date : 2016-09-01 DOI: 10.1080/02109395.2016.1227575
Mariane Krause, Carolina Altimir, J. C. Pérez, Orietta Echávarri, Nelson Valdés, Katherine Strasser
Abstract This study examines clients’ and therapists’ verbal communication during psychotherapy, in order to determine its relation to ongoing change and outcome. It replicates previous studies showing the specificity of verbalizations depending on the speaker (client or therapist) and the phase of therapy, adding its relation to change measured at the level of process and final outcome. 7,009 speaking turns of clients and therapists, nested in 139 change episodes, were analysed regarding the use of the five Linguistic Basic Forms included in the Therapeutic Activity Coding System (TACS) through Hierarchical Modelling. Results show that three of these Linguistic Basic Forms — Question, Assertion and Agreement — are related to ongoing change as well as to final outcome.
摘要本研究考察心理治疗过程中来访者和治疗师的言语沟通,以确定其与持续变化和结果的关系。它重复了先前的研究,表明言语的特异性取决于说话者(来访者或治疗师)和治疗阶段,并增加了它与过程和最终结果水平上测量的变化的关系。在139个变化事件中,嵌套了7,009个来访者和治疗师的说话回合,通过分层建模分析了治疗活动编码系统(TACS)中包含的五种语言基本形式的使用。结果表明,这些语言基本形式中的三种——问题、断言和同意——与正在进行的变化以及最终结果有关。
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引用次数: 6
Interrupted therapeutic process of a patient with borderline personality disorder / Proceso terapéutico interrumpido con un paciente con trastorno de personalidad borderline 边缘性人格障碍患者的治疗过程中断/边缘性人格障碍患者的治疗过程中断
4区 心理学 Q3 Psychology Pub Date : 2016-09-01 DOI: 10.1080/02109395.2016.1233710
Paula von Mengden-Campezatto, Fernanda Barcelos-Serralta, L. Habigzang
Abstract Aim: to describe and understand an interrupted psychotherapy of a patient with Borderline Personality Disorder. Method: systematic, naturalistic and exploratory case study of the therapeutic dyad. The Therapeutic Cycles Model (TCM) and the Psychotherapy Process Q-Set (PQS) were the instruments used. Results: according to TCM, the case can be divided into two stages: one with cycles of change and one without cycles of change. According to the PQS, the themes addressed by the dyad were relevant to psychotherapy and related to patient diagnosis. However, the patient seemed to be uncommitted to the therapeutic process and did not rely on the therapist to solve her problems. The therapist’s attitudes were adequate but technical interventions were not prominent. The combination of patient and therapist data assisted in understanding why the psychotherapy was abandoned.
摘要目的:描述和了解边缘型人格障碍患者的中断心理治疗。方法:系统的、自然的、探索性的案例研究。使用治疗周期模型(TCM)和心理治疗过程q集(PQS)作为工具。结果:根据中医,该病例可分为两个阶段:有变化周期和无变化周期。根据PQS,二人组讨论的主题与心理治疗和患者诊断相关。然而,患者似乎对治疗过程没有承诺,也不依赖治疗师来解决她的问题。治疗师的态度是充分的,但技术干预不突出。患者和治疗师数据的结合有助于理解为什么心理治疗被放弃。
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引用次数: 3
Verbal and nonverbal expressions of mutual regulation in relevant episodes of psychotherapy / Manifestaciones verbales y no verbales de la regulación mutua en episodios relevantes de psicoterapia 心理治疗相关插曲中相互调节的语言和非语言表达/心理治疗相关插曲中相互调节的语言和非语言表达
4区 心理学 Q3 Psychology Pub Date : 2016-08-31 DOI: 10.1080/02109395.2016.1204784
Javier Morán, Claudio Martínez, Alemka Tomicic, J. C. Pérez, Mariane Krause, Marcela Guzmán, Diego San Martín, Salvador Angulo, Isabelle Barroux, A. Gerstmann, Cecilia de la Cerda, Diego Portales
Abstract The purpose of this paper is to describe verbal and nonverbal expressions of mutual regulation between patients and therapists through the analysis of relevant episodes of five psychotherapy processes. Microanalyses of discourse, vocal quality and facial expression of emotions were conducted on both patients and therapists in 67 Episodes of Change and 86 Episodes of Rupture of the Therapeutic Alliance. The analyses were carried out using hierarchical regression, showing that both Episodes of Change and Episodes of Rupture correspond to interactional scenarios where patients and therapists use different forms of speech, vocal qualities and facial expressions that account for specific regulation processes which are coherent with such scenarios.
摘要本文旨在通过对五种心理治疗过程中相关情节的分析,描述患者与治疗师之间相互调节的言语和非言语表达。对67例“改变”和86例“治疗联盟破裂”的患者和治疗师进行了话语、声音质量和情绪面部表情的微观分析。分析使用层次回归进行,表明变化发作和破裂发作都对应于相互作用的场景,患者和治疗师使用不同形式的语言、声音质量和面部表情来解释与这些场景一致的特定调节过程。
{"title":"Verbal and nonverbal expressions of mutual regulation in relevant episodes of psychotherapy / Manifestaciones verbales y no verbales de la regulación mutua en episodios relevantes de psicoterapia","authors":"Javier Morán, Claudio Martínez, Alemka Tomicic, J. C. Pérez, Mariane Krause, Marcela Guzmán, Diego San Martín, Salvador Angulo, Isabelle Barroux, A. Gerstmann, Cecilia de la Cerda, Diego Portales","doi":"10.1080/02109395.2016.1204784","DOIUrl":"https://doi.org/10.1080/02109395.2016.1204784","url":null,"abstract":"Abstract The purpose of this paper is to describe verbal and nonverbal expressions of mutual regulation between patients and therapists through the analysis of relevant episodes of five psychotherapy processes. Microanalyses of discourse, vocal quality and facial expression of emotions were conducted on both patients and therapists in 67 Episodes of Change and 86 Episodes of Rupture of the Therapeutic Alliance. The analyses were carried out using hierarchical regression, showing that both Episodes of Change and Episodes of Rupture correspond to interactional scenarios where patients and therapists use different forms of speech, vocal qualities and facial expressions that account for specific regulation processes which are coherent with such scenarios.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1204784","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Relational offers and demands: analysing the conflictual interactional components of anaclitic and introjective female depressive patients / Ofertas y demandas relacionales: análisis de los componentes interaccionales conflictivos de pacientes mujeres depresivas anaclíticas e introyectivas 关系的提供和需求:分析分析的矛盾的相互作用成分的分析和内向的女性抑郁症患者/通常通过需求的关系:análisis de los成分的相互作用的冲突的患者和女性抑郁症anaclíticas e内向
4区 心理学 Q3 Psychology Pub Date : 2016-08-24 DOI: 10.1080/02109395.2016.1205872
Nelson Valdés, L. Arriagada, N. Alamo
Abstract Depressive symptoms are associated with typical ways of relating to and handling conflict with others. This study empirically analysed the most frequent relational ‘demands’ and ‘offers’ identified in the verbal expressions of depressive patients during the first session, comparing them according to their personality organization (anaclitic vs introjective). The CCRT-LU-S Category System was used to analyse the first session of 27 patients with depressive symptomatology. The results showed that the highest percentage of depressive patients’ interactional components identified were relational ‘offers’, whereas the remainder percentage were relational ‘demands’. At the same time, the highest percentage of those interactional components were verbalized as disharmonious (weakness, withdrawing, unpleasant and fighting) by anaclitic patients, while the highest percentage were verbalized as harmonious (loving or having self-determination) by introjective patients. Implications for clinical relevance of these results are discussed.
抑郁症状与处理与他人冲突的典型方式有关。本研究通过实证分析了抑郁症患者在第一阶段的语言表达中发现的最常见的关系“要求”和“提供”,并根据他们的人格组织(分析型和内省型)对他们进行了比较。采用CCRT-LU-S分类系统对27例首次抑郁症状患者进行分析。结果表明,抑郁症患者的互动成分中,关系“提供”所占比例最高,而其余比例是关系“要求”。与此同时,分析型患者将这些互动成分描述为不和谐(软弱、退缩、不愉快和战斗)的比例最高,而内省型患者将这些互动成分描述为和谐(爱或自决)的比例最高。对这些结果的临床意义进行了讨论。
{"title":"Relational offers and demands: analysing the conflictual interactional components of anaclitic and introjective female depressive patients / Ofertas y demandas relacionales: análisis de los componentes interaccionales conflictivos de pacientes mujeres depresivas anaclíticas e introyectivas","authors":"Nelson Valdés, L. Arriagada, N. Alamo","doi":"10.1080/02109395.2016.1205872","DOIUrl":"https://doi.org/10.1080/02109395.2016.1205872","url":null,"abstract":"Abstract Depressive symptoms are associated with typical ways of relating to and handling conflict with others. This study empirically analysed the most frequent relational ‘demands’ and ‘offers’ identified in the verbal expressions of depressive patients during the first session, comparing them according to their personality organization (anaclitic vs introjective). The CCRT-LU-S Category System was used to analyse the first session of 27 patients with depressive symptomatology. The results showed that the highest percentage of depressive patients’ interactional components identified were relational ‘offers’, whereas the remainder percentage were relational ‘demands’. At the same time, the highest percentage of those interactional components were verbalized as disharmonious (weakness, withdrawing, unpleasant and fighting) by anaclitic patients, while the highest percentage were verbalized as harmonious (loving or having self-determination) by introjective patients. Implications for clinical relevance of these results are discussed.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1205872","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Patients’ facial-affective regulation during episodes of rupture of the therapeutic alliance / Regulación afectivo-facial de pacientes durante episodios de ruptura de la alianza terapéutica 治疗联盟破裂时患者的面部-情绪调节/治疗联盟破裂时患者的面部-情绪调节
4区 心理学 Q3 Psychology Pub Date : 2016-08-17 DOI: 10.1080/02109395.2016.1204781
Paulina Barros, Carolina Altimir, J. C. Pérez
Abstract The nonverbal, implicit and affective regulation process of psychotherapy patients was studied through their facial-affective displays during Confrontation and Withdrawal Ruptures, as well as the evolution of this display throughout therapy. Twenty-six rupture episodes selected from a total of five individual therapeutic processes from different theoretical orientations were analysed using the Facial Action Coding System (FACS), which analyses facial behaviour. The results showed association between expressions of Joy, Social Smile and positive emotional Valence during Withdrawal Ruptures, while Confrontation Ruptures were characterized by patients’ absence of Emotional Valence. The differential characteristics of these variables were associated with stages of therapy. The results are discussed based on the notions of agency and affiliation put into play by patients during events of relational tension.
摘要通过心理治疗患者在对峙和退缩破裂过程中的面部情感表现及其在治疗过程中的演变,研究心理治疗患者的非语言、内隐和情感调节过程。使用面部动作编码系统(FACS)分析面部行为,从五个不同理论取向的个体治疗过程中选择了26个破裂事件。结果表明,戒断性破裂时喜悦、社交微笑的表达与积极情绪效价相关,而对抗性破裂时情绪效价缺失。这些变量的不同特征与治疗阶段有关。研究结果基于患者在关系紧张事件中所发挥的代理和隶属关系的概念进行了讨论。
{"title":"Patients’ facial-affective regulation during episodes of rupture of the therapeutic alliance / Regulación afectivo-facial de pacientes durante episodios de ruptura de la alianza terapéutica","authors":"Paulina Barros, Carolina Altimir, J. C. Pérez","doi":"10.1080/02109395.2016.1204781","DOIUrl":"https://doi.org/10.1080/02109395.2016.1204781","url":null,"abstract":"Abstract The nonverbal, implicit and affective regulation process of psychotherapy patients was studied through their facial-affective displays during Confrontation and Withdrawal Ruptures, as well as the evolution of this display throughout therapy. Twenty-six rupture episodes selected from a total of five individual therapeutic processes from different theoretical orientations were analysed using the Facial Action Coding System (FACS), which analyses facial behaviour. The results showed association between expressions of Joy, Social Smile and positive emotional Valence during Withdrawal Ruptures, while Confrontation Ruptures were characterized by patients’ absence of Emotional Valence. The differential characteristics of these variables were associated with stages of therapy. The results are discussed based on the notions of agency and affiliation put into play by patients during events of relational tension.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1204781","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Validation of the Spanish version of the Therapeutic Alliance Negotiation Scale / Validación de la versión en español de la Escala de Negociación de la Alianza Terapéutica 治疗联盟谈判量表西班牙语版本的验证/治疗联盟谈判量表西班牙语版本的验证
4区 心理学 Q3 Psychology Pub Date : 2016-08-08 DOI: 10.1080/02109395.2016.1204782
Ismael-Fernando Díaz-Oropeza, Lucero-Aytzeé Peña-Leyva
Abstract The objectives of this research study were to validate a Spanish version of The Alliance Negotiation Scale with Mexican patients and contrast relevant variables from the therapy and negotiation of the alliance. The sample was composed of 199 participants of both sexes. Exploratory factor analysis grouped three factors related to the therapeutic alliance negotiation, which are: therapist’s flexibility; therapist’s negotiating stance; and being comfortable expressing negative feelings. This factorial structure differs from the English version. It was found that clients’ sex and age did not influence the negotiation of the alliance, while time in therapy and the reason for attendance did offer differences; it was determined that negotiations depend largely on the therapist being flexible and their negotiating stance during the process.
摘要本研究的目的是在墨西哥患者中验证西班牙语版的联盟谈判量表,并对比来自联盟治疗和谈判的相关变量。该样本由199名男女参与者组成。探索性因素分析将影响治疗性联盟协商的三个因素分为:治疗师的灵活性;治疗师的谈判立场;以及坦然地表达负面情绪。这个阶乘结构与英文版本不同。研究发现,来访者的性别和年龄对联盟谈判没有影响,而治疗时间和出席的原因确实存在差异;确定谈判在很大程度上取决于治疗师的灵活性和他们在谈判过程中的立场。
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引用次数: 2
期刊
Estudios De Psicologia
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