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Minimal Therapist Contact Interventions The main alternate delivery approach investigated to date retains a 1:1 focus, but markedly reduces clinician contact by supplementing treatment with instructional manuals and cassettes that subjects utilize on their own at home or at work The prototypical minimal therapist contact intervention includes an initial in-of ce session, a mid-treatment of ce session, and a nal session with the therapist over the course of eight weeks or so, plus the use of two to three telephone contacts in between These intermittent visits and calls are designed to keep patients engaged in treatment and to offset the high dropout rates that have occurred with entirely self-help approaches (Rowan & Andrasik, 1996) Thus, while time spent at the of ce and with the therapist is signi cantly reduced (as are costs), time investments by the patient are still extensive.

Complicating matters is that individuals tend to respond in similar ways to different stimuli, a phenomenon known as individual response stereotypy (Engel, 1960; Lacey & Lacey, 1958) Such issues need to be taken into account when evaluating responses of a given magnitude, particularly in group designs FUNCTIONAL BRAIN IMAGING Basis of Functional Brain Imaging For our purposes, the term functional brain imaging refers to any technique that provides information about neurochemical or metabolic activity in the brain, particularly when the study of such processes is applied to an understanding of cognitive activity (Nadeau & Crosson, 1995) Such techniques include direct imaging of metabolic processes by radioisotope tagging of glucose uptake (eg, [18F] uorodeoxyglucose PET or FDG PET), indirect imaging of metabolism via markers of cerebral blood ow (eg.

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, [99mTc]-hexamethyl-propyleneamine-oxime single photon emission computed tomography or HMPAO SPECT; functional magnetic resonance imaging or fMRI), and imaging of neurotransmitters (eg, [18F] uorodopa PET; Nadeau & Crosson, 1995) In general, these techniques image the effects of neuronal energy expenditure, which tends to be greatest at the terminus of the axonal arborization and in the dendritic tree Thus, resulting images do not re ect activity in the cell bodies per se, but at the projection site (Nadeau & Crosson, 1995) This is a rapidly expanding eld within neuroscience, with emerging applications to the scienti c study of basic cognitive processes and to clinical research including diagnosis and outcomes assessment The ability to image the human brain has been a possibility for many years, beginning with the advent of the X-ray computed tomography (CT) From this basic technique,.

use MT::Entry; my @entries = MT::Entry->load(); $ctx->stash( all_entries , \@entries);

3 The third choice is for a leading flow to never relinquish its lead In this case, we assume that there is a separate reserved portion of the channel bandwidth that is dedicated for the compensation of lagging flows SBFA [19] uses this approach Lagging flows must receive additional slots in excess of their error-free service in order to make up for lost service in the past We call these additional slots compensation slots There are three choices for allocating compensation slots to lagging flows: 1 Compensation slots are preferentially allocated until there are no lagging flows that perceive a clean channel, as in IWFQ, WPS [10], and ELF [6] As a result, lagging flows take precedence in channel allocation over in-sync and leading flows 2 Compensation slots are allocated only when leading flows relinquish slots, as in CIF-Q [16] and WFS [11] 3.

or violent death, serious harm, or threat of death or injury experienced by a family member or other close associate. . . . (American Psychiatric Association, 1994, p. 424)

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There is a substantial body of literature to suggest that nonpharmacological interventions may be effectively applied in cost-effective, minimal therapist contact formats and that these formats rival more intensive interventions, with both adults and children (Haddock et al, 1997; Rowan & Andrasik, 1996) Furthermore, the bene ts appear to be well maintained over time (Blanchard et al, 1988) Minimal therapist contact interventions have been found to have attrition rates similar to more intensive therapies and to produce two to six times more headache reduction per therapist hour than more intensive.