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There are differences in drug use and drug problems across different subgroups of the population For example, drug use patterns may differ slightly across ethnic-minority groups (see Table 14), so it is important to be aware of which drugs are more commonly used by the community you serve Specific ethnicminority groups have higher prevalence rates for drug problems than the national norm Epidemiological research has found that American Indians and Alaska Natives have the highest psychoactive-substance dependence rates of any ethnic group (139%; SAMHSA, 2003), but they also have much higher abstinence rates than the national norms On the other hand, Asian Americans have the lowest rates (36%) of abuse of any ethnic group There also are gender differences within ethnic groups that are not readily apparent As an example, substance dependence rates are much greater for Hispanic/Latino men than women.

In addition, people with psychiatric disorders commonly have co-occurring drug problems, perhaps as an attempt to self-medicate the symptoms of these disorders Therapists should be aware that several types of psychiatric disorders commonly occur with drug problems (see s 2, 4, and 5 as well) Among the most frequently co-occurring disorders with drug abuse are mood disorders, such as depression and Bipolar Disorder; anxiety disorders, including Panic Disorder, Posttraumatic Stress Disorder, and Social Phobia; schizophrenia; Antisocial Personality Disorder; and Borderline Personality Disorder In addition, people who have chronic physical pain have an elevated risk of abusing opioid pain medications, especially if their physicians have been undermedicating the pain (which tempts the person to seek more medication).

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In many cases, though, people with chronic pain had problems with substance use before the injury (sometimes the injury was a result of that abuse), and many others have co-occurring psychiatric disorders as well that complicate things Although these different populations are known to have higher than average prevalence rates for drug problems, they do not seem to be seeking treatment or.

) The level of paranoia among law enforcement and, by extension, the general public, seemed to grow exponentially with the increasing influence of computers and high tech in our everyday lives While this world was getting more fascinating by the day, it also clearly was getting more dangerous..

PARTY ID FROM PARTY ID TO ROLE TYPE ID TO ROLE TYPE ID FROM AGREEMENT TYPE ID AGREEMENT DATE FROM DATE THRU DATE DESCRIPTION TEXT AGREEMENT EXHIBIT AGREEMENT ITEM SEQ ID AGREEMENT ID AGREEMENT GEOGRAPHICAL APPLICABILITY GEOID

Actions, results, evaluations, outcomes and need satisfaction are combined into motivational force, which is de ned as the degree to which a person believes that changes in the amount of personal resources, in the form of time and energy devoted to different actions (tasks) over time, will result in a change in anticipated need satisfaction. Actions that involve increases in effort and are expected to result in increases in need satisfaction have high motivational force, and large amounts of time and effort will be allocated to them. If variations in the amount of energy allocated to an action or set of actions produce no change in the expected amount of need satisfaction, motivational force to put energy into that action is very low, and no time and effort would be allocated to these actions. So the higher the motivational force towards a given action compared to other actions, the more effort the person will devote to that action. Thus, the theory is about relationships. It is the degree of relationship between amounts of the energy pool allocated to actions and the expected level of need satisfaction that determines motivation.

The Completion-Cause header is always present in the RECOGNITION-COMPLETE response to indicate the reason why the RECOGNIZE request has completed. If the RECOGNIZE request returns with an error response, the Completion-Cause header field will be present. The Completion-Cause header field also appears in the response to the DEFINE-GRAMMAR request to indicate the result of accessing and compiling the grammar(s) identified in the request. The value for the header field includes both a cause code and corresponding cause name. Table 13.8 summaries the different cause codes and cause names.

available on the Web In addition, Web-based resources tend to make for a much more well-informed consumer, since many potential clients do their homework online before ever darkening the doors of a treatment facility or therapist s office This easy access to knowledge over time will likely make for much savvier consumers who will not settle for just any kind of care I see this as a mostly positive development, since it will make for more discriminating consumers, although there is the potential for misinformation when relying upon the Web exclusively Many therapists use e-mail to interact with clients The advantages to this process are that e-mail maximizes client access to the therapist while minimizing the intrusion of client contact into the therapist s personal time Homework assignments can be discussed and clarified between sessions, and betweensession questions answered.

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