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Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
Argosy Portfolio
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Argosy Portfolio
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Argosy Portfolio

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  1. Undergraduate Studies e-Portfolio Danijela Vujnovic BA Psychology, 2009
  2. Table of Contents (*= located in box.net) <ul><li>Career Planning and Goals </li></ul><ul><li>Resume </li></ul><ul><li>Personal Statement </li></ul><ul><li>Work Samples </li></ul><ul><li>Using DBT Therapy to Treat Alcoholic Females Within Residential Treatment Facilities (research)* </li></ul><ul><li>Personal Cultural Beliefs (Communication) </li></ul><ul><li>Equality of Women in Western Culture (Diversity) </li></ul><ul><li>An Observation of Middle Childhood and Early Adolescence (Foundations)* </li></ul><ul><li>15 Minute Interview of Extensive Drug Use History (Applied) </li></ul><ul><li>Treatment Options For Addiction (Critical Thinking)* </li></ul>
  3. Resume <ul><li>Career Objective </li></ul><ul><li>To obtain a position as mental screener/case manager in a challenging and professional medical environment in which I am able to perfect my skills and to learn new things in order to reach the top of my profession . </li></ul><ul><li>Summary of Qualifications </li></ul><ul><li>Working closely with clients with severe mental health issues and substance dependence </li></ul><ul><li>Excellent communication skills </li></ul><ul><li>Knowledge of key Mental Health terminology </li></ul><ul><li>Help facilitate groups </li></ul><ul><li>Highly organized </li></ul><ul><li>Compassionate and caring individual, able to cultivate and establish trusting relationships </li></ul><ul><li>Generated positive feedback from clients & professionals in the field </li></ul><ul><li>  </li></ul><ul><li>Education </li></ul><ul><li>B.A., Psychology 2009 </li></ul><ul><li>ARGOSY UNIVERSITY- College of Undergraduate Studies Tampa, FL </li></ul><ul><li>GPA – 3.8 </li></ul><ul><li>  </li></ul><ul><li>Volunteer Experience </li></ul><ul><li>  </li></ul><ul><li>Refugee Mentor 2009 </li></ul><ul><li>Gulf Coast Jewish Family Services – Florida Center for Survivors of Torture </li></ul><ul><li>Mentored a refugee woman from St. Petersburg area that is a survivor of the war in Bosnia. Offered companionship as well as support needed to successfully acculturate into American culture. Helped navigate the educational, medical and social services systems, solve day-to-day problems, provide life skills and help introduce her to the larger community. </li></ul><ul><li>  </li></ul>
  4. Resume Cont..
  5. Resume Cont... <ul><li>Performed supportive, psycho-educational and recreational groups </li></ul><ul><li>Documented individual contacts including; daily case notes, incident and injury reports and grievances </li></ul><ul><li>Overseen collection of urine specimen for drug screens </li></ul><ul><li>Build new case files and broke down discharge client case files </li></ul><ul><li>Monitored client self-administrated medication </li></ul><ul><li>  </li></ul><ul><li>Diane Sitarevich, St. Petersburg, FL 2008 </li></ul><ul><li>Care taker/Companion </li></ul><ul><li>Took care of young female that has Down syndrome </li></ul><ul><li>Assistance with daily activities </li></ul><ul><li>Medication management </li></ul><ul><li>Assist with personal hygiene </li></ul><ul><li>Recreational activities </li></ul><ul><li>  </li></ul><ul><li>Finity Apparel Group, New York, NY 2001 - 2007 </li></ul><ul><li>Associate Fabric Buyer </li></ul><ul><li>Certifications </li></ul><ul><li>AIDS/HIV/TB, CO-OCCURING/CCISC, T.A.C.T (Targeted Aggression Control Training), Medication Management Education I & II, HIPPA SECURITY AWARNESS, HIPPA Policy & Procedure, CPR, CRISES INTERVENTION, NAPPI </li></ul><ul><li>  </li></ul><ul><li>Relevant Skills </li></ul><ul><li>Knowledge of Microsoft Word, Excel and Power Point </li></ul><ul><li>Knowledge of 12 step recovery process, Rational Recovery, Smart Recovery & Women for Sobriety, DBT Therapy, Guided Meditation </li></ul>
  6. Personal Statement <ul><li>In addition to completing my BA in psychology, I am also employed at a psychiatric facility as an emergency services technician. In this role I have gained a tremendous amount of applied experience. I encounter patients that have problems relating to their family, depression, suicide, alcohol and drugs. Working through different departments has exposed me to adult psychiatric illness as well as young adults and children. I also attained another part time position during my senior year as an adult advocate at a domestic violence shelter named appropriately The Haven that helps teach women self-empowerment. In addition to my employment experience in my spare time I also volunteer for Florida Center for Survivors of Torture (FCST), an agency dedicated to helping refugee populations with various struggles that they might have once they reach the United States. FCST paired me with a woman of Bosnian-Serb origin. This has not only been an enjoyable experience for the woman I mentor but it was very personal experience for me also since my family is from the Balkan region as well. Throughout all of these experiences I have witnessed counseling of both clients and their families, and I learned to administer the adult functional rating scale (FARS) form, mental health outcomes form and the children’s functional assessment rating scale form. Regardless of all of these experiences one fact that has been proven to me is how much more I need to learn before I can attain my goal of becoming an accomplished therapist and clinician. </li></ul><ul><li>I became interested in counseling as a junior when I enrolled in a Counseling Theories class. By the time I graduate, I will have written a total of 8 papers on a variety of counseling topics. My experience with studying Dialetical Behavioral Therapy and it’s effectiveness on clients with a borderline personality disorder led to other research endeavors on topics including DBT therapy and effect on female alcoholics, and comparisons of other therapies related to alcohol and substance abuse. I am specifically interested in the research efforts of Dr. Marsha Linehan. As an undergraduate, I have also learned the importance of working closely with members of the faculty and doctorial students in the Psy. D program. A great deal can be accomplished by working with someone who is already an expert in the field.   </li></ul><ul><li>I have become firmly committed to the beliefs that the most appropriate way to solve “real world” problems is to have a grasp of basic understanding of the human condition itself. Having this understanding combined with empathy of a client’s perspective we can begin to scrape the tip of the iceberg of an individual’s suffering. </li></ul><ul><li>My undergraduate combined with work and volunteer experiences have inspired me to continue my education in graduate school so I can further my counseling skills and make a meaningful contribution to the field of mental health. </li></ul>
  7. Introduction <ul><li>Welcome to my eportfolio slideshow. In this presentation you will learn information about me and you will find useful links to other websites pertaining to psychology. Let me start by telling you a little bit about myself. My name is Danijela Vujnovic and I am currently attending Argosy University- school of undergraduate studies majoring in Psychology. Upon graduation I plan on enrolling in graduate school for Mental Health Counseling and hopefully receive my license as LMHC. </li></ul>
  8. Courses <ul><li>While attending Argosy, I have taken the following courses: </li></ul><ul><li>Interpersonal Communication Research Methods </li></ul><ul><li>Interviewing Techniques Psychological Statistics </li></ul><ul><li>Counseling Theories Cultural Diversity </li></ul><ul><li>Maladaptive Behavior Children & Violence </li></ul><ul><li>  Life Span and Developmental Psychology </li></ul><ul><li>Physiological psychology Forensic Psychology </li></ul><ul><li>Crime & Causes Social Psychology </li></ul><ul><li>Advanced General Psychology Gender Communication </li></ul><ul><li>    As you browse through my eportfolio you will have an opportunity to see some of the work I have done while enrolled in my psychology classes. To see my work go to my box.net application. </li></ul><ul><li>  I hope you find the information in my eportfolio to be very helpful. If you have any questions please feel free to email me. </li></ul>
  9. DBT Therapy and Alcoholism <ul><li>On this page you will be able to view a work sample I have done in my psychology classes. </li></ul><ul><li>In Psychological Statistics I learned so many things about researching different types of treatment options and applying them to different research methods. </li></ul><ul><li>Psychological Statistics is certainly a class that I would recommend to anyone who is interested in the mental health profession since it is a class that will help you with critical thinking throughout your career . </li></ul><ul><li>Research proposal for the use of Dialectical Behavioral Therapy to be used in residential treatment programs for women diagnosed with alcohol dependence. – PSY 210- Psychological Statistics. </li></ul>
  10. DBT Therapy and Alcoholism <ul><li>  Abstract </li></ul><ul><li>Alcoholism like many other self-destructive behaviors still continues to be a social and personal menace. Women in particular are more susceptible to alcoholism than their male counterparts. Women have played an important role in the emergence of concern about alcoholism in the United States. Whether suffering from the alcoholism of their men , medicating themselves with addictive elixirs, outlawing drinking or winning the right for themselves to drink alcohol in public, alcohol issues have historically been related emotional regulation. For years and it remains so till this day 95% of inpatient treatment centers incorporate the disease model. The AA model was originally a program designed for men. The characterization of alcoholism is dominated by masculine references. Treatment needs to address particularly with women building emotional mastery rather than accepting the concept of powerlessness as reflected in the AA model. Dialectical Behavioral Therapy (DBT) is a “spin-off” of CBT therapy created by Marsha Linehan in the early 1990’s. It was initially developed to address the chronic parasuicidal behavior occurring in women with diagnoses of borderline personality disorder (BPD). Some of the individuals who meet the criteria for BPD also meet the criteria for alcohol dependence. Correlation between alcoholism and emotional regulation is significant, particularly in female coping mechanisms. Just as the BPD individual has trouble with maintain emotional regulation so does the female alcoholic who instead of using parasuicidal behavior to main control turns to the bottle instead. One of DBT’s concepts is to bear pain skillfully. This paper will overview as to why DBT therapy would be an effective form of treatment to the female alcoholic. Empirical evidence has shown that DBT therapy successfully lowered attrition(anger and hostility) rate as well as parasuicidal episodes in psychiatric in-patient stays. This shows that DBT therapy has shown significance in emotional regulation. The ability to tolerate and accept distress is an essential mental health goal that can also be applied to substance abusers as well. </li></ul><ul><li>   </li></ul>
  11. DBT Therapy <ul><li>Introduction/History and Development of DBT Therapy. </li></ul><ul><li>During the 1970’s and 1980’s therapists struggled to find an effective treatment method for individuals who repeatedly attempt suicide. The suggested problem was the patients complete lack of self- confidence or positive thinking during therapy. In the early 1990’s, Dr. Marsha Linehan developed an alternative to the standard cognitive therapy that during this point was being used to treat her borderline personality disorder patients. By introducing the element of “talk therapy” into treatment and herself being fully engaged and using real world examples from her own life to elicit desired responses. One by one, Linehan was able to teach her patients how to react differently in a variety of situations that use to baffle previous counselors and therapists to this point. In the past several years, the use of dialectical behavioral therapy has expanded to include self-harm (cutting) as well as drug addiction and most recently reducing symptoms of PTSD (Sanderson, 2008). The core teachings of DBT treatment are the following principles: </li></ul><ul><li>Mindfulness. DBT uses Zen teachings to help the individual become more mindful of those around them. </li></ul><ul><li>Interpersonal skills. DBT helps individuals become more assertive in their association with other people-specifically, learning how to say “No” to others and how to effectively cope with those who see the world in a different way. </li></ul><ul><li>Regulating emotions. DBT creates an understanding of how certain situations make the patient feel- and helps retrain them so that they respond in a more positive manner. </li></ul><ul><li>Tolerance. Tolerance, as it refers to DBT is learning to tolerate the challenges that life presents. </li></ul><ul><li>Through these skills patients have shown an increase in surviving crises without harming themselves. The empirical evidence in support of DBT therapy is promising. In the first controlled trial of DBT (Linehan et al., 1991) participants were all women who met the DSM-III-R criteria for BPD and had a history of parasuicidal behavior. The study matched participants on number of lifetime parasuicide episodes, number of lifetime admissions to the hospital, age and prognosis and then randomly assigned them to either standard DBT or </li></ul>
  12. DBT Therapy <ul><li>treatment as usual TAU. The DBT patients received weekly individual psychotherapy and group skills training for one year. TAU patients all received referrals for treatment in the community but varied as to the type of treatment received. Over the course of the treatment year, DBT patients reported less suicidal episodes when compared to the control patients. DBT patients were also more likely to remain in therapy. Among those patients who started treatment with a new therapist at the beginning of the study, the one year attrition rate (anger & hostility) in the DBT group was 16.7% compared to a rate of 50% in the control group. DBT patients also had signifanctly lowered their psychiatric in patient stays compared to the control patients. Additional collected data also revealed that DBT patients had significantly higher Global Assessment scores at the end of the one year. This was the first study ever conducted for the use of DBT therapy, since then there have been eight published, randomized clinical trials of DBT for the treatment of BPD all with significant results in treating this disorder. </li></ul><ul><li>Female Alcoholism and its Criteria </li></ul><ul><li>Just like CBT addresses more than one psychological mood disorder we believe so can DBT. Both are behavioral approaches toward emphasizing changes in thinking will result in changes of behavior. In this study we want to see the effects of DBT therapy and the core teachings of it on alcoholic females currently receiving standard treatment in residential settings for drug and alcohol abuse. The past twenty years have produced both good and bad news in the treatment for alcoholic women. The good news is that at least some sort of treatment is available that is exclusive to women. The bad news is that the standard treatment model has changed very little since the late 1940’s and most of it is male oriented and lacks critical coping skills that can be applied to real life situations. Even with lack of supportive empirical evidence to support the classic treatment model the predominant clinical approach is still the Twelve Step-based, multidisciplinary model (Nakken, 2002). </li></ul><ul><li>Individuals meeting criteria for BPD are also likely to meet criteria for alcoholism as well. According to alcoholic treatment literature, co-morbidity with female alcoholism and personality disorders is highly significant. It is roughly estimated that about 95% of female alcohol abusers suffers from some time of emotional regulation stability (Nakken, 2002). 17% of women entering treatment centers are also diagnosed with BPD (Marsha et al., 1999). Although BPD makes up over a quarter of alcoholic patients the significant </li></ul>
  13. DBT Therapy <ul><li>remaining percent with emotional regulation disabilities has to be addressed as well. The study found that BP alcoholics were uniformly more disturbed than any other group that has other personality disorders combined with alcoholism (Marsha et al., 1999). If DBT can stabilize even the most severe disturbed female alcoholics (diagnosed with BPD as well) than we can assume that a modified version of DBT that incorporates basic above mentioned principles might be a success as well. A clinical study was conducted on the efficacy of DBT therapy with borderline individuals and drug-dependence in an outpatient setting. Once again a significant reduction was found in substance abuse among subjects assigned to DBT compared to those assigned to TAU. The between group mean effect sizes in this study varying between 0.6 and 1.1, are considered large in behavioral science research. Second, DBT more effectively retained subjects in therapy, with 64% retention of DBT subjects, compared to 27% of TAU subjects (Marsha et al., 1999). </li></ul><ul><li>Since DBT therapy has undergone many changes in order to suit specific patient conditions, we can also attempt to modify it for inpatient alcohol rehabilitation centers. DBT’s adaptability has also been shown in a study conducted in short term 6 month treatment for suicidal behavior and non-suicidal self injury. While DBT is recommended as a yearlong treatment for the initial stage of skill development and gaining control over certain behaviors it was shown that the greatest treatment effects occur during the initial 4 months of treatment (Stanley, Brodsky, Nelson & Dulit, 2007). This study found that DBT could be successfully applied in a six-month model. This concept will be of much benefit to us since alcohol rehabilitation centers rarely exceed treatment past a 6 month period. Never the less a shorter model, which would maximize resources and results in cost savings, could retain faster over-all skills, especially basic coping techniques and abilities, that may help one abstain from drinking and also other self-destructive behaviors. More focus on the actual skills learned will be acquired rather than the therapeutic relationship between patient and therapist. </li></ul><ul><li>Concerning the criteria for BPD diagnosis will not be utilized in our study since DBT itself as a therapy does not ‘believe in’ the diagnosis per se but utilizes it because it has shown to be effective. The diagnosis primarily functions to predict the prognosis of various types of treatments with this population and allows the therapist to develop a treatment plan accordingly (Swales, Heard & Williams, 2000). Since DBT therapy has shown significant improvement in dangerous behaviors among the female BPD population we are highly </li></ul>
  14. DBT Therapy <ul><li>confident that it might do the same for the self-destructive alcoholic female as well. New treatment methods need to be utilized in the field of addiction and since DBT through clinical trials has shown significant promise in treating emotional instability it might just have a chance to show promise in our field as well. </li></ul><ul><li>Method </li></ul><ul><li>Participants </li></ul><ul><li>The sample of the future study will compromise patients of women with a current diagnoses of alcohol dependandence. It will be conducted in a residential drug rehabilitation program that is currently run on a non-profit basis therefore patients that enter this program through the Marchman Act of Florida or re-direction of repeated DUI or DWI offenders facing incarceration to a alcohol rehab facility where the minimum amount of stay is 6 months. This facility is located in the south western part of Florida and currently houses 45 patients per facility secluded in the countryside area. To meet standard DBT criteria, an assessment will be conducted to detect previous emotional or current instability on all current female residents using the PAI. Those eligible will be our criterion group while the control group will receive treatment as usual (TAU) and be put on the waiting list. A minimum sample amount of women to conduct the study will be 40 women (N=40). Half will participate in the treatment of DBT while the other half will receive TAU. Ranging from the ages of 18-45. Excluded from the study would be if they met criteria for Schizophrenia, any other psychotic disorder, or bi-polar mood disorder as well as mental retardation. (In order to understand DBT an individual must be able to comprehend it) Since our population is already pre-selected for us through the courts or on a voluntary basis no need for measuring alcohol dependence is necessary since it is already assumed. </li></ul><ul><li>Materials </li></ul><ul><li>The PAI will be used to establish emotional disturbance among the female participants. Those that show impaired coping abilities will also be assessed by frequency of drinking alcohol that coincides with coping and dealing with unpleasant feelings. If there is a match and a correlation between the two then they will meet our criteria. (The Social History Interview. SHI and the Social adjustment scale) State and trait anger will be measured by the State-trait Anger Expression Inventory as well. </li></ul>
  15. DBT Therapy <ul><li>Independent variable:  DBT Therapy Life skills </li></ul><ul><li>Dependent variable:  Abstinence from Alcohol </li></ul><ul><li>Experimental group:  Treatment group </li></ul><ul><li>Control group: TAU or waiting list group </li></ul><ul><li>Design and Procedure </li></ul><ul><li>Dialectical Behavioral Therapy Treatment. The participants will be randomly assigned to receive 6 months of modified standard DBT group skills training without the weekly 30-min individual telephone coaching sessions. Participants will receive separate in person individual therapy as well. The DBT skills group trainings will consist of the following steps and procedures. ( The pre-treatment commitment will not apply to this study since it will be conducted in a residential setting where no chance of alcohol abuse is likely) </li></ul><ul><li>Stage 1; stability, connection and safety-lasting 4 weeks. </li></ul><ul><li>Stage II; exposure and emotionally processing the past.- 12 week treatment </li></ul><ul><li>Synthesis (increasing self-respect and achieving goals)- 5 week treatment </li></ul><ul><li>Capacity for sustained joy- remaining 3 weeks of treatment. </li></ul><ul><li>After each training session we will test the patients attrition level by administering the State-trait Anger Expression Inventory as well as an alcohol craving assessment. After the whole treatment process is finished, participants will not be tested again to see improvement for another 3 months after discharge to see the treatment’s efficacy. Once the three months arrives, again we will re-measure emotional regulation by admistoring all tests again. Also will be included an alcohol dependence inventory as well. DBT individual therapists will include two psychologists and two master level clinicians selected for their experience in working with alcoholic females. All components of treatment are offered free at charge. </li></ul>
  16. DBT Therapy <ul><li>The control group Treatment as usual (TAU). The primary aim of this study is to see if DBT has an overall better effect than standard treatment given at treatment facilities. For this reason, we allowed the control group to participate in standard AA group meetings daily (not offered to experimental group) as well as all other standard treatments applied to standard alcoholic treatment. The TAU group was separated in a different part of the building which use to hold adolescence separately but since have been moved to a different facility in order to conduct this experiment. This was important in order to not have the two groups discus treatment operations. (internal validity towards the experimental group). Same post test inventory will be taken 3 months after discharge date. TAU services will also be free of charge. </li></ul><ul><li>Data Analysis </li></ul><ul><li>Since we are measuring more than 2 conditions (alcoholism and emotional regulation) we will use the ANOVA. We are working with two means in this experiment so to keep the error rate down to a. Before conducting the ANOVA we will have to use the F-test to determine the beginning differences within both groups to establish a baseline in regards to alcoholism and coping skills (emotional regulation). Once data has been gather a POST HOC test will be used to establish differences from the starting baseline of emotions. </li></ul><ul><li>Limitations </li></ul><ul><li>This study has a number of limitations. First, it is catching a wide net of personality disorders that female alcoholics might have. It is a timely and extremely structured treatment to be applied to a general population. We are trying to seek other options that might work in the field of addiction and we know that if granted this therapy will hopefully evolve in the field. Second, it is extremely costly to be actually applied to a non-profit agency in a non research environment. Third, we are conducting the experiment on a potentially bias population that come from poverty level if not even below it. Despite its limitations it also has its potential strengths which is a an overall new treatment option in the field of addiction. </li></ul>
  17. DBT Therapy <ul><li>Linehan, M. M., Hubert, E. A., Alejandra, S., Douglas, A., & Heidi, L. H. (1991, April 24). Cognitive- behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48. </li></ul><ul><li>  </li></ul><ul><li>  </li></ul><ul><li>Marsha, M. L., Henry, S. I., Linda, A. D., J, C. C., Jonathan, K., & Katherine, A. C. (1999, July 19). Dialectical behavior therapy for patients with borderline personality disorder and drug-Dependence. The American Journal on Addictions, 8 (279-292). </li></ul><ul><li>  </li></ul><ul><li>Nakken, J. M. (2002). Reflections on the past, present and possible future of women's alcoholism treatment. Alcoholism Treatment Quarterly, 20 (3/4). </li></ul><ul><li>  </li></ul><ul><li>  </li></ul><ul><li>Sanderson, C. (2008). Dialectical behavior therapy frequently asked questions (Behavioral Tech DBT Description) (1-6). Retrieved April 20, 2009, from Behavioral Tech, LLC: http://www.behavioraltech.com/downloads/dbtFaq_Cons.pdf. </li></ul><ul><li>  </li></ul><ul><li>  </li></ul><ul><li>Stanley, B., Brodsky, B., Nelson, J. D., & Dulit, R. (2007). Brief dialectical behavior therapy (DBT-B) for suicidal behavior and non-suicidal self injury. Archives of Suicide Research, 11, 337-341. </li></ul><ul><li>  </li></ul><ul><li>  </li></ul><ul><li>Swales, M., Heard, H. L., & Williams, J. M. G. (2000). Linehan's dialectical behaviour therapy (DBT) for borderline personality disorder: Overview and adaptation. Journal of Mental Health, 9, 7-23. </li></ul><ul><li>  </li></ul><ul><li>  </li></ul><ul><li>  </li></ul>
  18. An Observation of Middle Childhood and Adolescence. <ul><li>Observation paper that compares different stages of behavior and emotion regulation between two children at different stages in life. PSY 300- Developmental Psychology </li></ul><ul><li>* Located in box.net application </li></ul>
  19. Interviewing Techniques <ul><li>15 minute interview of extensive past drug use and future perceptions on drug abuse. Applied probing techniques combined with a series of opened and closed questioning to obtain results. – PSY 405- Interviewing Techniques </li></ul>
  20. Treatment Options for Addiction <ul><li>Analyzing current and past trends of treatment in residential settings for drug dependant individuals. Explores differ rent approaches for treating addiction. PSY 492- Advanced General Psychology </li></ul><ul><li>*Located in box.net application </li></ul>
  21. My Future in Learning <ul><li>My journey has rewarded me with extraordinary professors who have influenced my life with strong words of encouragement. I have established many friendships and look forward to furthering my education. I embrace the pursuit of knowledge with open arms. </li></ul>
  22. Contact <ul><li>For additional information or to receive full hard copies of items not located in box.net please contact me at [email_address] and send a request. </li></ul>

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