Is psychotherapy getting better (cole)Scott Miller
This article discusses the 30th anniversary of a psychotherapy magazine and reflects on efforts over the past 30 years to quantify and measure the effectiveness of psychotherapy. It describes how Hans Eysenck challenged the field in 1952 by claiming there was no proof psychotherapy worked. This sparked the modern quest to establish psychotherapy's scientific legitimacy through randomized controlled trials. While cognitive therapy pioneer Aaron Beck began testing his approach in the 1970s, randomized controlled trials did not become a driving force until 1993 when the APA established a task force to identify empirically supported treatments. The article suggests that establishing evidence-based therapies through randomized controlled trials has been important for accountability, third-party reimbursement, and determining the allocation of time and resources.
This document discusses research comparing cognitive-behavioral therapy (CBT) and relaxation therapy for treating panic disorder (PD) and generalized anxiety disorder (GAD). The research found that CBT outperformed relaxation therapy for PD in reducing primary symptoms, with a moderate effect size, but the treatments did not differ for secondary outcomes like depression. For GAD, the effects of the treatments did not significantly differ. The discussion critiques previous research supporting the "Dodo Bird verdict" that all psychotherapies are equally effective, noting limitations like aggregating various treatments, disorders and outcome measures.
Measures and feedback 2013 [compatibility mode]Scott Miller
1) Numerous studies have examined the psychometric properties of the ORS and SRS, finding high levels of reliability and validity. The ORS and SRS demonstrate good internal consistency, test-retest reliability, and validity evidenced by correlations with other measures of distress and functioning.
2) RCTs on routine outcome monitoring and feedback have found that providing therapists feedback on patient progress leads to better outcomes for clients identified as "at risk" of deterioration. These clients have higher rates of reliable improvement, longer treatment duration, and are less likely to deteriorate when therapists receive feedback.
Psychometric Properties of the ORS and SRSScott Miller
This document summarizes a study that examined the psychometric properties of the Dutch versions of the Outcome Rating Scale (ORS) and Session Rating Scale (SRS). The study assessed the validity and reliability of the ORS and SRS in a sample of 587 clients from an outpatient mental healthcare organization in the Netherlands. The results were compared to previous Dutch and American studies. Both measures showed adequate test-retest reliability and internal consistency. However, their concurrent validity was limited, especially for the SRS. New proposed standards are provided for interpreting scores on the Dutch ORS and SRS, which differ from American standards. The implications of the limited validity and use of different standards are discussed.
Is psychotherapy getting better (cole)Scott Miller
This article discusses the 30th anniversary of a psychotherapy magazine and reflects on efforts over the past 30 years to quantify and measure the effectiveness of psychotherapy. It describes how Hans Eysenck challenged the field in 1952 by claiming there was no proof psychotherapy worked. This sparked the modern quest to establish psychotherapy's scientific legitimacy through randomized controlled trials. While cognitive therapy pioneer Aaron Beck began testing his approach in the 1970s, randomized controlled trials did not become a driving force until 1993 when the APA established a task force to identify empirically supported treatments. The article suggests that establishing evidence-based therapies through randomized controlled trials has been important for accountability, third-party reimbursement, and determining the allocation of time and resources.
This document discusses research comparing cognitive-behavioral therapy (CBT) and relaxation therapy for treating panic disorder (PD) and generalized anxiety disorder (GAD). The research found that CBT outperformed relaxation therapy for PD in reducing primary symptoms, with a moderate effect size, but the treatments did not differ for secondary outcomes like depression. For GAD, the effects of the treatments did not significantly differ. The discussion critiques previous research supporting the "Dodo Bird verdict" that all psychotherapies are equally effective, noting limitations like aggregating various treatments, disorders and outcome measures.
Measures and feedback 2013 [compatibility mode]Scott Miller
1) Numerous studies have examined the psychometric properties of the ORS and SRS, finding high levels of reliability and validity. The ORS and SRS demonstrate good internal consistency, test-retest reliability, and validity evidenced by correlations with other measures of distress and functioning.
2) RCTs on routine outcome monitoring and feedback have found that providing therapists feedback on patient progress leads to better outcomes for clients identified as "at risk" of deterioration. These clients have higher rates of reliable improvement, longer treatment duration, and are less likely to deteriorate when therapists receive feedback.
Psychometric Properties of the ORS and SRSScott Miller
This document summarizes a study that examined the psychometric properties of the Dutch versions of the Outcome Rating Scale (ORS) and Session Rating Scale (SRS). The study assessed the validity and reliability of the ORS and SRS in a sample of 587 clients from an outpatient mental healthcare organization in the Netherlands. The results were compared to previous Dutch and American studies. Both measures showed adequate test-retest reliability and internal consistency. However, their concurrent validity was limited, especially for the SRS. New proposed standards are provided for interpreting scores on the Dutch ORS and SRS, which differ from American standards. The implications of the limited validity and use of different standards are discussed.
The art of being a failure as a therapist (haley, 1969)Scott Miller
A fantastic article written nearly 50 years ago that is as timely today as it was then. The author outlines several beliefs and practices sure to increase your chances of failing as a therapist.
When mental health practitioners use methods that are totally lacking in scientific support, particularly when the treatment has been demonstrated to be harmful and evidence-based alternatives are available, they should be liable for malpractice. Organizations like the American Psychological Association claim to support scientific standards but leave loopholes that allow psychologists to practice pseudoscientific nonsense. Several steps must be taken to close the gap between science and practice in mental healthcare, including malpractice reform, improved guidelines based on evidence, consumer education, and a commitment to scientific practice by professional organizations.
Snatching Victory From The Jaws Of Defeat (Handouts)Scott Miller
This document discusses improving the effectiveness of psychotherapy, especially for challenging cases. It provides both good and bad news about therapy outcomes. On average, treated clients do better than 80% of untreated clients. However, dropout rates are around 47% and some therapists fail to identify clients who are not progressing. The document recommends formalizing client feedback through measures of outcome and alliance administered at each session. Integrating this feedback into care through collaborative teams can help therapists "fail successfully" by changing course when needed to improve outcomes.
This study examined whether psychotherapists' outcomes improve over time and with increased experience. The researchers analyzed data from over 6,500 patients seen by 170 psychotherapists over an average of 4.73 years. Using multilevel modeling, they found that while therapists' outcomes were generally comparable to clinical trials, there was a very small but statistically significant tendency for patient outcomes to diminish as therapists gained more experience in terms of both time and number of patients seen. However, therapists showed lower rates of early termination as their experience increased. The results suggest that while experience may not necessarily lead to better patient outcomes, it can reduce dropout rates.
Implementing fit in institutions (danish with english abstract)Scott Miller
Article about implementing feedback-informed treatment in mental health agencies. Based on their experience of implementing the approach, the authors highlight the challenges and outline six specific steps for improving chances of success.
Excellence in therapy: An Interview with Scott D. Miller, Ph.D.Scott Miller
1) The interviewee, Scott Miller, became involved in psychotherapy through a series of fortunate events and encounters with inspiring professors during his university studies.
2) Miller believes that diagnostic codes are not very useful or informative. He finds it more useful to understand each client's unique characteristics to tailor therapy to the individual.
3) Most therapists do good work, but therapists vastly overestimate their own effectiveness by around 65% on average. Outcomes have remained fairly stable over time despite efforts to improve. Feedback from clients is important for improving practice.
The document discusses the interplay between a therapist's personal characteristics and qualities (therapist variables) and a client's theory of change. It argues that the most effective therapy occurs when the therapist is aware of how their variables may influence the therapeutic alliance and adapts their approach to align with the client's theory of change. Case studies are presented to illustrate therapists monitoring client feedback to improve outcomes. Effective therapists recognize when their approach does not match a client's needs and make adjustments to better facilitate the client's process of change.
Expanding the Lens of EBP: A Common Factors in AgreementScott Miller
The authors explore the limitations of the traditional view of evidence-based practice with its emphasis on specific methods and diagnosis. An alternative is proposed based on the common factors.
This document outlines a workshop on teaching chaste living. The workshop aims to teach participants about the Church's teachings on sexuality from creation stories in Genesis and how to identify the sacramental nature of physical intimacy. Participants will also review the US Bishops' document "Catechetical Formation in Chaste Living" which provides guidelines for developing curriculum on teaching chastity to youth.
Why most therapists are average (german, 2014)Scott Miller
Interview with Scott Miller, reviewing outcome research from the field of therapy and addressing the question of why most therapists don't improve with time and experience.
The document outlines a presentation given by Nancy L. Morgan on the 7 qualities most desired in a therapist according to client feedback. It discusses common mistakes made by therapists including talking too much and not listening enough. The results of surveys given to clients at different facilities identified the top 7 qualities as: compassion, empathy, listening skills, accessibility, respect, competence and being receptive. The presentation emphasizes developing therapeutic alliance and understanding client needs to provide the greatest gift of helping them.
This document summarizes and critiques common myths about antidepressant medications. It discusses how popular culture and marketing have promoted the idea that depression is solely a biological condition cured by medication, rather than a complex issue influenced by various life experiences. However, the document asserts that research does not actually support the view that antidepressants are dramatically more effective than placebo pills or psychotherapy. It claims antidepressants have been exaggerated as "miracle drugs" due more to profit-driven marketing than objective science.
Subliminal messaging involves stimuli below the threshold of conscious perception. While an influential 1957 experiment claimed it could increase sales, the experiment was later admitted to be fraudulent. True subliminal messaging is difficult to study as it cannot be consciously perceived. Some advertisers still use subtle techniques like visual paradoxes to subtly influence viewers. Effective uses in art suggest ideas without overt manipulation. An image analysis found subtle cues in a family portrait film poster hinting at its divorce-custody plot.
How To Increase Your Conversational LuckGeorge Hutton
The document discusses the role of luck in success. It notes that while luck plays a factor, successful people are often prepared to take advantage of opportunities. True success comes from consistent, long-term effort and practice rather than hoping to win the lottery. Building skills through small, daily practices can help achieve success more than relying on chance meetings or events.
The art of being a failure as a therapist (haley, 1969)Scott Miller
A fantastic article written nearly 50 years ago that is as timely today as it was then. The author outlines several beliefs and practices sure to increase your chances of failing as a therapist.
When mental health practitioners use methods that are totally lacking in scientific support, particularly when the treatment has been demonstrated to be harmful and evidence-based alternatives are available, they should be liable for malpractice. Organizations like the American Psychological Association claim to support scientific standards but leave loopholes that allow psychologists to practice pseudoscientific nonsense. Several steps must be taken to close the gap between science and practice in mental healthcare, including malpractice reform, improved guidelines based on evidence, consumer education, and a commitment to scientific practice by professional organizations.
Snatching Victory From The Jaws Of Defeat (Handouts)Scott Miller
This document discusses improving the effectiveness of psychotherapy, especially for challenging cases. It provides both good and bad news about therapy outcomes. On average, treated clients do better than 80% of untreated clients. However, dropout rates are around 47% and some therapists fail to identify clients who are not progressing. The document recommends formalizing client feedback through measures of outcome and alliance administered at each session. Integrating this feedback into care through collaborative teams can help therapists "fail successfully" by changing course when needed to improve outcomes.
This study examined whether psychotherapists' outcomes improve over time and with increased experience. The researchers analyzed data from over 6,500 patients seen by 170 psychotherapists over an average of 4.73 years. Using multilevel modeling, they found that while therapists' outcomes were generally comparable to clinical trials, there was a very small but statistically significant tendency for patient outcomes to diminish as therapists gained more experience in terms of both time and number of patients seen. However, therapists showed lower rates of early termination as their experience increased. The results suggest that while experience may not necessarily lead to better patient outcomes, it can reduce dropout rates.
Implementing fit in institutions (danish with english abstract)Scott Miller
Article about implementing feedback-informed treatment in mental health agencies. Based on their experience of implementing the approach, the authors highlight the challenges and outline six specific steps for improving chances of success.
Excellence in therapy: An Interview with Scott D. Miller, Ph.D.Scott Miller
1) The interviewee, Scott Miller, became involved in psychotherapy through a series of fortunate events and encounters with inspiring professors during his university studies.
2) Miller believes that diagnostic codes are not very useful or informative. He finds it more useful to understand each client's unique characteristics to tailor therapy to the individual.
3) Most therapists do good work, but therapists vastly overestimate their own effectiveness by around 65% on average. Outcomes have remained fairly stable over time despite efforts to improve. Feedback from clients is important for improving practice.
The document discusses the interplay between a therapist's personal characteristics and qualities (therapist variables) and a client's theory of change. It argues that the most effective therapy occurs when the therapist is aware of how their variables may influence the therapeutic alliance and adapts their approach to align with the client's theory of change. Case studies are presented to illustrate therapists monitoring client feedback to improve outcomes. Effective therapists recognize when their approach does not match a client's needs and make adjustments to better facilitate the client's process of change.
Expanding the Lens of EBP: A Common Factors in AgreementScott Miller
The authors explore the limitations of the traditional view of evidence-based practice with its emphasis on specific methods and diagnosis. An alternative is proposed based on the common factors.
This document outlines a workshop on teaching chaste living. The workshop aims to teach participants about the Church's teachings on sexuality from creation stories in Genesis and how to identify the sacramental nature of physical intimacy. Participants will also review the US Bishops' document "Catechetical Formation in Chaste Living" which provides guidelines for developing curriculum on teaching chastity to youth.
Why most therapists are average (german, 2014)Scott Miller
Interview with Scott Miller, reviewing outcome research from the field of therapy and addressing the question of why most therapists don't improve with time and experience.
The document outlines a presentation given by Nancy L. Morgan on the 7 qualities most desired in a therapist according to client feedback. It discusses common mistakes made by therapists including talking too much and not listening enough. The results of surveys given to clients at different facilities identified the top 7 qualities as: compassion, empathy, listening skills, accessibility, respect, competence and being receptive. The presentation emphasizes developing therapeutic alliance and understanding client needs to provide the greatest gift of helping them.
This document summarizes and critiques common myths about antidepressant medications. It discusses how popular culture and marketing have promoted the idea that depression is solely a biological condition cured by medication, rather than a complex issue influenced by various life experiences. However, the document asserts that research does not actually support the view that antidepressants are dramatically more effective than placebo pills or psychotherapy. It claims antidepressants have been exaggerated as "miracle drugs" due more to profit-driven marketing than objective science.
Subliminal messaging involves stimuli below the threshold of conscious perception. While an influential 1957 experiment claimed it could increase sales, the experiment was later admitted to be fraudulent. True subliminal messaging is difficult to study as it cannot be consciously perceived. Some advertisers still use subtle techniques like visual paradoxes to subtly influence viewers. Effective uses in art suggest ideas without overt manipulation. An image analysis found subtle cues in a family portrait film poster hinting at its divorce-custody plot.
How To Increase Your Conversational LuckGeorge Hutton
The document discusses the role of luck in success. It notes that while luck plays a factor, successful people are often prepared to take advantage of opportunities. True success comes from consistent, long-term effort and practice rather than hoping to win the lottery. Building skills through small, daily practices can help achieve success more than relying on chance meetings or events.
Project Management Advice for Young ProfessionalsKeith Gibbs
This document provides project management advice for young professionals through an unconventional narrative that discusses the letters "P". It summarizes that successful project managers must be skilled in problem solving (P0), managing people (P1), understanding possibilities vs probabilities (P2), practicing to perform well (P3), prioritizing and using persuasion/permissions/placation (P4), and understanding practices/policies/procedures/partnerships (P5). The document emphasizes the importance of these skills through an odd story that jumps between topics.
This is a brief study of one aspect of the humor of Jesus, and that is His use of exaggeration to illustrate his point so there can be no misunderstanding. Exaggeration has always been a key to humor, and Jesus was fully aware of that reality and He used it.
Joyce Hostyn discusses how storytelling can be used to influence people and effect change. She outlines three aspects of story - listening, thinking, and telling. For listening, she recommends practicing empathy, seeking to understand others, and assuming good intentions. For thinking, she discusses how stories can be used to think through problems and perspectives. For telling, she emphasizes using emotional language and visual elements to craft stories that create experiences and evoke responses in others. The overall message is that stories are powerful ways to communicate and reframing issues, as people prefer stories over facts alone.
The document discusses how the filmmaker addressed their audience in an action/thriller film. Feedback suggested adding a voiceover to explain characters' thoughts, but the filmmaker felt this would undermine the mystery. Shortening the waking scene from a nightmare made it clearer to viewers. Changing the title design better indicated the film was in the action genre to help audiences engage.
The document discusses techniques for thinking faster and better on your feet. It recommends taking improv classes, which teach skills like using "yes, and" to further conversations instead of ending them, trusting your gut instincts instead of overthinking responses, and making others look good by acknowledging and building on their contributions. These improv principles can help one sound engaging and avoid awkward silences in conversations, interviews, and other unscripted situations. The article provides examples and exercises to help readers incorporate these techniques into daily life.
These slides were playing as people were seating for the Dangerous Ideas presentation at the 2008 PLA. They were accompanied by \"Revolution #9\" by The Beatles (White Album).
The document discusses lessons from heroes in pursuing one's dream job. It provides 5 lessons: 1) Heroes create opportunities for discovery and challenge. 2) Heroes develop talent in themselves and others. 3) Heroes thrive on paradox and balancing extremes. 4) Heroes take action instead of overthinking. 5) Heroes express passion for their work through consistent pursuit of ideas. The overall message is that pursuing a dream job requires courage, developing others' potential, and balancing consistency with unpredictability through constant action and expression of passion.
Learnings from "No Country for Old Men" | Why everyone should watch the movieShashank Mishra
1) The document provides a summary and analysis of the movie No Country for Old Men.
2) It discusses how the movie subverts traditional storytelling conventions and leaves interpretations open-ended for audiences.
3) The author highlights several lessons learned from the movie, including the importance of constant self-improvement, accepting the unpredictability of life, and considering whether antagonists can also be protagonists.
The Epic of Gilgamesh. Exodus. The Odyssey. Lord of the Rings. Harry Potter. For as long as humans have been telling stories, those stories have taken a familiar shape: the quest.
This hasn’t changed as we’ve moved into digital spaces. Hooking users into an ongoing narrative of pursuit built around your mission is one of the most powerful ways to develop your voice, workflow, calendar, content architecture and strategy.
7 Unconventional Marketing Tactics for Small BusinessesDave Marcello
Care of the good folks at DISRUPTIVE, this is our take on some of the often overlooked and underutilized principles of an unconventional marketer. Perfect for those folks who value creativity and strategy over big budgets and wide cast nets.
The story of a very cool startup that could change how you get paid to do what you do best. Created by Bruce Kasanoff, author of How to Self-Promote without Being a Jerk, available here: goo.gl/xP6F3Z
Business storytelling hacks: how to apply story archetypes to business storyt...Andrius Grigorjevas
Business presentations are a form of storytelling. Most of the time they don't work just because they don't have an overarching principle, drama or meaning.
This presentation outlines the most popular types of business pitch/presentation story structures and defineds what they mean.
The Real Sherlock Holmes - The Mini Monographs With Ben CardallMX Publishing
Ben Cardall is the UK's leading deductionist. In this presentation he gives some insghts into deduction taken from his bestselling book 'The Monographs'.
Beware of Taking Shortcuts - They May BackfireGeorge Hutton
http://mindpersuasion.com/emotional-freedom/
Many people love the idea of getting the benefits without doing the work. However, this can lead to some pretty bad situations if you aren't careful. Learn More: http://mindpersuasion.com/emotional-freedom/
The film challenged conventions by having a teenage girl as the "bad guy" instead of a man, in order to avoid stereotypes. It kept the stereotype of the vulnerable "damsel in distress" to create suspense for the audience. A teenage girl was used as the victim to have a bigger effect on the target teenage and girl audience.
The film was set in a dark forest as thrillers commonly take place in forests. This created tension for the audience and hinted that something bad would happen. Sound effects of screaming and breaking twigs were used to build curiosity and suspense.
The editing pace was fast except for slowed moments of the main character looking into the distance or tying her shoe, then sp
Thriller films aim to create suspense and tension through mysterious storylines and cliffhangers that engage audiences and make them wonder what will happen next. Examples include horror thrillers like "Saw" which feature torture, and adventure thrillers like "Spectre" about a secret agent. Common props used include masks to hide villains' faces, blood to convey danger, and rope when villains tie up victims. Successful thriller endings typically reveal all, provide a satisfying twist, show good triumphing over evil, and leave audiences feeling relieved and having gained some knowledge.
"Yes, and...": What Agencies Can Learn from ImprovYoung & Rubicam
Y&R Canada’s SVP and Strategic Planning Director Kasi Bruno – who recently completed her first improv class, and Sulaiman Beg, Director of Global Digital and Social Communications – who is a performer at the Magnet Theater in New York highlight some of their key improv learnings that will make agencies more innovative and effective as brand champions.
Deterioration in Psychotherapy: A Summary of Research by Jorgen FlorScott Miller
This study explored how 10 Norwegian psychologists think about patient deterioration in psychotherapy. The psychologists showed a lack of common terminology around deterioration and underestimated its occurrence. They received little education on deterioration and felt uncomfortable discussing it. The study highlights the lack of awareness around negative outcomes in education and practice. It aims to provide a better basis for quantitative research on how deterioration is interpreted.
Summary of current research on routine outcome measurement, feedback, the validity, reliability, and effectiveness of the ORS and SRS (or PCOMS Outcome Management System)
Feedback informed treatment (fit) achieving(apa ip miller hubble seidel chow ...Scott Miller
1) The document discusses Feedback Informed Treatment (FIT), which uses routine monitoring of a client's progress and the therapeutic alliance to improve outcomes. Short scales like the Session Rating Scale and Outcome Rating Scale are used to gather feedback from clients.
2) Research shows that formal collection and discussion of client feedback doubles rates of reliable change, decreases dropout rates by 50%, and cuts deterioration rates by a third compared to treatment without feedback.
3) The feedback allows therapists to adjust their approach if a client is not progressing well or the alliance is weakening, in order to maximize the fit between client, therapist, and treatment for that individual.
Qualitative study of therapists working at Stangehjelp in Norway who are applying the principles of deliberate practice in their efforts to deliver more effective treatment services.
Final Rational Empirical Model for Identifying and Addressing Alliance RupturesScott Miller
The document presents the final version of a Rational-Empirical Model from 2015. This model appears to combine rational and empirical elements in analyzing a topic. Unfortunately, without more context around the specific model and its purpose, the summary is limited to these high-level details about its nature and date.
The Therapeutic Alliance, Ruptures, and Session-by-Session FeedbackScott Miller
Chris Laraway's doctoral dissertation presents a thorough review of the literature on the link between the therapeutic alliance and outcome, and how session by session feedback can be used to repair ruptures in the therapeutic relationship.
Effect size of common versus specific factorsScott Miller
Graphic representation of the contribution made by common versus specific factors to the outcome of psychotherapy. The slide documents the negligible contribution of the method, competence, and adherence.
Article in Division 29's journal, psychotherapy that reviews the research on routine outcome monitoring, arguing that current efforts are at risk for repeating the history of failed efforts to improve the outcome of psychotherapy.
Description of research in Sweden on a program to help people leave the disability rolls and go back to work. Several years ago, leaders adopted CBT as the primary treatment model. All practitioners were trained and over a billion Swedish Crowns were spent. The result? No effect. In fact, the percentage of people disabled by depression increased.
Medipex innovation awards 2015 press releaseScott Miller
The document summarizes the winners of the eleventh annual Medipex NHS Innovation Awards and Showcase. Seven teams were awarded across five categories for their innovative projects that improve patient care and make NHS services more efficient. The winners included mobile apps to improve doctor training feedback and patient communication, and initiatives to deliver intravenous treatments and orthotics at home. The awards recognize pioneering ideas developed collaboratively between NHS staff, universities, charities, and businesses.
The Carlat Psychiatry Report (Interview with Scott Miller, April 2015)Scott Miller
The April 2015 issue of the Carlat Psychiatry Report, an unbiased report/review of "all things psychiatric." The issue contains a lengthy interview with Dr. Scott Miller on the subject of top performing clinicians.
Athena Software has partnered with the International Center for Clinical Excellence to integrate Dr. Scott Miller’s Feedback Informed Treatment (FIT) / Partners for Change Outcome Management System (PCOMS) into Penelope Case Management software. This allows clients to provide feedback on their wellbeing and session satisfaction through intuitive data input sliders, which is then contrasted against a large dataset to evaluate treatment effectiveness and presented in reports. Penelope Case Management Software is used by social services in 15 countries for case management, clinical notes, scheduling, and outcomes evaluation.
The document discusses thought reform and totalitarianism in the context of the LDS Church's missionary training program. It summarizes Scott D. Miller's analysis comparing the eight themes of thought reform identified by Robert J. Lifton to techniques used in the Missionary Training Center (MTC). These include milieu control through rigid schedules and regulations on what missionaries can see, hear, read, etc. It also discusses mystical manipulation by provoking specific behaviors and emotions to validate LDS ideology. The document raises ethical questions about thought reform in the MTC and missionary environment.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Gender and Mental Health - Counselling and Family Therapy Applications and In...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
This presentation was provided by Rebecca Benner, Ph.D., of the American Society of Anesthesiologists, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
A Visual Guide to 1 Samuel | A Tale of Two HeartsSteve Thomason
These slides walk through the story of 1 Samuel. Samuel is the last judge of Israel. The people reject God and want a king. Saul is anointed as the first king, but he is not a good king. David, the shepherd boy is anointed and Saul is envious of him. David shows honor while Saul continues to self destruct.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
The joy of failure (philpott)
1.
2. viewpoint
C H R I S P H I L P O T T
TheJoyof 7ailure
tX/hatdo you do when a trick doesn't
work?
There'sa scarythought.That'sthemagi-
cian'snightmare,isn'tit? Butmaybeit
shouldn'tbe.Maybe- jwstmaybe- we
shouldfail more.
Let'seaseinto thisslowly.Considera
methodwherementalists(if not magicians)
havesomecomfortlevelwith makinga
mistake:whentheperformerhasto fish
for cluesto determinewhich thing, out
of a smallrangeof options,a volunteeris
thinkingof. On theuideoMindDyD,Max
Mavendiscussesthepainsthat havebeen
takento devisewaysof doingthissothat
theperformeravoidsany "No" answers,a
questhecalls"an exercisein futility":
I don'tthink there'sanythingwrong
with gettinga "No" responsewhenyou
arepumpinginformation,becausethe
wholeideahereisthat youaretryingto
getinformationfrom someone'smind.
And that is,at leastin theory,not a sirnple
task.Becauseif it was,you'diusttossit
backto themimmediately.If you'retrying
to pull out thissortof vagueandintan-
gibleinformation,stepbystep,thenit
makessensethatyou'dstumblea litle bit
alongtheway.That'swhatmakesit excit-
ing.Whenatightropewalkerisgoing
acrossandstumbleshalfway,that'smuch
moreexciting.And evenif tightrope
walkersarecapableof walkingacrossthe
ropewithoutamiss,they'restillgoing
to giveyoutheimpressionthat theyare
aboutto fall, becausethat'swhatkeeps
theinterestandthetensionforemost
in theaudience'smindandkeepsthem
involved.SoI thinkactuallyhavingno
.l{osisnot necessarilyagoodthing.
Laterin the video,Max goesfurther:
"I think the negativeanswershereactu-
2 0 M A G r C l u L Y 2 O r 3
ally makethis better;it givesit a dra-
maticbuild."
If we canacceptthat theoccasional
smallmistakecanheightenthedramaof
theperformance,is it possiblethat a bigger
mistakecouldhavesomebenefitaswell?
Andy Nymanhasa storyabouta per-
formancethat wentterriblywrong,a tale
herecountedfor BenCummrngs'Conuer-
sationswith Mind Readers.ltwasAndy's
veryfirsthigh-payinggig,a prenuptial
partyat a champagnebar beforealarge,
wealthyfamily.During a performanceof
Heart & Stone,helosttrackof thecorrect
envelope.Try ashemight,hecouldn'tfind
it. Soheguessed:
I openit up andit's wrong.It's
completelywrong.It's thewrong-
estit could be.Wenow haveopened
all theenvelopesandit'sthelast.I
couldn'thavegottenit morewrong.
There'sthis horriblesilence.Then
thepatriarchof the familg this very
smartlooking75- or 80-year-oldman
goes,"Thar hascompletelyf---edme
up. I justdon'tknow what to think!
il/hywould we bepayingyou a lot
of moneyfor you to comeand stand
hereand die like that in front of us
if thiswasn'treal?I justthoughtthis
wastricks.Thismustbereal!" At
whichpoint,someoneelsesays"Me,
too! I justdon'tknow what to think
anymore."Well,from that moment
on,I couldhavedoneDippyDuck
andthey'dhavebeenoverthemoon.
"lnterestingr"a magicianmight answer,
"That may bewell andgoodfor mentalism,
but it justdoesn'tapplyro magic!"
Oh no?On hisexcellentCardopolis
blog,DavidBritlandtellsthestoryof a
seeminglyimpossiblebut failedtrick that
BobbyBernarddid for him at a maqiccon-
ventionoverthirty yearsearlier:
Had I seena nearmiracleor a
fluke?Bobbydid assuremethat the
effectusuallyworked,that hehadper-
formedit successfullymanytimes,and
hada stackof noteson theworkings
of PrincipleX at home.But hedidn't
repeatthetrick. I wasremindedof a
satiricalessayin JonRacherbaumer's
Hierophant that advisedif you want
to fry your fellowmagicians,attempt
a trick that cannotpossiblywork.
They'll spendweekstrying to figure
out what mighthavehappenedif all
hadgoneright.Despitemy reserva-
tions,I did spenda longtimethinking
abouthow Bobby'sPrincipleX might
work. StephenTuckerandI discussed
all kindsof methods.
And all thisfor a trick that failed!
Of course,manyof ushavehadexperi-
encesin which a trick screwedup and for
somestrangereasonit didn't makeour
reputation.What'swith that?/Couldthere
besomerulesat work here?Is it possible
that thereis "a correctway to fail"?
I think so.And to find theseelusiveprin-
ciples,let'smakea detourinto thenarrative
arts.In film, plays,novels,andtelevision,
heroesdon't succeedall thetime.There
arestrugglesandfailures- sometimesa
lot of failures.In a typicalepisodeof the
TV showHouse,how manytimesdoesDr.
Housetry andfail to curesomeonebefore
ultimatelyfindingsuccess?And he'ssup-
posedto bea genius!
But evenwith lesserror-proneheroes,
thereis oftena momentwhenfirilureseems
soinevitablethatyoudoubrr-icrorr-iseven
possible."lt's likein thegrearsrories,"Sam
saysin TbeFellowshipof the Rin,q."The
3. I'
)nesthat reallymattered.Full of darkness
:nd danger,theywere.And sometimesyou
iidn't want to know theend.Becausehow
;ould theendbehappy?How couldthe
,i'orldgo backto theway it waswhenso
:ruchbadhadhappened?"
Failureis an essentialingredientin Hol-
.r.s'oodmovies,codifiedin thenear-oblig-
irory "dark moment"betweenthesecond
:nd third act,wheneverythingseemsbleak-
rst - which only intensifiesthe audience's
:nvolvementin thehero'sultimatevictory
:n actthree.
ConsiderTheAuengers.At the endof
.rcttwo, theteamis scattered,the helicar-
:ier nearlydestroyed,agentPhil Colsonis
Jead,andthetwo peoplewho reallycared
rbout him, Tony Stark
.rnd Captain America,
s'eren't able to do a
:hing about it. Bruce
Banner has failed to
;ontrolhisrage,Hawk-
.).e feels awful about
retrayingtheteam(and
:re looks like crap),
BlackWidow hasfailed
:o face her fear (the
Hulk) or her feelings
for Hawkeye), Thor
ras been easily out-
smartedby his brother,
rnd the teamhascom-
pletelyfailedin theonly
rvo jobstheyhad:hang
t)nto Loki andfind the
Tesseract.And they're
=@$%ingsuperheroes!
Let'sdetoura little further,out of
:heartsandinto science.And why not?
lentalistsoftenframetheireffectsas
rrperiments,and experimentsarenot win/
,osepropositions.MichelsonandMorley
:houghtthey'dfailedwhentheirexperi-
:rentsshowedthat the speedof lightwas
-iis'avsthesame,no matterif it wasmea-
.rred with themovementof theEarthor
.iqainstit. It took Einsteinto sayno, this
:,rilurewasin facta greatsuccessthat
rrinted theway to Relativityanda new
:rderstandingof theudiverse.
As it is in art and science,soit seems
:,r bewith everythingelse:"Do not fear
:rrstakes.You will know failure.Continue
:rrrexchout," wroteBenjaminFranklin.
-tany
of life'sfailuresarepeoplewho
;rJ not reahzehow closetheywereto suc-
.essrvhentheygaveup," notedThomas
F.Jison.And AbrahamLincolnsaid,"My
i:eat concernis not whetheryou have
failed,but whetheryou arecontentwith
your failure."
In the artsand sciences,and life itself,it
seemsthe only realfailureis to giveup.
Sowhy arewe magiciansand mentalists
soafraid of failure,evenin the controlled
andcontrivedway of a fakedmisstepby a
tightropewalker?
I think it betraysa certainway of think-
ing:theideathat a magicshowis a compe-
tition betweenmagicianand audience,with
themtrying to figureit out and ustrying to
fool them.No doubtaboutit, that'spart of
theexperienceof a magicshow.But I seein
manyof the greatestmagiciansa tendency
to try to escapethis dynamicandfind
somethingmoreprofound.Audienceshave
a greatetcapacltyto
besweptawayand
suspendtheir disbelief
than to try to figure
out how trickswork,
which is why we can
happilywatch the
magicin a three-hour
Harry Pottermovie
while an hour of
mind-blowing"how'd
hedo that?" effects
canbeexhausting.
I believethat fail-
urein a magicor men-
tal routine,handled
well, is potentiallyone
of our mostpower-
ful dramaticdevices.
First.it is an actof
generositytoward your audience- you
allow themto seeyou asvulnerable,imper-
fect,andhuman.Failuremakesyou relat-
able,andhandlingthe failurewell makes
you likeable.
How do you handlefailurewell?The
sameway a characterin a moviemight.
First,allow yourselfto feelthedisappoint-
mentof theloss.Instinctively,we like
characterswho arevulnerable,andour
heartsgo out to thosesufferingpain,loss,
or humiliation,especiallywhenundeserved.
(Conversely,we distrustthosewho seem
imperviousto suffering.)But painmustbe
bornewith graceandwithout complaining,
self-pity,or blamingothers.Weadmirethose
who worry aboutothersin theirmoment
of loss- soworry moreaboutyour volun-
teer'sfeelingsandtakethetimeto makesure
theydon't think theyhavefailedin anyway.
Acceptall theblameyourself.
But thething we admiremostof all in a
characterisperseverance.You keepgoing.
Own thefailurebut - andthis is essential-
do not let it stopyou! Here'stherestof Sam's
speechon darknessandfailurefromFellow-
shipof the Ring:"But in theend,it'sonly a
passingthing,thisshadow.Evendarkness
mustpass.A newdaywill come.And when
thesunshines,it will shineout theclearer.
Thosewerethestoriesthat stayedwith you,
that meantsomething,evenif you weretoo
smallto understandwhy.But I think, Mr.
Frodo,l do understand.I know now.Folk in
thosestorieshadlotsof chancesof turning
back,onlytheydidn't.Theykeptgoing."
A herodoesnot giveup. Yes,hefails
andhe suffers,but heusesthis failureas
fuel- hegainsinsightfrom it. He refuses
to giveup. And thenherisesup and suc-
ceedsin theend.
A heroacceptsfailure.He doesnot
acceptdefeat.In fact,heis willing to face
an evenbiggerchallenge.lnThe Auengers,
whentheteamis defeatedby Loki and a
smallshipof henchmen,theygo on to face
not justLoki, but an entirearmyof Chi-
tauri! On flyingscooters!And a bunchof
hugearmoredflyingwhalethings!
Soif you fail, you try again.And You
try bigger.
To givea specificexampleof how this
might work in a mentalismshow,I'll
relatean effectthat wassharedwith me
by BenCummings.He endshis actwith
a three-phasebook testroutine,starting
with The Mother of All Book Testsand
endingwith my own theTossedOut Book
Test(whichis why he sharedthis with
me).But it's his secondphasethat I want
to talk abouthere,andyou'll readilysee
how this strategycanbeappliedto other
situations.His secondphaseis this:he
doesa book testwith an ungaffedbook,
the strictestconditions,and absolutely
no methodJIt's designedto fail, andfail
big! But it failsat just theright moment
in his routine:long afterhehascreateda
rapport and establishedhis skill - pretty
muchexactlywhereyou'd find the "dark
moment" in a movie,iust beforethe final
challenge,settingup the big finish.He tells
me that whenhethengoesinto theTossed
Out Book Test,in which he facesthe even
longeroddsof readingfivemindsat once'
it just slaysthem.
Gracein failure.Disappointmentwith-
out self-pity.Acceptanceand learningfrom
mistakes.Perseverancein thefaceof an
evengreaterchallenge.This is what gives
the final victory meaning.This transforms
a simplevictory into redemption,which is
themostpowerful story of all.M
M A G I C I U L Y 2 0 1 ' 3 2 1