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Childhood Trauma : Kurt Cobain’s Childhood

Kurt Cobain's childhood

I was a big fan of Kurt Cobain (1967-1994) and his band, Nirvana. I therefore remember where I was when I first heard news of his death – it came on the TV in the gym I was in at the time (in an uninspiring town called Watford just north of London, UK, as you ask). I had three things in common with him.

I was born in the same year as he was (1967) and, also like him, had developed a considerable degree of both emotional and behavioural instability (despite doing, somehow, an MSc at the time). Thirdly, we had both experienced significant childhood trauma. (Actually, his parents divorced when he was seven years old, whilst mine had divorced when I was eight years old, so that’s very nearly four things in common. I was not, however, to the best of my recollection, an international grunge rock superstar.)

Like many sensitive children, it was obvious from an early age that Kurt Cobain was very creative. Also, like an increasingly large number of young people these days ( and it is certainly argued in some quarters that this ‘condition’ is over-diagnosed) he was labelled ‘HYPERACTIVE’ – now usually described as having ADHD (‘ATTENTION DEFICIT HYPERACTIVITY DISORDER’) and prescribed the drug called RETALIN (paradoxically, retalin is a derivative of amphetamine which, itself, more usually has a stimulant effect).

Due to his extreme sensitivity, Kurt Cobain experienced great distress and emotional trauma as a result of his parents’ divorce. When this shattering event occurred, he was just seven years old. It is recorded that he reported feeling unloved and deeply insecure after the divorce took place.

On top of all this, his life was made chaotic and disorganized by frequent moves to different geographical locations during which period he stayed with various different sets of relatives; this pattern of constant transience meant relationships he tried to form became disrupted and truncated.

Like many young people suffering from emotional distress, Kurt Cobain learned to mentally ‘escape’ – in his case by losing himself in his music and developing his enormous musical talent.

The psychological symptoms of his tortured emotional state started to manifest themselves in the form of INSOMNIA and a chronic stomach complaint which may well have been PSYCHOSOMATIC in origin ( the word ‘psychosomatic’ refers to the mechanism whereby mental stress causes physical problems – in other words, the mind’s effect upon the body).

In order to try to cope with his feelings of intense pain (both mental and physical) he started to ‘self-medicate’ with narcotics. (Psychologists would describe this as ADOPTING A MALADAPTIVE COPING MECHANISM IN ORDER TO DISSOCIATE FROM INTOLERABLE PAIN; see my post entitled: CHILDHOOD TRAUMA, BORDERLINE PERSONALITY DISORDER (BPD) AND DISSOCIATION in order to learn more about the phenomenon of dissociation acting as a psychological defense mechanism.)

When his band, Nirvana, became an international sensation, the effects of fame (as many famous people discover too late) caused him further severe stress. He was not comfortable around the media and found the attention, in general, overwhelming and intrusive. He became deeply, clinically depressed, complained that he derived no pleasure whatsoever from performing in front of thousands of adoring fans, and, eventually, attempted suicide in March 1994. He entered a coma and was hospitalized.

Very soon after this, he entered a drug rehabilitation facility in Los Angeles in an attempt to address his drug addiction. Within two days, however, he fled the hospital, and, overwhelmed by feelings of despair and utter hopelessness, committed suicide in his home by first injecting himself with a massive overdose of heroin and then shooting himself in the head using a shotgun.

It is a very sad fact that many talented and creative people seem to be more prone than average to extreme mental turmoil. Kurt Cobain was one such person, and, this, tragically, led to a vastly talented, perceptive and sensitive human being’s life coming to a far too premature end.

David Hosier BSc Hons; MSc; PGDE(FAHE).

Childhood Trauma: What Experiments on Causes of Aggression in Rats Tell Us.

high-and -low- functioning-BPD

Effect Of Trauma On Young Rats’ Brains :

A recent Swiss study by Marquez et al. (2013) has looked at the effects of trauma on ‘adolescent’ rats. It was found that those rats who were exposed to trauma (fear and stress inducing stimuli) suffered adverse PHYSICAL EFFECTS ON THE BRAIN (specifically, the PREFRONTAL CORTEX). This, in turn, leads to them displaying significantly more aggressive behavior than non-traumatized rats.

Effect Of Separation From Mothers :

A very similar effect has been found to occur in young rats SEPARATED FROM THEIR MOTHERS.
Furthermore, ‘adolescent’ rats exposed to trauma also develop ANXIETY and DEPRESSION type behaviors. They were found to also have increased activity in the brain region known as the AMYGDALA (which is linked to FEAR and VIOLENCE in humans). Additionally, they developed abnormally high levels of TESTOSTERONE ( a hormone which, in humans, is linked to AGGRESSION and VIOLENCE). Even the rats’ DNA was found to be affected by the trauma (specifically, MAOA genes). These genes act to break down SEROTONIN (a brain chemical, or neurotransmitter) and damage to it leads to too much serotonin being broken down which, in turn, leads to aggressive behaviour.

Comparison With Adult Rats :

However, ADULT RATS exposed to trauma did not undergo the same behavioral changes, so:

THE RESEARCH SUGGESTS IT IS TRAUMA IN EARLY LIFE, RATHER THAN IN ADULTHOOD, WHICH HAS ESPECIALLY DEEP EFFECTS ON THE CHEMISTRY AND PHYSICAL STRUCTURE OF THE BRAIN, THAT LEADS TO A PROPENSITY FOR AGGRESSIVE BEHAVIOR.

CONCLUSION:

To what degree can we apply these findings to the effects of childhood trauma in HUMANS?

In fact, the findings I’ve outlined above mirror very accurately findings from studies on humans; this suggests that similar physiological processes are going on in both rats and humans as a result of early trauma.

Studies on non-human primates have also given rise to very similar findings.

It is hoped that such research showing that physiological effects of early trauma seem to underlie a development of a greater propensity towards violence and aggression will help lead to drugs being developed that can reverse these physiological effects and therefore reduce levels of aggression in individuals affected by early trauma. With this aim in mind, further human and non-human studies are being conducted.

David Hosier BSc Hons; MSc; PGDE(FAHE).

Effects of Childhood Trauma: The Interaction between Nature and Nurture.

TONY SOPRANO: And to think I’m the cause of it.

DR. MALFI: How are you the cause of it?

TONY SOPRANO: It’s in his blood, this miserable fucking existence. My rotten fucking putrid genes have infected my kid’s soul. That’s my gift to my son.

Studies have shown that male children who are severely maltreated are more prone to anti-social and violent behaviour in later life. Is this due to their parents passing on ‘bad’ genes, the child growing up in a ‘bad’ environment, or a combination of the two?

A study by Moffit et al looked at how children’s genes interacted with their environment to produce (or not to produce) later anti-social behaviour.

The study focused upon one particular group of genes known as MAOA genes (MAOA is an abbreviation for the brain chemical MONOAMINE OXIDASE A).

It was found that those with high activity MAOA genes were, in the main, protected from the potential adverse effects of the problematic environment in which they were brought up:

THEIR HIGH ACTIVITY MAOA GENES MADE THEM RESILIENT AGAINST ENVIRONMENTAL INFLUENCES WHICH CAN OTHERWISE LEAD TO AN ANTI-SOCIAL PERSONALITY.

The opposite was the case for those who had low activity MAOA genes:

THOSE WITH LOW ACTIVITY MAOA GENES WERE MUCH MORE LIKELY TO DEVELOP ANTI-SOCIAL BEHAVIOUR PATTERNS IF THEY WERE MALTREATED AS CHILDREN COMPARED TO THOSE WITH HIGH ACTIVITY MAOA GENES.

In the study, those in the second group (low activity MAOA genes) commited four times as many assaults, robberies and rapes.

WHAT CAN BE CONCLUDED FROM THIS?

It seems, therefore, that PARTICULARLY BAD OUTCOMES, IN TERMS OF PROPENSITY TO DEVELOP ANTI-SOCIAL BEHAVIOUR, are much more likely if the individual in question has had BOTH a ‘bad’ childhood environment AND has inherited ‘bad’ genes (low activity MAOA genes). Indeed, it would appear that the JOINT EFFECT of BOTH is GREATER THAN THE SUM OF THE PARTS of the two factors.

This finding has been confirmed by other studies showing that low activity MOAO genes are connected with the development of anti-social behaviour.

TREATMENT IMPLICATIONS:

These findings have implications for treatment of psychological conditions associated with aggression as there are drugs which alter brain neurochemistry by acting upon monoamine oxidase. However, it should be noted that these drugs are not without risk and cannot always be guaranteed to be helpful. All treatment options require consultations with the relevant medical experts.

If you would like to view an infographic which shows how childhood trauma and genes interact to produce vulnerability to various conditions please click here,

 

David Hosier BSc Hons; MSc; PGDE(FAHE).

Types of Relationship Problems The Individual May Experience As A Result Of Childhood Trauma.

 

Childhood Trauma And Adult Relationships :

Early relationships between the parent and child have an enormous impact upon how the child manages relationships throughout later life.

If the child experiences significant difficulties with relating to his/her parents, it often leads to problems with relating to others later on in life.

Secure Attachment :

The developmental psychologist, John Bowlby  proposed that there were, in very broad terms, two types of attachment that the child could form with the parent/s: SECURE ATTACHMENT and INSECURE ATTACHMENT.

Insecure Attachment :

If INSECURE ATTACHMENT develops, due to problems with how the parent relates to the child, the child often goes on to develop relationship problems with others in later life, because, according to Bowlby, s/he is prone to develop maladaptive (counter-productive) ways of relating to others which Bowlby terms MALADAPTIVE ATTACHMENT STYLES.

Bowlby proposed that there were three main types of maladaptive attachment style which the child could develop due to his/her problematic parenting; these are:

1) INSECURE-AVOIDANT ATTACHMENT STYLE
2) INSECURE-AMBIVALENT ATTACHMENT STYLE
3) INSECURE-DISORGANIZED ATTACHMENT STYLE

1) Insecure-avoidant attachment style:

Children who relate to others in this way may appear withdrawn, and, sometimes, hostile. By keeping their distance from others, they reduce their feelings of anxiety. However, underlying this there tends to be a great vulnerability and need. In adulthood, they are likely to continue to be distrustful of others and to maintain an emotional distance. Again, though, great vulnerability and need tend to underlie this.

Because the individual who develops this attachment style tends to be constantly expecting to be let down and betrayed by the person s/he is relating to, s/he may overcompensate for this feeling of vulnerability by becoming over-controlling, in an attempt to stop the person from ‘getting away’.

Individuals who develop this attachment style often have parents who were unresponsive to the needs of the child, lacked warmth and showed little love. The parents may have rejected the child’s attempts to form a close relationship with them.

childhood_trauma_adult_relationships

2) Insecure-ambivalent attachment style:

With this style, the child oscillates between ‘clinging’ to others and angrily rejecting them – this tends to occur in ways which are largely unpredictable. Their relationships with others tend to be HIGHLY EMOTIONALLY VOLATILE. Also, they tend to be EXTREMELY SENSITIVE TO ANY SIGNS THEY ARE BEING REJECTED (sometimes misinterpreting signals and reading negativity into them when none was intended) and can become extremely angry if they believe that they are being rejected. Underneath this display of anger, however, the individual experiences deep hurt and emotional pain in response to the perceived rejection.

This pattern of relating to others often continues into adulthood. As with insecure-avoidant attachment styles, they may overcompensate for their profound fear of being abandoned by becoming over-controlling.

Individuals who develop this attachment style have often had parents who were unreliable and unpredictable in their manner of relating to the child – sometimes being available and sometimes not.

3) Insecure-disorganized attachment style:

This attachment style develops more rarely and is usually connected to particularly severe trauma during childhood.

Children with this attachment style tend to be HIGHLY SUSPICIOUS of others and EXTREMELY CAUTIOUS about forming relationships.

In adulthood, this tends to lead to profound difficulties with developing any kind of relationship and maintaining it – in any relationship the individual does manage to form, s/he will tend to behave in a highly unpredictable way and be highly vulnerable to sustaining further emotional wounds when they are, all too frequently, rejected for being too ‘difficult.’

A deep seated fear of others often underlies this attachment style which can lead to exploitation.

Individuals who develop this attachment style have often suffered severe abuse and have, also, often been brought up in environments which were extremely CHAOTIC and NEGLECTFUL.

This post is based upon John Bowlby’s Attachment Theory.

To read my post on types of relationship difficulties individuals may experience as a result of childhood trauma, please click here.

David Hosier BSc Hons; MSc; PGDE(FAHE).

How Childhood Trauma Can Reduce Life Expectancy By 19 Years.

 

childhood trauma's effect on life expectancy

This article aims to briefly explain how childhood trauma can reduce life expectancy by 19 years but, also, why this need not be the case.

Childhood trauma clearly puts the child who experiences it under great stress; the more protracted and intense the traumas, and the more traumas the child suffers, all else being equal, the more stress is inflicted upon the child.

A recent study has shown that an especially traumatic childhood (in which the child experiences several types of trauma) may reduce life expectancy by about 19 years (from approximately 79 years for those who experienced no significant trauma, to about 60 years for those who experienced many significant traumas).

In the study, the traumas experienced included the following:

– witnessing domestic violence
– emotional/verbal abuse
– physical abuse
– parental alcohol/drug misuse
– parental imprisonment
– parental separation/divorce

childhood trauma reduces life expectancy

SPECIFIC DETAILS OF THE STUDY:

– those who had suffered 6 or more traumas, on average, lost about 19 years of life (dying, on average, at about 60 years, rather than at about 79 years, as was the average age of death of those who had suffered no significant trauma).

– those who had suffered 3 to 5 traumatic events lost, on average, 5.5 years of life, dying, on average, at 73.5 years.

-those who had suffered 2 traumatic events lost, on average, about 3 years of life, dying, on average, at about 76 years.

POSSIBLE REASONS FOR THE ASSOCIATION BETWEEN CHILDHOOD TRAUMA AND LOWER LIFE EXPECTANCY:

One theory is that childhood trauma can lead to CELL DAMAGE (specifically, inflammation and premature aging of the cells). It is also thought that exposure to high and sustained stress in childhood can also DAMAGE DNA strands; this, in turn, can lead to increased risk of disease and premature death.

Furthermore, extreme stress in childhood (which makes it far more likely the child will go on to have a stressful adult life) leads to greater production in the body of ADRENALINE (a neurotransmitter which prepares the body for ‘fight or flight’) and also of CORTISOL (a stress hormone); these biochemical effects increase the individual’s likelihood of developing disease.

CHILDHOOD TRAUMA LEADING TO HARMFUL ADULT BEHAVIOURS:

Because individuals who suffer childhood trauma tend to have much more stressful adult lives, as adults they are more likely to utilize coping strategies which are, in the long-term, damaging (these are known as MALADAPTIVE COPING STRATEGIES). They include:

– smoking
drinking alcohol to excess
– illicit drug use
– ‘comfort eating’ of junk food

All of these behaviours, linked to childhood trauma, can dramatically reduce life expectancy.

WHY NOT TO PANIC:

Although the study shows that there is an association (or correlation) between childhood trauma and lower life expectancy, this does NOT mean that childhood trauma directly and inevitably leads to losing years of life.

Rather, the link is indirect: childhood trauma tends to lead to more stress and harmful behaviours (as already outlined) and it is these which can lower life expectancy, NOT the childhood trauma in and of itself taken in isolation.

The good news that follows from this is that we are able to address our stress and harmful behaviours (such as excessive drinking, overeating etc) either through self-help or with the aid of professional therapy; therefore, the childhood trauma we experienced need NOT lead to a shorter life.

If you would like to view an infographic which illustrates the relationship between childhood trauma and heart disease in later life please click here.

 

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Click here for further details.

David Hosier BSc Hons; MSc; PGDE(FAHE).

Borderline Personality Disorder: Raising Our Self-Esteem.

childhood-trauma-fact-sheet

WHAT IS THE EFFECT OF THINKING BADLY ABOUT OURSELVES?

Individuals with low self-esteem constantly criticize themselves. We may even META-CRITICIZE ourselves (criticize ourselves for criticizing ourselves). We oftemn focus on mistakes and over-generalize from them, believing that these mistakes completely define us as a person (thus losing perspective and ignoring the positive things about ourselves; in other words, being biased against ourselves, often because we have been programmed to dislike ourselves during childhood).

This faulty thinking style leads to depression, guilt and low confidence. We may think of ourselves as: -stupid -unlikeable -inferior -weak -incompetent etc,etc…

We need to question our negative beliefs about ourselves and ask ourselves: ARE WE CONFUSING OUR THOUGHTS ABOUT OURSELVES WITH THE ACTUAL FACTS? One of the biggest dangers of self-criticism is that it can PARALYZE and DEMORALIZE us, taking away our confidence to try to develop ourselves in life. We feel doomed to perpetual, unremitting failure.

CONSTANTLY CRITICIZING OURSELVES IS UNFAIR:

We would not follow a friend around all day and focus his attention on his every little mistake by loudly announcing it to the exclusion of everything else, so why do we think it fair to do it to ourselves – undermining ourselves, chipping further away at our own precarious confidence?

CONSTANT SELF-CRITICISM IS COMPLETELY UNREALISTIC:

Often, we criticize ourselves with the benefit of hindsight – overlooking the fact that it was not possible to have this perspective at the time, and that we reacted AS THINGS APPEARED TO US THEN.

When we criticize ourselves in RETROSPECT, we do so with the benefit of information that was not available to us at the time we acted. CONSTANT SELF-CRITICISM PREVENTS US FROM LEARNING:

By constantly criticizing ourselves we take away our confidence to tackle problems in the future that could help develop us as a person; we keep ourselves ‘stuck’. We learn much better by PRAISING OURSELVES FOR WHAT WE DO RIGHT, NOT CRITICIZING OURSELVES FOR WHAT WE DO WRONG.

If we conclude we’re a hopeless failure, condemned to be eternally incompetent and useless, when we get things wrong, we will lose all incentive to perservere and make constructive changes in our lives.

CONSTANT SELF-CRITICISM IS MASOCHISTIC:

By constantly criticizing ourselves, we are kicking ourselves when we are down. We might be criticizing ourselves for such things as lacking confidence or always being miserable. It is important to remember, though, that other people, too, would probably see themselves in the same way if they had had the same experiences as us. It is a NATURAL and COMMON response to stressful events and does not mean that there is anything fundamentally wrong with us.

OVERCOMING OUR CRITICAL THOUGHTS:

-Spotting our self-critical thoughts: self-critical thoughts can become automatic, a routine we have never actively tried to change. We may not even have considered that we can change, assuming they were an essential and intransigent part of our nature.

But changing the way we think about ourselves changes the way we feel and behave, so it is necessary for us to stop being so hard on ourselves and focus much more on our positive qualities an our potential to grow as a person as we would like to.

We need to stop feeling excessive guilt and disappointment in ourselves and realize such thoughts are most probably the result of depressed, faulty self-judgments and do not accurately reflect the person we actually are.

We need to gradually distance ourselves from these erroneous, negative self-descriptions that we have, up until the time we undertake to change, imposed upon ourselves.

Challenging our negative thoughts about ourselves:

When we have negative thoughts about ourselves we can do the following:

-tell ourselves our thoughts about ourselves could be completely mistaken, unrealistic and unfair. Also, they may be caused by an irrational guilt complex and a subsequent unconscious wish to punish ourselves.

-concentrate on all the evidence AGAINST our negative view of ourselves.

-consider other perspectives: are we taking the most negative one possible?

-remind ourselves that our negative thoughts are keeping us stuck in our life situation, making us too depressed, unmotivated and lacking necessary confidence to develop our full potential and to change our lives for the better.

-remind ourselves that we are almost certainly judging ourselves too harshly; much more harshly, say, than we would judge a friend. -remind ourselves that it is irrational to write ourselves off as a person due to some past mistakes and weaknesses. -make more of our strengths and less of our weaknesses.

-stop feeling disproportionately guilty about mistakes made in relation to great stress.

RESOURCES

TEN STEPS TO SOLID SELF-ESTEEM MP3CLICK HERE

CHALLENGING NEGATIVE THOUGHTS MP3CLICK HERE

David Hosier BSc Hons; MSc; PGDE(FAHE).

Psychotherapeutic Interventions That Research Suggests Are Helpful For Individuals Suffering with Borderline Personality Disorder (BPD).

childhood-trauma-fact-sheet

A quick search of the internet reveals a very large range of therapies on offer which purport to treat BPD effectively. Indeed, the sheer range of putative treatments can seem confusing and overwhelming.

It is for this reason that I concentrate on just six treatments which research suggests are the most beneficial.

Let’s look at each of these in turn:

1) MENTALIZATION-BASED THERAPY (MBT).

My previous post on BPD referred to how people suffering from it have difficulties with how they are attached to (ie how they relate to) PRIMARY CARE GIVERS (eg parents). This can manifest itself in ATTACHMENT DISORDERS (which I also looked at in my last post) making other relationships they develop in adult life very difficult, volatile, complex, painful and distressing.

MBT seeks to help the person understand the roots of these difficulties and how their feelings and behaviours may be impacting on their relationships which in turn makes these relationships problematic.

Research shows that outcomes of MBT treatment have so far been very encouraging.

As well as reducing relationship problems, the therapy has also been found to lessen the likelihood of suicidal ideation ( thoughts and plans about suicide) and hospitalizations. Also, it has been shown to improve day-to-day functioning.

2) SCHEMA THERAPY.

Schemas are deeply entrenched beliefs relating to both oneself and the world in general. In people with BPD, these schema can be extremely negative (inaccurately so) and very unhelpful (or, to use a more technical term, MALADAPTIVE) to the individual who holds them.

Very often, they stem from a negative mindset which developed during the individual’s early life, due to, in no small part, childhood trauma. It is worth repeating that these negative schema can be very deeply ingrained and colour the individual’s entire outlook on life.

Schema therapy seeks to change these maladaptive schema into more adaptive (helpful) ones.

Treatment can be very lengthy, but there is strong evidence that it can significantly reduce symptoms of BPD.

Research into this type of treatment remains ongoing and I will report on any significant developments.

3) TRANSFERENCE-FOCUSED PSYCHOTHERAPY (TFP).

It is certainly worth first defining the psychotherapeutic idea of TRANSFERENCE:

it may be defined as: THE INAPPROPRIATE REPETITION IN THE PRESENT OF A RELATIONSHIP THAT WAS IMPORTANT TO THE PERSON’S CHILDHOOD.

For example, if our parents hurt, exploited or rejected us as children, in adult life we might feel that everyone we get to know will do the same, but without evidence that this will be the case (we are basing our view on a past relationship which is now not relevant).

The treatment aims to help individuals stop viewing present relationships in a rigid way determined by their painful past and show them that they could be misperceiving their present interactions with others ( including the therapist, as often individuals transfer the feelings they had for their parents as children -eg resentment- onto the therapist in the present).
Research, so far, has shown positive results and remains ongoing.

4) COGNITIVE THERAPY.

Cognitive therapy has long been known to be a very effective treatment for conditions such as anxiety and depression, and it is now being increasingly used to treat BPD. Studies of its effectiveness in relation to this have, so far, been encouraging.

One advantage of cognitive therapy is that it often leads to very significant improvements over quite short treatment periods. I myself underwent cognitive therapy and found it very beneficial.

Cognitive therapy focuses on correcting faulty, distorted, negative thinking styles relating to how we view ourselves, the world and the future. I write in more detail about cognitive therapy in the EFFECTS OF CHILDHOOD TRAUMA category of my blog.

5) DIALECTIC BEHAVIOUR THERAPY (DBT).

The studies on this therapy have , so far, given mixed results. It has been shown, though, in several pieces of research, to reduce the likelihood of suicide attempts in the individual undergoing treatment (the risk of suicide in people suffering from BPD without treatment is high).

Also, after a year of treatment, individuals report a more general improvement in their condition, but, unfortunately, often are still left with significant levels of distress. More studies are required, and, indeed, are being conducted to see if longer treatment periods yield better outcomes. I will report on any significant developments in this area.

DBT draws on psychotherapy, group therapy, meditation, elements of Buddhism and cognitive-behaviour therapy. More research needs to be conducted on the therapy to discover which of its varied components are the most effective in treating BPD. Again, I will report on significant developments.

6) MEDICATION.

Whilst there is, at the moment, no obvious, single medication to treat the whole range of BPD symptoms equally effectively, there are, nevertheless, established medications which can help with some of the symptoms the BPD sufferer might experience, such as anxiety and depression. This is, though, of course, the province of GPs and psychiatrists.

borderline personality disorder ebook.  CPTSD ebook

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Best wishes, David Hosier BSc Hons; MSc; PGDE(FAHE).

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