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In a further study it was found that if the motivational feedback of the drinker s check-up was given as an initial intervention prior to entry into an inpatient clinic, patients were found to have a better outcome The therapists for this group reported that their patients had participated more fully in treatment and appeared to be more motivated (Brown & Miller, 1993; Bien et al, 1993) Motivational interviewing has been found to be effective in several forms of behaviour change The effectiveness has been demonstrated in randomised-controlled trials for alcohol abuse (Project Match Research Group, 1997; Heather, 1996; Gentilello et al, 1999; Handmaker et al, 1999; Senft, 1997), smoking (Butler et al, 1999; Colby, 1998), exercise acquisition (Harland et al, 1999), weight loss (Smith et al, 1997), and fat intake (Mhurchu et al, 1998).

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Motivational interviewing is a directive, client-centred counselling style that aims to help patients to explore and resolve their ambivalence about behaviour change It combines elements of style (warmth and empathy) with technique (eg key questions and focused re ective listening) One of the principles of this approach is that head to head con ict is unhelpful What is more helpful is a collaborative, shoulder to shoulder relationship in which therapist and patient tackle the problem together The patient s motivation to change is enhanced if there is a gentle process of negotiation in which the patient, not the practitioner, articulates the bene ts and costs involved.

16. John A. Rohr, Ethics for Bureaucrats: An Essay on Law and Values (New York: Marcel Decker,

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Rollnick and Miller (1995) were able to de ne speci c and trainable therapist behaviours that they felt led to a better therapeutic alliance and better outcome (Rollnick & Miller, 1995) A good motivational therapist was able to: (1) understand the other person s frame of reference (2) express acceptance and af rmation (3) lter the patient s thoughts so that motivational statements are ampli ed and nonmotivational statements are dampened (4) elicit self-motivational statements from the client: expressions of problem recognition, concern, desire, intention to change and ability to change (5) match processes to the stage of change, and ensure that they do not jump ahead of the client (6) af rm the client s freedom of choice and self-direction (1), (3), (4) and (5) cover issues relating to the transtheoretical model of change.

* These f igures will vary based on climate (e.g., northern parts of the state versus southern, size of house, construction, insulation, age of systems, etc.)

They explore the reasons that sustain the behaviour and aim to help the client to shift the decisional balance of pros and cons into the direction of change Items (2) and (6) cover the interpersonal aspects of the relationship The therapist needs to provide a warm, optimistic setting and take a subordinate, non-powerful position by emphasising the client s autonomy and right to choose..

and no more. Simple but deadly. With the stroke of a pen (or a word processor), the court had narrowed the scope of tens of thousands of subsisting patents patents that had been prosecuted in reliance on a body of law now suddenly, and retroactively, reversed. Approximately 1.2 million currently subsisting patents include claims that were amended during prosecution and are, therefore, affected by this decision. Dickens allowed Ebenezer to escape the haunting by reforming (actually, old Eb overreacted by becoming a spendthrift). The CAFC offers patentees no such escape. Salvation will occur only when the Supreme Court, which has recently granted certiorari (arcane terminology meaning they agreed to consider the matter), drives a stake through its heart and lays it to rest. At present, one can only hope for such an exorcism. In the meantime, various prosecution tactics are being proposed in an effort to deal with the (as yet unclear) effects of the decision. While the efficacy of these tactics is yet to be determined, the universal result (surprise!) is to vastly increase the costs of patent prosecution.

TABLE 8.1 Selected Quantiles of the Density Functions of Figure 8.4 for the Retinopathy Dataa Percentile 0.25 0.50 0.75 0.90 0.95 0.99 Mean s.d. Maximum Likelihood 175.1 304.35 513.2 785.11 990.02 1465.07 383.01 300.58 Bayes Predictive Density 166.48 304.95 574.77 1027.63 1455.89 2792.08 475.91 606.61

best to begin with some examples of how this could be compromised in situations possessing little or no security measures. In order to see how such measures could improve things, we now need to look at basic technologies and then see how they can be built up into standard processes for wide area operation.

Figure 5-3 is the page displayed from the JSP code in Listing 5-2.

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