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If a patient communicates a serious threat of physical violence against an identifiable victim, I must take protective actions, including notifying the potential victim and contacting the police I may also seek hospitalization of the patient, or contact others who can assist in protecting the victim If I have reasonable cause to believe that the patient is in such mental or emotional condition as to be dangerous to him or herself, I may be obligated to take protective action, including seeking hospitalization or contacting family members or others who can help provide protection If such a situation arises, I will make every effort to fully discuss it with you before taking any action and I will limit my disclosure to what is necessary..

It is unlikely that the American Catholic Church has been in a more difficult crisis in decades (Plante, 2004b) The best available data suggest that approximately 4% of Catholic priests in the United States have had a sexual encounter with a minor under the age of 18 (Plante, 1999, 2004a) Since there are about 60,000 active and inactive (eg, retired) priests and brothers in the United States, about 3,000 priests may have sexually engaged with a minor Of all of the credible accusations made during the past 40 years (including during the recent crisis in 2002 2003), about 800 of the 150,000 priests (<1%) working in the United States since 1960 have been accused of sexual misconduct Eighty to 90% of all priests who abuse minors abuse adolescent boys and not prepubescent children.

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Since Exhibit 12.1 only gives us net annual saving and not net annual cash saving, we must first convert the figures to a cash basis. This is accomplished by adding back the depreciation (an expense that does not require an outlay of cash). Machine A Net annual saving Add depreciation Net annual cash saving $1,540 800 $2,340 Machine B $1,260 900 $2,160

Case Study: Xavier Experiences Bipolar Disorder (Rorschach)

(i.e., how sensations of effort are perceived as a function of gradual physiological increase). At the same time, various RPE scales were developed for various tasks (see Noble & Noble, 1998). Perhaps the most frequently used measure of perceived effort is Borg s 15 graded category scale (Borg, 1971). This scale was designed so that it directly paralleled the heart rate (HR) range of a normal, healthy male. According to the theory, if the scale ratings were multiplied by 10, HR could be calculated: HR = RPE 10 (Borg, 1961). Borg s RPE scale has been well validated, represents a reliable measure of perceptual intensity, and has proved robust in its usefulness (Noble & Noble, 1998). However, a number of researchers have questioned the efficacy of a single-item measure of effort (e.g., Hardy & Rejeski, 1989; Hutchinson & Tenenbaum, in press-a; McAuley & Courneya, 1994; Parfitt, Markland, & Holmes, 1994; Tenenbaum, 2005). It is our belief that a single-item measure of effort, such as Borg s RPE scale, is insufficient to capture the whole range of perceptual sensations that people experience when exercising or being physically active. We concur with Noble and Noble that emphasis should be placed on understanding perception, not on studying the results of the Borg scale. Until that is done, the study of perceptual response during physical activity will reflect only what the Borg scale measures (p. 356). As early as 1973 it was suggested that physiological responses account for approximately two-thirds of the variance in perceived exertion, and that different psychological factors might explain the remaining one-third of the variance (Morgan, 1973; Noble, Metz, Pandolf, & Cafarelli, 1973). Despite this early insight, scant research attention has been paid to the effect of psychological factors on per-

So, the teen is more at risk than the alter boy or girls of any age Therefore, most priest sex offenders aren t pedophiles but are ephebophiles This could seem like a minor semantic difference but the implications for prevention and treatment are important The crisis in the Catholic Church has much to do with clinical psychology First of all, 25% of the American population identify themselves as being Roman Catholic Additionally, countless people (Catholics and many non-Catholics alike) have received elementary, secondary, and/or university education through Catholic schools and universities Therefore, an enormous segment of the American population has had or continue to have direct contact with priests and the Catholic Church in at least some capacity Second, the crisis in the Catholic Church is a crisis of behavior This includes the behavior of priests and other male Catholic clergy (eg.

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