Early Intervention Quotes

fat hate starts young, that its trauma can last a lifetime, and that early intervention will be essential to raising a generation of more compassionate people.

As well, they used their B-52 bombers to drop thousands of tons of bombs which included napalm and cluster bombs. In a particularly vile attack, they used poisonous chemicals on our base regions of Xuyen Moc, the Minh Dam and the Nui Thi Vai mountains. They sprayed their defoliants over jungle, and productive farmland alike. They even bull-dozed bare, both sides along the communication routes and more than a kilometre into the jungle adjacent to our base areas. This caused the Ba Ria-Long Khanh Province Unit to send out a directive to D445 and D440 Battalions that as of 01/November/1969, the rations of both battalions would be set at 27 litres of rice per man per month when on operations. And 25 litres when in base or training. So it was that as the American forces withdrew, their arms and lavish base facilities were transferred across to the RVN. The the forces of the South Vietnamese Government were with thereby more resources but this also created any severe maintenance, logistic and training problems. The Australian Army felt that a complete Australian withdrawal was desirable with the departure of the Task Force (1ATF), but the conservative government of Australia thought that there were political advantages in keeping a small force in south Vietnam. Before his election, in 1964, Johnston used a line which promised peace, but also had a policy of war. The very same tactic was used by Nixon. Nixon had as early as 1950 called for direction intervention by American Forces which were to be on the side of the French colonialists. The defoliants were sprayed upon several millions of hectares, and it can best be described as virtual biocide. According to the figure from the Americans themselves, between the years of 1965 to 1973, ten million Vietnamese people were forced to leave their villages ad move to cities because of what the Americans and their allies had done. The Americans intensified the bombing of whole regions of Laos which were controlled by Lao patriotic forces. They used up to six hundred sorties per day with many types of aircraft including B52s. On 07/January/1979, the Vietnamese Army using Russian built T-54 and T-59 tanks, assisted by some Cambodian patriots liberated Phnom Penh while the Pol Pot Government and its agencies fled into the jungle. A new government under Hun Sen was installed and the Khmer Rouge’s navy was sunk nine days later in a battle with the Vietnamese Navy which resulted in twenty-two Kampuchean ships being sunk.

That war [Bosnian war] in the early 1990s changed a lot for me. I never thought I would see, in Europe, a full-dress reprise of internment camps, the mass murder of civilians, the reinstiutution of torture and rape as acts of policy. And I didn't expect so many of my comrades to be indifferent - or even take the side of the fascists. It was a time when many people on the left were saying 'Don't intervene, we'll only make things worse' or, 'Don't intervene, it might destabilise the region. And I thought - destabilisation of fascist regimes is a good thing. Why should the left care about the stability of undemocratic regimes? Wasn't it a good thing to destabilise the regime of General Franco? It was a time when the left was mostly taking the conservative, status quo position - leave the Balkans alone, leave Milosevic alone, do nothing. And that kind of conservatism can easily mutate into actual support for the aggressors. Weimar-style conservatism can easily mutate into National Socialism. So you had people like Noam Chomsky's co-author Ed Herman go from saying 'Do nothing in the Balkans', to actually supporting Milosevic, the most reactionary force in the region. That's when I began to first find myself on the same side as the neocons. I was signing petitions in favour of action in Bosnia, and I would look down the list of names and I kept finding, there's Richard Perle. There's Paul Wolfowitz. That seemed interesting to me. These people were saying that we had to act. Before, I had avoided them like the plague, especially because of what they said about General Sharon and about Nicaragua. But nobody could say they were interested in oil in the Balkans, or in strategic needs, and the people who tried to say that - like Chomsky - looked ridiculous. So now I was interested.

What sort of early interventions might have helped them before the medications took their toll, neutralizing them without curing them? And what about the thousands of people who couldn’t afford what her son had—who languish because of a lack of resources, or a stigma from a society that would prefer to pretend that people like them do not exist?

Early intervention is essential to overcoming an addictive habit.

And for me, the really fascinating part is the power of brief but positive caregiving interactions. Some of the children we studied had attentive and responsive care for only the first two months of life-and then their world imploded. Years of chaos, threat, instability, and trauma followed those positive two first months-yet they did much better than children who experienced initial trauma and neglect followed by years of attentive, supportive care. It is the timing that is so important. The value of early intervention programs, even those that have only brief ‘doses’ of positive interaction, can’t be underestimated.

It is similar to one brother asking another, “Why did you grow up to be a drunk?” The answer is “Because Dad was a drunk.” The second brother then asks, “Why didn’t you grow up to be a drunk?” The answer is “Because Dad was a drunk.” Some more complete answers are found in Robert Ressler’s classic book Whoever Fights Monsters. He speaks of the tremendous importance of the early puberty period for boys. Before then, the anger of these boys might have been submerged and without focus, perhaps turned inward in the form of depression, perhaps (as in most cases) just denied, to emerge later. But during puberty, this anger collides with another powerful force, one of the most powerful in nature: sexuality. Even at this point, say Ressler and others, these potential hosts of monsters can be turned around through the (often unintentional) intervention of people who show kindness, support, or even just interest. I can say from experience that it doesn’t take much.

There is something living deep within us all that welcomes, even relishes, the role of victimhood for ourselves. There is no cause in the world more righteously embraced than our own when we feel someone has wronged us. Perhaps it is a psychological leftover from early childhood, when we felt the primeval terror of the world around us and yearned for the intervention of a mother/protector to keep us safe. Perhaps it makes it easier to explain away our personal failures when the work of an enemy can be blamed. Perhaps we just get tired of long explanations and like the cleanliness of an easy solution. It is for wiser people than me to say. Whatever its allure, this primitive ideology of Hutu Power swept through Rwanda in 1993 and early 1994 with the speed of flame through dry grass.

Joining a gang is like sky diving without a parachute. Oh, at first it’s all fun, as you take on gravity in a thrilling and exhilarating free fall towards earth. The truth is, anything that is risky and dangerous always starts out as fun. But the odds are always stacked in gravity’s favor, for you will eventually come face to face with the earth, and mother earth always wins those battles. The same thing can be said about being in a gang.

A two-year government-funded study published in the American Journal of Psychiatry has shown that early intervention after “first breaks”—or the first time experiencing the profound symptoms of serious mental illness—involving antipsychotic medication management combined with a “comprehensive, multi-element approach,” which includes family support and psychotherapy, created the best outcomes.

The constitution of Darvell, which must from his appearance have been in early life more than usually robust, had been for some time gradually giving away, without the intervention of any apparent disease: he had neither cough nor hectic, yet he became daily more enfeebled; his habits were temperate, and he neither declined nor complained of fatigue; yet he was evidently wasting away: he became more and more silent and sleepless, and at length so seriously altered, that my alarm grew proportionate to what I conceived to be his danger.

There was much talk in the American press in the early eighties about the political cautiousness of a new generation of college students concerned mostly with their own careers. But when, at the Harvard commencement of June 1983, Mexican writer Carlos Fuentes criticized American intervention in Latin America, and said, “Because we are your true friends, we will not permit you to conduct yourselves in Latin American affairs as the Soviet Union conducts itself in Central European and Central Asian affairs,” he was interrupted twenty times by applause and received a standing ovation when finished.

Prediabetes is easily identified through clinical measurements such as insulin resistance, fasting glucose levels, and glycated hemoglobin (HbA1c, often abbreviated to A1c). Unfortunately, we act on these measurements far less frequently than we should. Early interventions are far easier and far more effective than the more complex and generally ineffective therapies available to treat advanced diabetes. In most cases, all it takes to reverse prediabetes are some straightforward lifestyle choices, including a decrease in dietary sugar and an increase in exercise. These changes require some discipline but are generally simple and even pleasurable.

All parents want to hear good things about their children, but sometimes you had to say bad things. If you said the bad things to subtly, the parents didn't believe you. If you said the bad things too baldly, the parents got upset. Actually, they often didn't believe you anyway and then they got upset, too. It was like having an intervention for an alcoholic every twenty minutes for an entire working day.

helping the public grasp during the early part of the epidemic what is likely to happen later is essential. But this is also one of the reasons it’s so difficult to sound the alarm. If we say that many people will be sick and that our world will be changed “soon,” people will look around and conclude that everything seems normal enough, so no interventions are necessary, thank you very much. And it seems normal the next day too, so the Cassandras are seen as merely alarmists.

A bare two years after Vasco da Gama’s voyage a Portuguese fleet led by Pedro Alvarez Cabral arrived on the Malabar coast. Cabral delivered a letter from the king of Portugal to the Samudri (Samudra-raja or Sea-king), the Hindu ruler of the city-state of Calicut, demanding that he expel all Muslims from his kingdom as they were enemies of the ‘Holy Faith’. He met with a blank refusal; then afterwards the Samudra steadfastly maintained that Calicut had always been open to everyone who wished to trade there… During those early years the people who had traditionally participated in the Indian Ocean trade were taken completely by surprise. In all the centuries in which it had flourished and grown, no state or kings or ruling power had ever before tried to gain control of the Indian Ocean trade by force of arms. The territorial and dynastic ambitions that were pursued with such determination on land were generally not allowed to spill over into the sea. Within the Western historiographical record the unarmed character of the Indian Ocean trade is often represented as a lack, or failure, one that invited the intervention of Europe, with its increasing proficiency in war. When a defeat is as complete as was that of the trading cultures of the Indian Ocean, it is hard to allow the vanquished the dignity of nuances of choice and preference. Yet it is worth allowing for the possibility that the peaceful traditions of the oceanic trade may have been, in a quiet and inarticulate way, the product of a rare cultural choice — one that may have owed a great deal to the pacifist customs and beliefs of the Gujarati Jains and Vanias who played such an important part in it. At the time, at least one European was moved to bewilderment by the unfamiliar mores of the region; a response more honest perhaps than the trust in historical inevitability that has supplanted it since. ‘The heathen [of Gujarat]’, wrote Tomé Pires, early in the sixteenth century, ‘held that they must never kill anyone, nor must they have armed men in their company. If they were captured and [their captors] wanted to kill them all, they did not resist. This is the Gujarat law among the heathen.’ It was because of those singular traditions, perhaps, that the rulers of the Indian Ocean ports were utterly confounded by the demands and actions of the Portuguese. Having long been accustomed to the tradesmen’s rules of bargaining and compromise they tried time and time again to reach an understanding with the Europeans — only to discover, as one historian has put it, that the choice was ‘between resistance and submission; co-operation was not offered.’ Unable to compete in the Indian Ocean trade by purely commercial means, the Europeans were bent on taking control of it by aggression, pure and distilled, by unleashing violence on a scale unprecedented on those shores.

With secular governments giving way to Islamist regimes in Turkey, Egypt and Iraq, with the Taliban on the rise in Afghanistan and an American withdrawal imminent, the global situation today has eerie parallels to the early Cold War, with implications equally dire. Yet instead of policies that put U.S. national security first and are pursued without hesitation or apology, Obama’s time in office has been marked by retreat and accommodation and even support of Islamist foes – most ominously of the Muslim Brotherhood in Egypt, which swept aside an American ally, with Obama’s personal intervention, and is busily creating a totalitarian state.

Economists use the term “human capital” to refer to the skills and abilities and qualities and resources that each individual possesses. And in the late 1990s and early 2000s, human capital became an increasingly popular way to look at the problem of poverty. No one had all the answers yet, but they had, at least, a new set of questions: What specific resources did middle-class children have that allowed them to succeed at such higher rates than poor children? What skills did poor children need to help them compete? And most important, what kind of interventions in their lives or in their parents’ lives could help them acquire those skills?

Swaddling has been shown to reduce crying and improve sleep. It is important to swaddle in a way that allows the baby to move its legs and hips. Colic is defined as excessive crying. It is self-limiting, meaning it will stop eventually. Changing formula or maternal diet, treatment with a probiotic, or both have shown some positive impacts. Collecting data on your baby is fun! But not necessary or especially useful. Exposing your infant to germs early on risks their getting sick, and the interventions for a feverish infant are aggressive and typically include a spinal tap. Limiting germ exposure may be a good idea, even if just to avoid these interventions.

But the period I studied -- the rollicking eighteenth century engraved by Hogarth -- was the one that saw the birth of America, of women's rights, and of the novel. The novel started as a low-class form, fit only to be read by serving maids, and it is the only literary form where women have distinguished themselves so early and with such excellence that even the rampant misogyny of literary history cannot erase them. Ever wonder about women and the novel? Women, like any underclass, depend for their survival on self-definition. The novel permitted this -- and pages could still be hidden under the embroidery hoop. From the writer's mind to the reader's there was only the intervention of printing presses. You could stay at home, yet send your book abroad to London -- the perfect situation for women. In a world where women are still the second sex, many still dream of becoming writers so they can work at home, make their own hours, nurse the baby. Writing still seems to fit into the interstices of a woman's life. Through the medium of words, we have hopes of changing our class. Perhaps the pen will not always be equated with the penis. In a world of computers, our swift fingers may yet win us the world. One of these days we'll have class. And so we write as feverishly as only the dispossessed can. We write to come into our own, to build our houses and plant our gardens, to give ourselves names and histories, inventing ourselves as we go along.

Smith’s concept of the mercantile system evolved—completely out of context—into the modern concept of mercantilism: a simplistic, blanket economic term used to characterize early modern economic thinkers as proponents of an interventionist, taxing, subsidizing, and warring state whose goal was to simply hoard gold. In 1931, the Swedish economic historian Eli Heckscher, in his monumental study Mercantilism, juxtaposed Colbert’s “mercantile” economics with a pure, laissez-faire system, which he felt Smith embodied, that allowed for individual and commercial freedoms without state intervention. A powerful and simplistic binary continued thereafter, one that informs our own vision of the free market today. We can see it still in Friedman’s work.

Among DID individuals, the sharing of conscious awareness between alters exists in varying degrees. I have seen cases where there has appeared to be no amnestic barriers between individual alters, where the host and alters appeared to be fully cognizant of each other. On the other hand, I have seen cases where the host was absolutely unaware of any alters despite clear evidence of their presence. In those cases, while the host was not aware of the alters, there were alters with an awareness of the host as well as having some limited awareness of at least a few other alters. So, according to my experience, there is a spectrum of shared consciousness in DID patients. From a therapeutic point of view, while treatment of patients without amnestic barriers differs in some ways from treatment of those with such barriers, the fundamental goal of therapy is the same: to support the healing of the early childhood trauma that gave rise to the dissociation and its attendant alters. Good DID therapy involves promoting co­-consciousness. With co-­consciousness, it is possible to begin teaching the patient’s system the value of cooperation among the alters. Enjoin them to emulate the spirit of a champion football team, with each member utilizing their full potential and working together to achieve a common goal. Returning to the patients that seemed to lack amnestic barriers, it is important to understand that such co-consciousness did not mean that the host and alters were well-­coordinated or living in harmony. If they were all in harmony, there would be no “dis­ease.” There would be little likelihood of a need or even desire for psychiatric intervention. It is when there is conflict between the host and/or among alters that treatment is needed.

Audiences would not be so easily fooled if they would only recall that educated people were and are more likely to be Republicans, while high school dropouts are more likely to be Democrats. Hawkish right-wing Republicans, including the core supporters of Barry Goldwater in 1964, of Ronald Reagan in 1980, and of groups like the John Birch Society, come disproportionately from the most educated and affluent segments of our society, particularly dentists and physicians. So we should not be surprised that education correlates with hawkishness. At the other end of the social-status spectrum, although most African Americans, like most whites, initially supported U.S. intervention in Vietnam, blacks were always more questioning and more dovish than whites, and African American leaders—Muhammad Ali, Martin Luther King Jr., and Malcolm X—were prominent among the early opponents of the war.22

In May 1981, Yuri Andropov, chairman of the KGB, gathered his senior officers in a secret conclave to issue a startling announcement: America was planning to launch a nuclear first strike, and obliterate the Soviet Union. For more than twenty years, a nuclear war between East and West had been held at bay by the threat of mutually assured destruction, the promise that both sides would be annihilated in any such conflict, regardless of who started it. But by the end of the 1970s the West had begun to pull ahead in the nuclear arms race, and tense détente was giving way to a different sort of psychological confrontation, in which the Kremlin feared it could be destroyed and defeated by a preemptive nuclear attack. Early in 1981, the KGB carried out an analysis of the geopolitical situation, using a newly developed computer program, and concluded that “the correlation of world forces” was moving in favor of the West. Soviet intervention in Afghanistan was proving costly, Cuba was draining Soviet funds, the CIA was launching aggressive covert action against the USSR, and the US was undergoing a major military buildup: the Soviet Union seemed to be losing the Cold War, and, like a boxer exhausted by long years of sparring, the Kremlin feared that a single, brutal sucker punch could end the contest. The KGB chief’s conviction that the USSR was vulnerable to a surprise nuclear attack probably had more to do with Andropov’s personal experience than rational geopolitical analysis. As Soviet ambassador to Hungary in 1956, he had witnessed how quickly an apparently powerful regime might be toppled. He had played a key role in suppressing the Hungarian Uprising. A dozen years later, Andropov again urged “extreme measures” to put down the Prague Spring. The “Butcher of Budapest” was a firm believer in armed force and KGB repression. The head of the Romanian secret police described him as “the man who substituted the KGB for the Communist Party in governing the USSR.” The confident and bullish stance of the newly installed Reagan administration seemed to underscore the impending threat. And so, like every genuine paranoiac, Andropov set out to find the evidence to confirm his fears. Operation RYAN (an acronym for raketno-yadernoye napadeniye, Russian for “nuclear missile attack”) was the biggest peacetime Soviet intelligence operation ever launched.

IN THE PAST, when dying was typically a more precipitous process, we did not have to think about a question like this. Though some diseases and conditions had a drawn-out natural history—tuberculosis is the classic example—without the intervention of modern medicine, with its scans to diagnose problems early and its treatments to extend life, the interval between recognizing that you had a life-threatening ailment and dying was commonly a matter of days or weeks. Consider how our presidents died before the modern era. George Washington developed a throat infection at home on December 13, 1799, that killed him by the next evening. John Quincy Adams, Millard Fillmore, and Andrew Johnson all succumbed to strokes and died within two days. Rutherford Hayes had a heart attack and died three days later. Others did have a longer course: James Monroe and Andrew Jackson died from progressive and far longer-lasting (and highly dreaded) tubercular consumption. Ulysses Grant’s oral cancer took a year to kill him. But, as end-of-life researcher Joanne Lynn has observed, people generally experienced life-threatening illness the way they experienced bad weather—as something that struck with little warning. And you either got through it or you didn’t.

While there are deeper regularities in the Universe than the simple circumstances we generally describe as orderly, all that order, simple and complex, seems to derive from laws of Nature established at the Big Bang (or earlier), rather than as a consequence of belated intervention by an imperfect deity. “God is to be found in the details” is the famous dictum of the German scholar Aby Warburg. But, amid much elegance and precision, the details of life and the Universe also exhibit haphazard, jury-rigged arrangements and much poor planning. What shall we make of this: an edifice abandoned early in construction by the architect? The evidence, so far at least and laws of Nature aside, does not require a Designer. Maybe there is one hiding, maddeningly unwilling to be revealed. Sometimes it seems a very slender hope. The significance of our lives and our fragile planet is then determined only by our own wisdom and courage. We are the custodians of life’s meaning. We long for a Parent to care for us, to forgive us our errors, to save us from our childish mistakes. But knowledge is preferable to ignorance. Better by far to embrace the hard truth than a reassuring fable. If we crave some cosmic purpose, then let us find ourselves a worthy goal. --Pale Blue Dot: A Vision of the Human Future in Space

By collecting data from the vast network of doctors across the globe, they added dozens of new compounds to the arsenal—all proven effective against COVID-19. Dr. Kory told me that he was deeply troubled that the extremely successful efforts by scores of front-line doctors to develop repurposed medicines to treat COVID received no support from any government in the entire world—only hostility—much of it orchestrated by Dr. Fauci and the US health agencies. The large universities that rely on hundreds of millions in annual funding from NIH were also antagonistic. “We didn’t have a single academic institution come up with a single protocol,” said Dr. McCullough. “They didn’t even try. Harvard, Johns Hopkins, Duke, you name it. Not a single medical center set up even a tent to try to treat patients and prevent hospitalization and death. There wasn’t an ounce of original research coming out of America available to fight COVID—other than vaccines.” All of these universities are deeply dependent on billions of dollars that they receive from NIH. As we shall see, these institutions live in terror of offending Anthony Fauci, and that fear paralyzed them in the midst of the pandemic. “Dr. Fauci refused to promote any of these interventions,” says Kory. “It’s not just that he made no effort to find effective off-the-shelf cures—he aggressively suppressed them.” Instead of supporting McCullough’s work, NIH and the other federal regulators began actively censoring information on this range of effective remedies. Doctors who attempted merely to open discussion about the potential benefits of early treatments for COVID found themselves heavily and inexplicably censored. Dr. Fauci worked with Facebook’s Mark Zuckerberg and other social media sites to muzzle discussion of any remedies. FDA sent a letter of warning that N-acetyle-L-cysteine (NAC) cannot be lawfully marketed as a dietary supplement, after decades of free access on health food shelves, and suppressed IV vitamin C, which the Chinese were using with extreme effectiveness.

Before dinner on the last night, while the guys were on the deck drinking whiskey and talking about Elon Musk, Liz and I went on a walk and she told me about a dream she’d been fixating on, a dream about what happens after mothers die. “We are all in this place. All the mothers who had to leave early.” (I would repeat her unforgettable phrasing—had to leave early—to Edward as we went to sleep that night.) “It’s huge, big as an airplane hangar, and there are all these seats, rows and rows, set up on a glass floor, so all the moms can look down and watch their kids live out their futures.” How dominant the ache to know what becomes of our children. “There’s one rule: you can watch as much and as long as you want, but you can only intervene once.” I nodded, tears forming. “So I sat down. And I watched. I watched them out back by the pool, swimming with Andy, napping on a towel. I watched them on the jungle gym, walking Lambchop, reading their Lemony Snicket books. I watched Margo taking a wrong turn or forgetting her homework. I watched Dru ignoring his coach. I watched Gwennie logging her feelings in a journal. And every time I went to intervene, to warn one of the kids about something or just pick them up to hold them, a more experienced mother leaned across and stopped me. Not now. He’ll figure it out. She’ll come around. And it went on and on like that and in the end,” she said, smiling with wet eyes, “I never needed to use my interventions.” Her dream was that she had, in her too-short lifetime, endowed her children with everything they’d require to negotiate the successive obstacle courses of adolescence, young adulthood, and grown-up life. “I mean, they had heartaches and regret and fights and broken bones,” she said, stopping to rest. “They made tons of mistakes, but they didn’t need me. I never had to say anything or stop anything. I never said one word.” She put her arm through mine and we started moving again, back toward the house, touching from our shoulders to our elbows, crunching the gravel with our steps, the mingled voices of our children coming from the door we left open.

People have traditionally talked about civilization “spreading” from place to place and not happening by other means. This is the result, I think, of two forms of self-deception. First of these is self-congratulation. If we suppose—as people throughout history have regularly supposed—that the way we live represents the climax of human achievement, we need to represent it as unique or, at least, rare: when you find a lot of examples of something that you expect to be unique, you have to explain the effect as the result of diffusion. Yet, in reality, civilization is an ordinary thing, an impulse so widespread that it has again transformed almost every habitable environment. Peoples modest enough in the faceof nature to forgo or severely limit their interventions are much rarer than those, like us, who crush nature into an image of our approving. The attitude of these reticent cultures should therefore be considered much harder to explain than that of the civilized. The second self-deception is belief in what might be called the migrationist fallacy, which powerfully warped previous generations’ picture of the remote past. Our received wisdom about prehistoric times was formulated in the late nineteenth and early twentieth centuries, when Europe was enjoying her own great imperial age. The experience of those times convinced self-appointed imperial master-races that civilization was something which descended from superior to inferior peoples. Its vectors were conquerors, colonists, and missionaries. Left to themselves, the barbarians would be mired in cultural immobility. The self-perception of the times was projected, almost without utterance, onto the depiction of the past. Stonehenge was regarded as a marvel beyond the capabilities of the people who really built it—just as to white beholders the ruins of Great Zimbabwe (see page p. 252 ) seemed to have been left by intruders, or the cities of the Maya (see page 158 ) to have been erected under guidance from afar. Early Bronze Age Wessex, with its chieftainly treasures of gold, was putatively assigned to a Mycenean king. The sophistication of Aegean palace life (see page 292 ) was said to have been copied from the Near East. Almost every development, every major change in the prehistoric world was turned by migrationist scholarship into a kind of pre-enactment of later European colonialism and attributed to the influence of migrants or scholars or the irradiation of cultural superiority, warming barbaric darkness into civilized enlightenment. Scholars who had before their eyes the sacred history of the Jews or the migration stories of Herodotus had every reason to trust their own instincts and experience and to chart the progress of civilization on the map. The result was to justify the project of the times: a world of peoples ranked in hierarchical order, sliced and stacked according to abilities supposed to be innate.

Manage Your Team’s Collective Time Time management is a group endeavor. The payoff goes far beyond morale and retention. ILLUSTRATION: JAMES JOYCE by Leslie Perlow | 1461 words Most professionals approach time management the wrong way. People who fall behind at work are seen to be personally failing—just as people who give up on diet or exercise plans are seen to be lacking self-control or discipline. In response, countless time management experts focus on individual habits, much as self-help coaches do. They offer advice about such things as keeping better to-do lists, not checking e-mail incessantly, and not procrastinating. Of course, we could all do a better job managing our time. But in the modern workplace, with its emphasis on connectivity and collaboration, the real problem is not how individuals manage their own time. It’s how we manage our collective time—how we work together to get the job done. Here is where the true opportunity for productivity gains lies. Nearly a decade ago I began working with a team at the Boston Consulting Group to implement what may sound like a modest innovation: persuading each member to designate and spend one weeknight out of the office and completely unplugged from work. The intervention was aimed at improving quality of life in an industry that’s notorious for long hours and a 24/7 culture. The early returns were positive; the initiative was expanded to four teams of consultants, and then to 10. The results, which I described in a 2009 HBR article, “Making Time Off Predictable—and Required,” and in a 2012 book, Sleeping with Your Smartphone , were profound. Consultants on teams with mandatory time off had higher job satisfaction and a better work/life balance, and they felt they were learning more on the job. It’s no surprise, then, that BCG has continued to expand the program: As of this spring, it has been implemented on thousands of teams in 77 offices in 40 countries. During the five years since I first reported on this work, I have introduced similar time-based interventions at a range of companies—and I have come to appreciate the true power of those interventions. They put the ownership of how a team works into the hands of team members, who are empowered and incentivized to optimize their collective time. As a result, teams collaborate better. They streamline their work. They meet deadlines. They are more productive and efficient. Teams that set a goal of structured time off—and, crucially, meet regularly to discuss how they’ll work together to ensure that every member takes it—have more open dialogue, engage in more experimentation and innovation, and ultimately function better. CREATING “ENHANCED PRODUCTIVITY” DAYS One of the insights driving this work is the realization that many teams stick to tried-and-true processes that, although familiar, are often inefficient. Even companies that create innovative products rarely innovate when it comes to process. This realization came to the fore when I studied three teams of software engineers working for the same company in different cultural contexts. The teams had the same assignments and produced the same amount of work, but they used very different methods. One, in Shenzen, had a hub-and-spokes org chart—a project manager maintained control and assigned the work. Another, in Bangalore, was self-managed and specialized, and it assigned work according to technical expertise. The third, in Budapest, had the strongest sense of being a team; its members were the most versatile and interchangeable. Although, as noted, the end products were the same, the teams’ varying approaches yielded different results. For example, the hub-and-spokes team worked fewer hours than the others, while the most versatile team had much greater flexibility and control over its schedule. The teams were completely unaware that their counterparts elsewhere in the world were managing their work differently. My research provide

The first place to fall, after the crossing of the Jordan, was Jericho, one of the most ancient cities in the world. The excavations of Kathleen Kenyon and carbon-dating show that it goes back to the seventh millennium BC. It had enormous walls in the Early and Middle Bronze Ages, and the strength of its defences produced one of the most vivid passages in the Bible. Joshua the prophet-general ordered the priests to carry the Ark round the city, with their ram’s-horn trumpeters, on six consecutive days; and on the seventh, ‘when the priests blew with the trumpets’, he commanded to all the people: ‘Shout; for the Lord hath given you the city.’ Then ‘the people shouted with a great shout, that the walls fell down flat, so that the people went up into the city.’126 Owing to erosion, the Kenyon researches threw no light on how the walls were destroyed; she thinks it may have been an earthquake which the Israelites attributed to divine intervention. The Bible narrative says: ‘And they utterly destroyed all that was in the city, both man and woman, young and old, and ox and sheep and ass, with the edge of the sword.’ Miss Kenyon established that the city was certainly burnt at this time and that, in addition, it was not reoccupied for a very long time afterwards, which accords with Joshua’s determination that no one should rebuild it, and his threat: ‘Cursed be the man before the Lord, that riseth up and buildeth this city Jericho.

Countrywide was an early adopter of information technology to process applications. By the mid-1990s, fully 70 percent of loans passing through its automated underwriting system required no human intervention.

Levin and Duckworth are two of the cofounders of Character Lab, which uses Duckworth’s experimental work at the Upper Darby School District near the University of Pennsylvania to fine-tune the character performance interventions that Levin initiated at KIPP schools in the early 2000s. Interestingly, much of the research that is used to justify the use of the Seligman-Duckworth resiliency improvement methodology is the same data offered to justify the Seligman deal that cost the U.S. Army $145 million (see chapter 1) for interventions that brought no benefit to GIs suffering from the stresses of war. We may wonder how much these alleged remedies for children might cost federal and state education departments, whose bankrolls are much smaller than those at the Pentagon.

What do citizens expect of government agencies entrusted with crime control, risk control, or other harm reduction duties? The public does not expect that governments will be able to prevent all crimes or contain all harms. But they do expect government agencies to provide the best protection possible, and at a reasonable price, by being:           Vigilant, so they can spot emerging threats early, pick up on precursors and warning signs, use their imaginations to work out what could happen, use their intelligence systems to discover what others are planning, and do all this before much harm is done.           Nimble, flexible enough to organize themselves quickly and appropriately around each emerging crime pattern rather than being locked into routines and processes designed for traditional issues.           Skillful, masters of the entire intervention tool kit, experienced (as craftsmen) in picking the best tools for each task, and adept at inventing new approaches when existing methods turn out to be irrelevant or insufficient to suppress an emerging threat.8 Real success in crime control—spotting emerging crime problems early and suppressing them before they do much harm—would not produce substantial year-to-year reductions in crime figures, because genuine and substantial reductions are available only when crime problems have first grown out of control. Neither would best practices produce enormous numbers of arrests, coercive interventions, or any other specific activity, because skill demands economy in the use of force and financial resources and rests on artful and well-tailored responses rather than extensive and costly campaigns. Ironically, therefore, the two classes of metrics that still seem to wield the most influence in many departments—crime reduction and enforcement productivity—would utterly fail to reflect the very best performance in crime control. Further, we must take seriously the fact that other important duties of the police will never be captured through crime statistics or in measures of enforcement output. As NYPD Assistant Commissioner Ronald J. Wilhelmy wrote in a November 2013 internal NYPD strategy document:

Most of us discover early on that it's safer to hide behind prayers that can't be measured, petitions so nebulous they don't require intervention from God.

The changes that occur during the prodromal phase have been broadly characterised by Hafner and colleagues (Hafner et al., 1995), though other more intensive studies are reviewed and summarised in Yung et al. (1996). These and other studies (Jones et al., 1993) showed that although diagnostic specificity and ultimately potentially effective treatment comes with the later onset of positive psychotic symptoms, most of the disabling consequences of the underlying disorder emerge and manifest well prior to this phase. In particular, deficits in social functioning occur predominantly during the prodromal phase and prior to treatment. Hafner et al. (1995) demonstrated clearly that the main factor determining social outcome two years after first admission for schizophrenia is acquired social status during the prodromal phase of the disorder. The importance of this phase was previously poorly appreciated because no conceptual

Federal intervention to change the institutions in the South started with the decision of the Supreme Court in 1944 that primary elections where only white people could stand were unconstitutional. As we have seen, blacks had been politically disenfranchised in the 1890s with the use of poll taxes and literacy tests (pages 351–357). These tests were routinely manipulated to discriminate against black people, while still allowing poor and illiterate whites to vote. In a famous example from the early 1960s, in Louisiana a white applicant was judged literate after giving the answer “FRDUM FOOF SPETGH” to a question about the state constitution. The Supreme Court decision in 1944 was the opening salvo in the longer battle to open up the political system to blacks, and the Court understood the importance of loosening white control of political parties.

MyTherapyCompany (MTC) is a leading provider of speech language, occupational therapy, physical therapists, BCBAs, school psychologists and special education teachers to school districts and early intervention regional centers.

What makes this type of relationship so devastating is the fact that the children involved are not old enough to recognize that things aren’t as they ought to be. Instead, they are developing and growing as individuals, relying on their environment to teach them the valuable lessons of life. Thus, when they grow up in a codependent environment they accept any dysfunctional behavior as normal, falling into step with the roles they are expected to fill, usually servile and obedient in nature. As a result, children who are raised by codependent parents tend to grow up to become codependent themselves, seeking out other codependent people in order to continue fulfilling their obedient and servile roles. Therefore, codependent parent/children relationships are perhaps the most important ones to recognize as early intervention can help prevent the perpetuation of codependent behavior from one generation to the next.

Research and development conducted by private companies in the United States has grown enormously over the past four decades. We have substantially replaced the publicly funded science that drove our growth after World War II with private research efforts. Such private R&D has shown some impressive results, including high average returns for the corporate sector. However, despite their enormous impact, these private R&D investments are much too small from a broader perspective. This is not a criticism of any individuals; rather, it is simply a feature of the system. Private companies do not capture the spillovers that their R&D efforts create for other corporations, so private sector executives in established firms underinvest in invention. The venture capital industry, which provides admirable support to some start-ups, is focused on fast-impact industries, such as information technology, and not generally on longer-run and capital-intensive investments like clean energy or new cell and gene therapies. Leading entrepreneur-philanthropists get this. In recent years, there have been impressive investments in science funded by publicly minded individuals, including Eric Schmidt, Elon Musk, Paul Allen, Bill and Melinda Gates, Mark Zuckerberg, Michael Bloomberg, Jon Meade Huntsman Sr., Eli and Edythe Broad, David H. Koch, Laurene Powell Jobs, and others (including numerous private foundations). The good news is that these people, with a wide variety of political views on other matters, share the assessment that science—including basic research—is of fundamental importance for the future of the United States. The less good news is that even the wealthiest people on the planet can barely move the needle relative to what the United States previously invested in science. America is, roughly speaking, a $20 trillion economy; 2 percent of our GDP is nearly $400 billion per year. Even the richest person in the world has a total stock of wealth of only around $100 billion—a mark broken in early 2018 by Jeff Bezos of Amazon, with Bill Gates and Warren Buffett in close pursuit. If the richest Americans put much of their wealth immediately into science, it would have some impact for a few years, but over the longer run, this would hardly move the needle. Publicly funded investment in research and development is the only “approach that could potentially return us to the days when technology-led growth lifted all boats. However, we should be careful. Private failure is not enough to justify government intervention. Just because the private sector is underinvesting does not necessarily imply that the government will make the right investments.

Cancer demonstrates a spectrum of behavior. Some tumors are inherently benign, genetically determined to never reach the fully malignant state; and some tumors are intrinsically aggressive, and intervention at even an early, presymptomatic stage might make no difference to the prognosis of a patient. To address the inherent behavioral heterogeneity of cancer, the screening test must go further. It must increase survival.

Language delays and disorders constitute the hallmark of autism. These delays and disorders then have a direct impact on a host of other important skills such as intellectual and social behaviors. Thus, the most important aspect of any intervention program for a child with autism is the early development of effective communication skills.

Cards on the table, girls? Karl has served a sentence at Exeter prison for assault; Antony for theft. Karl was merely sticking up for a friend, you understand, and – hand on heart – would do the same again. His friend was being picked on in a bar and he hates bullying. Me, I am struggling with the paradox – bullying versus assault, and do we really lock people up for minor altercations? – but the girls seem fascinated, and in their sweet and liberal naivety are saying that loyalty is a good thing and they had a bloke from prison who came into their school once and told them how he had completely turned his life around after serving time over drugs. Covered in tattoos, he was. Covered. ‘Wow. Jail. So what was that really like?’ It is at this point I consider my role. Privately I am picturing Anna’s mother toasting her bottom by her Aga, worrying with her husband if their little girl will be all right, and he is telling her not to fuss so. They are growing up fast. Sensible girls. They will be fine, love. And I am thinking that they are not fine at all. For Karl is now thinking that the safest thing for the girls would be to have someone who knows London well chaperoning them during their visit. Karl and Antony are going to stay with friends in Vauxhall and fancy a big night to celebrate their release. How about they meet the girls after the theatre and try the club together? This is when I decide that I need to phone the girls’ parents. They have named their hamlet. Anna lives on a farm. It’s not rocket science. I can phone the post office or local pub; how many farms can there be? But now Anna isn’t sure at all. No. They should probably have an early night so they can hit the shops tomorrow morning. They have this plan, see, to go to Liberty’s first thing because Sarah is determined to try on something by Stella McCartney and get a picture on her phone. Good girl, I am thinking. Sensible girl. Spare me the intervention, Anna. But there is a complication, for Sarah seems suddenly to have taken a shine to Antony. There is a second trip to the buffet and they swap seats on their return – Anna now sitting with Karl and Sarah with Antony, who is telling her about his regrets at stuffing up his life. He only turned to crime out of desperation, he says, because he couldn’t get a job. Couldn’t support his son. Son? It sweeps over me, then. The shadow from the thatched canopy of my chocolate-box life –

emphasis on…miraculous intervention.”1 Take a moment to picture an early Methodist meeting. They were full of stamping, shouting, weeping, wailing, and people falling to the floor in trances all over the place. These were wild God encounters, and prophetic utterances and visions were taken seriously. It was reported that you could hear the meetings from miles away. In one Methodist meeting in 1807 for instance, Hugh Bourne was speaking to thousands of people on God’s judgment, and “many ran away, while others fell upon each other in heaps.”2 As John Wesley and George Whitefield

In twentieth-century political thought about the future, the main dividing line when it came to institutions was between those who supported planning and the attempt to command the future and those who rejected planning in the name of the market or individual freedom. In the early Cold War, the importance of leaving individual futures open became a feature of defenses of liberalism and capitalism: where neoliberals and social liberals disagreed was about how much and what kind of institutional intervention was required to secure the conditions of an open future.

As long as the nascent institutions are constructed and maintained only in the interaction of A and B, their objectivity remains tenuous, easily changeable, almost playful, even while they attain a measure of objectivity by the mere fact of their formation. To put this a little differently, the routinized background of A’s and B’s activity remains fairly accessible to deliberate intervention by A and B. Although the routines, once established, carry within them a tendency to persist, the possibility of changing them or even abolishing them remains at hand in consciousness. A and B alone are responsible for having constructed this world. A and B remain capable of changing or abolishing it. What is more, since they themselves have shaped this world in the course of a shared biography which they can remember, the world thus shaped appears fully transparent to them. They understand the world that they themselves have made. All this changes in the process of transmission to the new generation. The objectivity of the institutional world “thickens” and “hardens,” not only for the children, but (by a mirror effect) for the parents as well. The “There we go again” now becomes “This is how these things are done.” A world so regarded attains a firmness in consciousness; it becomes real in an ever more massive way and it can no longer be changed so readily. For the children, especially in the early phase of their socialization into it, it becomes the world. For the parents, it loses its playful quality and becomes “serious.” For the children, the parentally transmitted world is not fully transparent. Since they had no part in shaping it, it confronts them as a given reality that, like nature, is opaque in places at least. Only

White supremacy remained central to Jacksonian Democracy throughout the second party system, no less pervasively than economic development was to Whiggery. Virtually every aspect of the Democratic political outlook supported white supremacy and slavery in particular one way or another: Indian Removal, local autonomy and state sovereignty, respect for property rights, distrust of government economic intervention, criticism of early industrial capitalism, and (as will become evident) Texas annexation.

Tieken has suggested, on the basis of the problems we have outlined, that all the Sangam poems in the major anthologies were composed to order by poets who were perfectly aware of the fictive nature of their subject (tuṟai) and its context. Thus eighth- or ninth-century poets at the Pandya court, in Tieken’s reconstruction, deliberately composed poems with an internal speaker addressing a far more ancient hero or patron—as if a poet today were to adopt the persona of, say, Christopher Marlowe writing verses for Queen Elizabeth. But there is no need to conjure up such a scenario, with early-medieval court poets busy composing thousands of poems deliberately retrojected into the distant past, using conventional themes as well as invented materials meant to bring these ancient kings and bards to life. Is it not far more economical to imagine a process whereby the poems, many of them very old, all of them self-conscious literary efforts to begin with, survived through a slow process of recording, editorial accretion, and explication? Moreover, the relation of poem to colophon must have been, in many cases, far more intimate than any linear development could account for. There may well have been cases where the text and the colophon are, in a special sense, mutually determining—that is, cases where the poetic situation at work in the poem fits and informs the colophon long before the latter was recorded. Again, there is no need to assume that the “fictive” nature of the colophon means it is false. Quite the contrary may be the case: poem and colophon, though certainly distinct, usually share a single mental template. Fiction often offers a much closer approximation to truth than what passes for fact can give us. It’s also possible that some of the colophons are arbitrary editorial interventions long after the period of composition—that is, that well-known, ancient names were recycled by creative editors. We need to keep an open, critical mind as we investigate these materials.

In the succeeding thirty-two years of U.S. guidance, not only has Guatemala gradually become a terrorist state rarely matched in the scale of systematic murder of civilians, but its terrorist proclivities have increased markedly at strategic moments of escalated U.S. intervention. The first point was the invasion and counterrevolution of 1954, which reintroduced political murder and large-scale repression to Guatemala following the decade of democracy. The second followed the emergence of a small guerrilla movement in the early 1960s, when the United States began serious counterinsurgency (CI) training of the Guatemalan army. In 1966, a further small guerrilla movement brought the Green Berets and a major CI war in which 10,000 people were killed in pursuit of three or four hundred guerrillas. It was at this point that the "death squads" and "disappearances" made their appearance in Guatemala. The United States brought in police training in the 1970s, which was followed by the further institutionalization of violence. The "solution" to social problems in Guatemala, specifically attributable to the 1954 intervention and the form of U.S. assistance since that time, has been permanent state terror. With Guatemala, the United States invented the "counterinsurgency state.

Summary of COVID-24: SARS-CoV-3 is an infectious disease caused by severe acute respiratory syndrome coronavirus 3. Common symptoms include fever, sweating, sneezing, coughing, sporadic nerve pain across the extremities and fatigue. While we are still in the early stages of understanding this virus, most cases identified to date have resulted in mild symptoms that appear to resolve themselves without the need for medical intervention. However, an unknown percentage of people infected have experienced acute respiratory distress syndrome, requiring medical intervention. In China, Italy, Germany, and the United Kingdom, there have been reports of some patients suffering from multiple organ failure, to include septic shock. At this present time, we are unable to determine how contagious the virus is or its incubation period. Until more of this information can be identified, the CDC recommends issuing a level 2 travel advisory for China, Italy, Germany, and the United Kingdom.

The value of early intervention programs, even those that have only brief “doses” of positive interaction, can’t be underestimated.

However, Hatchett and Mecher’s modeling, and the deep dive into the history of the Spanish flu, started to change minds inside the public health establishment, and especially the CDC. The findings on the NPIs from 1918 were so striking that they surprised the team. The nonpharmaceutical interventions had a profound effect on slowing spread, but they needed to be adopted early in the course of a pandemic. The best way to contain a pandemic would remain through vaccination. But it might be months, or longer, before a vaccine could be made available.

Social interventions, if done early, could have huge effects on disease transmission; in the extreme they could contain it.

The kings, who are the most set on destroying the feudal baronies, are also the best friends of the merchants, the bankers and the master manufacturers. A shipowner is not the chieftain of a gang of sailors whom he abstracts from Power's clutch, but rather an employer of labour who on the contrary, makes them available to power when the time comes for it to require them; In this way, it is explained the favour shown by Francis I, to take one instance towards, Ango. A banker is not after political power - he is after wealth. His function is to build a sort of store-house on which, when the when the time is ripe, Power will draw to transmute this wealth into strength. A mercantile aristocracy, then, so far from abstracting anything from the state's resources, makes potential additions to them which will, when circumstances so require, be realized. This is the only aspect under which, for many years, Power saw the money power. But in the end the overthrow of every other social domination of whatever kind left financial domination master of the field. At that stage it was seemed to be the formative source of fresh cells. That showed itself clearly enough in the case of the industrial employers. Not only was the employer the law in his factory, but quite often he would put up nearby a township for his workers in which he had the position of prince. A point was reached at some of the states of the USA, at which the manufacturer, owning as he did the land on which the factory had been built, allowed on it no other police than his own. In its jealousy of any and every command, however small, which was not its own, Power could not tolerate such independence. Moreover, as in every other battle which it had fought with aristocratic formations, it soon found itself appealed to by the underlings. Then it made its way not only into the employer's township but into his workshop as well; there it introduced its own law, its own police and its own factory regulations. If its earlier aggressions against closed aristocratic formations were not our old friends, we might be tempted to see in this one nothing more than a result of the popular character of the modern state, and of socialist ideas. These factors played, no doubt, their part, but no more was needed, than that Power should be itself - a thing naturally tending to shut out the intervention of all other authorities. The financial cell is less visible to the eye than the industrial cell. But its hold on money, and above all by its disposal of vast amounts of private savings, finance has been able to build up a vast structure and impose on the ever growing number of its subjects and authority which is ever plainer on the planer to the view on the empires of finance, also, power made war. The signal for battle was not given by a socialist state, the natural enemy of the barons of capital. It came from Theodore Roosevelt, himself a man of Power, and therefore the enemy of all private authorities. In this way, a new alliance was sealed - an alliance no less natural than that of the Power of early days with the prisoners of the clan-cells, than that of the monarchy with the subjects of the feudal barons - that of the modern state with the men exploited by capitalist industry, with the men dominated by the financial trusts. The state has often waged this particular war half-heartedly, thereby making the extent to which it has turned its back on itself and has renounced its role of Power. And renunciation was in this case favoured by the internal weakness of modern Power; the precariousness of its tenure encouraged its phantom tenants to betray it in favor of the financial aristocracies. But Power has natural charms for those who desire it for its use. It was a certain that anti-capitalists would come to occupy the public offices of the bourgeois state, as it was certain that anti-feudalists would come to occupy those of the monarchial state.

Mass annihilation, mass extermination, and mass murder are in most respects broader terms than genocide, which was coined for purposes of international law. The UN Convention on Genocide of 1948 was meant to encourage early intervention by outside powers in order to prevent or stop mass killings and to bring the

All parents want to hear good things about their children, but sometimes you had to say bad things. If you said the bad things too subtly, the parents didn’t believe you. If you said the bad things too baldly, the parents got upset. Actually, they often didn’t believe you anyway and then they got upset, too. It was like having an intervention for an alcoholic every twenty minutes for an entire working day.

From his early essays in the liberal intellectual journal the New York Review of Books to his most recent books Hegemony or Survival, Failed States, and Interventions, Noam Chomsky has produced a singular body of political criticism.1 American Power and the New Mandarins (1969), his first published collection of political writing (dedicated “To the brave young men who refuse to serve in a criminal war”), contains essays that still stand out for their insight and biting wit nearly four decades later.

If it looks like you’re overreacting, you’re probably doing the right thing.” That’s a quote from Tony Fauci, and I agree. The irony of NPIs (non-pharmaceutical interventions) is that the better they work, the easier it is to criticize the people who put them in place. If a city or state adopts them early enough, the case numbers will stay low, and critics will find it easy to say they weren’t necessary. For example, in March 2020, officials in the city and county of St. Louis took several steps to limit transmission, including a shelter-in-place order. As a result, the initial outbreak in St. Louis was not as severe as it was in many other U.S. cities, leading some to suggest that the policies were an overreaction. But one study found that if the government had implemented the very same interventions just two weeks later, the number of deaths would have shot up sevenfold. St. Louis would have been on par with some of the hardest-hit areas in the country.

As he tumbled from the ship, he managed, through remarkable presence of mind, to seize hold of a rope. It was one of the topsail halyards that, good news for John, was trailing in the rolling seawater. Used to raise the upper sail, the trailing rope now provided the only chance of escaping catastrophe. It should have been carefully tied to a cleat, but it was not secured. And due to that piece of untidy seamanship, John Howland survived. In the desperate lunge that ended with him grabbing the twisted, slippery rope, he saved himself from drowning. He clung on even though he found himself, in Bradford’s words again, “sundry fathoms under water.” Back on the Mayflower there was a hurrying of men to the side of the pitching vessel. Many hands took up the shipward end of the rope and hauled him back towards safety. As the exhausted and drenched man was pulled from the waves and up against the rough timbers of the rolling Mayflower, someone grabbed a boat hook and, by catching it in his coat, helped pull him back on board.6 It had been a close call. Had the trailing rope not been there, had Howland failed to catch it, he would have been swept away by the white-crested waves and lost. As it was, he lived. It was an almost unbelievable event; an astonishing cheating of death. All of the godly who witnessed it or who heard of it would have felt convinced that it was possible only by the providential hand of God. Jonah-like, John Howland had been both thrown into the stormy deep and also rescued from it (though without the intervention of a great fish) by the will of God. His, clearly, was a life marked out for future importance in the story of the colony about to be founded. Heads would have nodded as word of the event spread among the godly passengers on the ship. Here, clearly, was a man in the hand of God. A man blessed and marked out by the action of the Almighty. The crew, though, probably winked and swore as they considered the naivete of a landsman taking the air in such a storm. For them it was just the latest evidence that these passengers were doomed to disaster; they lacked the edge and awareness needed to survive what lay ahead of them. And those less godly among the passengers might also have been less willing than some of those around them to assume the certainty of providence acting in the events. Which of these would be proved right—faithful Saints, profane seamen, uncertain Strangers—only time would tell. But one thing was certain: the name of John Howland was on everyone’s lips. And he himself was being written into history.

Schore emphasized that when the caregiver is unable to help the child to regulate either a specific emotion or intense emotions in general, or – worse – that she exacerbates the dysregulation, the child will start to go into a state of hypoaroused dissociation as soon as a threat of dysregulation arises. This temporaily reduces conscious emotional pain in the child living with chronic trauma, but those who characterologically use the emotion-deadening defense of dissociation to cope with stressful interpersonal events subsequently dissociate to defend against both daily stresses, and the stress caused when implicitly held memories of trauma are triggered. In the developing brain, repeated neurological states become traits, so dissociative defense mechanisms are embedded into the core structure of the evolving personality, and become a part of who a person is, rather than what a person does. Dissociation, which appears in the first month of life, seems to be a last resort survival strategy. It represents detachment from an unbearable situation. The infant withdraws into an inner world, avoids eye contact and stares into space. Dissociation triggered by a hypoaroused state results in a constricted state of consciousness, and a void of subjectivity. Being cut off from our emotions impacts our sense of who we are as a person. Our subjective sense of self derives from our unconscious experience of bodily-based emotions and is neurologically constructed in the right brain. If we cannot connect to our bodily emotions then our sense of self is built on fragile foundations. Many who suffered early relational trauma have a disturbed sense of their bodies and of what is happening within them physiologically as well as emotionally. The interview moved along to the topic of how we can possibly master these adverse and potentially damaging relational experiences. Schore replied by explaining that the human brain remains plastic and capable of learning throughout the entire life span, and that with the right therapeutic help and intervention we can move beyond dissociation as our primary defense mechanism, and begin to regulate our emotions more appropriately. When the relationship between the therapist and the client develops enough safety, the therapeutic alliance can act as a growth-facilitating environment that offers a corrective emotional experience via “rewiring” the right brain and associated neurocircuits.

young children are the most vulnerable to adversity, but they also have the greatest capacity for healing when the interventions are begun early.

Can we say that there is a specifically Islamic kind of psychotherapy? The answer is both yes and no. yes, inasmuch as any kind of intervention based on Islamic principles and using Islamic models and criteria must obviously be regarded as specifically Islamic. No, inasmuch as there will be, of necessity many ideas and techniques that will have to be borrowed by the West. Today's professionals are much more likely to study the techniques of various kinds of therapies from Western textbooks and not from traditional Islamic sources. This is not far removed from the situation of the Muslim world in the early days of the Abbasid caliphate when the Muslims translated works on philosophy, medicine, astronomy, geography, and so on, from Greek to Arabic, evaluated them according to the revealed knowledge of the Quran and hadith, assimilated whatever they found compatible and discarded whatever they thought was not.

Longevity escape velocity(LEV) is a hypothetical situation in which one's remaining life expectancy (not LE at birth) is extended longer than the time that is passing. For example, in a given year in which LEV would be maintained, technological advances would increase people's remaining life expectancy more than the year that just went by. From Aubrey De Grey, the founder of LEV foundation himself: "My current estimate is that we will reach LEV, which is tantamount to defeating aging completely, within 12–15 years with 50% probability." "David Sinclair and I both made important contributions to the field 20-25 years ago, which gave us the option to get the media interested in us, and we chose to exercise that option because, and this may shock you, we are not scientists first and foremost, but humanitarians. We view the quest to understand aging better as a means to an end, namely to postpone the ILL-HEALTH of old age as much as possible, thereby saving lives and alleviating suffering on a totally unprecedented scale. When you ask how well respected David is as a scientist, you're actually (unintentionally, to be sure) asking a rather loaded question. Like me, he has chosen to sacrifice some of the respect he could have had, simply in order to save more lives." "I've often been asked what the life expectancy will be in the year 3000. My answer is there very (and I mean VERY) probably won’t be one. Obviously there won’t be one if the human race has ceased to exist, which quite a few people think is quite likely, but discounting that, in addressing the question we need to start by understanding what the term “life expectancy” actually means when it is applied to humans. My full answer to this here: quora .com/What-will-be-the-life-expectancy-in-the-year-3000 So the question now is “how would it work in practice?" Say you are 60 years old at the time of the first intervention and that this early and fundamentally imperfect treatment repairs 75% of the accumulated damage and winds the clock back by 25 years. Then 10 years later you would reach the chronological age of 70 but would be biologically only 45 years old and look and feel like a 45 year old. We now come to the vital key to the whole theory which is this, let's say 20 years after the first treatment, when you are chronologically 80 but biologically 55 years old, both your doctor and yourself will realize that the damage that was not repaired in the first treatment combined with the further damage accumulated over the 20 years since is again posing a health risk. At this point it is time for another intervention. It is now that the progress in medicine comes into play because, by the time 20 years has gone by, anti-aging medicine will have progressed significantly and, whilst the first treatment bought you an extra 25 or 30 years by repairing a fair amount of the damage accumulated over your first 60 years, it did not repair it all. 20 years later medical progress will mean that the latest treatment can not only repair all of the damage corrected by the first intervention but also some of the damage that was not able to be repaired 20 years earlier so in essence you are now chronologically 80 (but biologically in your 50s). This means that, whilst you will have aged 20 years chronologically you will be biologically younger after the second intervention than you were after the first. This is the essence of ADGs theory and pretty much any other theory based on rejuvenation and damage repair, essentially, it's a shortcut to radical life extension. It is not a cure but it acknowledges that it does not need to be because it simply buys time and leads to a situation where regular interventions at say 15/20 year intervals with increasing effective treatments could extend life virtually indefinitely. Will it happen? At this point, there is no doubt that it will happen eventually. It's not a question of if but when.

In Nigeria, the Global Fund to Fight AIDS, Tuberculosis and Malaria has granted US$74 million so far for HIV, all of it for work with the ‘general population’. Nigeria gets large slabs from PEPFAR, too, US$105 million in 2006 and rising; 90 per cent of the prevention money was going to ‘general population’ interventions.4 ‘Youth’ is an especially popular focus for prevention efforts in Nigeria, even though HIV tests in several thousand recent graduates from technical college showed that just 1.2 per cent were infected–hardly a sign of an epidemic that is out of control among young people in the general population. Meanwhile, Nigeria has a vibrant sex industry. I can’t say how vibrant because the national programme has until now more or less ignored commercial sex. In a national survey in 2003, 3 per cent of men said they visited a prostitute in the last year, so that would be 1.2 million clients right there, and the probable total is a lot higher.5 There are no estimates of how many women sell sex, and there’s no routine HIV surveillance among sex workers. Sporadic studies are not encouraging. In 2003, 21 per cent of sex workers in the western city of Ibadan and 48 per cent in nearby Saki were infected with HIV.6 Of course, we don’t have a clue how much HIV is spread in sex between men in Nigeria, because no one has asked–the first studies got underway only in 2007. Scattered assessments in drug injectors in eight Nigerian cities in the early 2000s showed that they were as yet no more likely to be infected with HIV than non-injectors, which suggests that there’s still a chance to prevent a major epidemic in this group.7 But how much of the millions of dollars sloshing around for HIV prevention in Nigeria is being spent on drug injectors? As of mid-2007, none.

The absurdity of many UFO stories and of many religious visions is not a superficial logical mistake. It may be the key to their function. According to Major Murphy, the confusion in the UFO mystery may have been put there deliberately to achieve certain results. One of these results has been to keep scientists away. The other is to create the conditions for a new form of social control, a change in Man’s perception of his place in the universe. Are his theories fantastic? Before we decide, let us review a few other facts. We need to examine more closely the political connections. Paris Flammonde, in his well-documented Age of Flying Saucers, remarked that “a great many of the contactees purvey philosophies which are tinged, if not tainted, with totalitarian overtones.”1 A catalogue of contactee themes, compiled from interviews I have conducted, includes the following. Intellectual abdication. The widespread belief that human beings are incapable of solving their own problems, and that extraterrestrial intervention is imperative to save us “in spite of ourselves.” The danger in such a philosophy is that it makes its believers dependent on outside forces and discourages personal responsibility: why should we worry about the problems around us, if the Gods from Outer Space are about to solve them? Racist philosophy. The pernicious suggestion that some of us on the Earth are of extraterrestrial descent and therefore constitute a “higher race.” The dangers inherent in this belief should be obvious to anybody who hasn’t forgotten the genocides of World War II, executed on the premise that some races were somehow “purer” or better than others. (Let us note in passing that Adamski’s Venusian, the Stranger of the Canigou seen by Bordas, and many other alleged extraterrestrials were all tall Aryan types with long blond hair.) Technical impotence. The statement that the birth of civilization on this planet resulted not from the genius and ability of mankind, but from repeated assistance by higher beings. Archaeologists and anthropologists are constantly aware of the marvelous skill with which the “Ancient Engineers” (to use L. Sprague de Camp’s phrase) developed the tools of civilization on all continents. No appeal to superior powers is necessary to explain the achievements of early culture. The belief expressed by the contactees reveals a tragic lack of trust on their part in human ability. Social utopia. Fantastic economic theories, including the belief that a “world economy” can be created overnight, and that democracy should be abolished in favor of Utopian systems, usually dictatorial in their outlook.

frequently cite the example of Uttar Pradesh, one of India’s largest states with a population two-thirds the size of the US. With a careful door-to-door surveillance strategy in combination with a prevention and early treatment regime using Ivermectin, Uttar Pradesh effectively eliminated COVID-19 from their state of 241 million people. The history books will (I hope) rightly recognize their efforts as one of the most successful public health interventions ever [42,

P1 - Longevity escape velocity(LEV) is a hypothetical situation in which one's remaining life expectancy (not LE at birth) is extended longer than the time that is passing. For example, in a given year in which LEV would be maintained, technological advances would increase people's remaining life expectancy more than the year that just went by. From Aubrey De Grey, the founder of LEV foundation himself: "My current estimate is that we will reach LEV, which is tantamount to defeating aging completely, within 12–15 years with 50% probability." "David Sinclair and I both made important contributions to the field 20-25 years ago, which gave us the option to get the media interested in us, and we chose to exercise that option because, and this may shock you, we are not scientists first and foremost, but humanitarians. We view the quest to understand aging better as a means to an end, namely to postpone the ILL-HEALTH of old age as much as possible, thereby saving lives and alleviating suffering on a totally unprecedented scale. When you ask how well respected David is as a scientist, you're actually (unintentionally, to be sure) asking a rather loaded question. Like me, he has chosen to sacrifice some of the respect he could have had, simply in order to save more lives." "I've often been asked what the life expectancy will be in the year 3000. My answer is there very (and I mean VERY) probably won’t be one. Obviously there won’t be one if the human race has ceased to exist, which quite a few people think is quite likely, but discounting that, in addressing the question we need to start by understanding what the term “life expectancy” actually means when it is applied to humans. My full answer to this here: quora .com/What-will-be-the-life-expectancy-in-the-year-3000 So the question now is “how would it work in practice?" Say you are 60 years old at the time of the first intervention and that this early and fundamentally imperfect treatment repairs 75% of the accumulated damage and winds the clock back by 25 years. Then 10 years later you would reach the chronological age of 70 but would be biologically only 45 years old and look and feel like a 45 year old. We now come to the vital key to the whole theory which is this, let's say 20 years after the first treatment, when you are chronologically 80 but biologically 55 years old, both your doctor and yourself will realize that the damage that was not repaired in the first treatment combined with the further damage accumulated over the 20 years since is again posing a health risk. At this point it is time for another intervention. It is now that the progress in medicine comes into play because, by the time 20 years has gone by, anti-aging medicine will have progressed significantly and, whilst the first treatment bought you an extra 25 or 30 years by repairing a fair amount of the damage accumulated over your first 60 years, it did not repair it all. 20 years later medical progress will mean that the latest treatment can not only repair all of the damage corrected by the first intervention but also some of the damage that was not able to be repaired 20 years earlier so in essence you are now chronologically 80 (but biologically in your 50s). This means that, whilst you will have aged 20 years chronologically you will be biologically younger after the second intervention than you were after the first. This is the essence of ADGs theory and pretty much any other theory based on rejuvenation and damage repair, essentially, it's a shortcut to radical life extension. It is not a cure but it acknowledges that it does not need to be because it simply buys time and leads to a situation where regular interventions at say 15/20 year intervals with increasing effective treatments could extend life virtually indefinitely. Will it happen? At this point, there is no doubt that it will happen eventually. It's not a question of if but when.

To prove it, Marcora and his colleagues tested a simple self-talk intervention—precisely the approach my teammates and I had laughed at two decades earlier. They had twenty-four volunteers complete a cycling test to exhaustion, then gave half of them some simple guidance on how to use positive self-talk before another cycling test two weeks later. The self-talk group learned to use certain phrases early on (“feeling good!”) and others later in a race or workout (“push through this!”), and practiced using the phrases during training to figure out which ones felt most comfortable and effective. Sure enough, in the second cycling test, the self-talk group lasted 18 percent longer than the control group, and their rating of perceived exertion climbed more slowly throughout the test. Just like a smile or frown, the words in your head have the power to influence the very feelings they’re supposed to reflect.

Longevity escape velocity(LEV) is a hypothetical situation in which one's remaining life expectancy (not LE at birth) is extended longer than the time that is passing. For example, in a given year in which LEV would be maintained, technological advances would increase people's remaining life expectancy more than the year that just went by. From Aubrey De Grey, the founder of LEV foundation himself: "My current estimate is that we will reach LEV, which is tantamount to defeating aging completely, within 12–15 years with 50% probability." "David Sinclair and I both made important contributions to the field 20-25 years ago, which gave us the option to get the media interested in us, and we chose to exercise that option because, and this may shock you, we are not scientists first and foremost, but humanitarians. We view the quest to understand aging better as a means to an end, namely to postpone the ILL-HEALTH of old age as much as possible, thereby saving lives and alleviating suffering on a totally unprecedented scale. When you ask how well respected David is as a scientist, you're actually (unintentionally, to be sure) asking a rather loaded question. Like me, he has chosen to sacrifice some of the respect he could have had, simply in order to save more lives." "I've often been asked what the life expectancy will be in the year 3000. My answer is there very (and I mean VERY) probably won’t be one. Obviously there won’t be one if the human race has ceased to exist, which quite a few people think is quite likely, but discounting that, in addressing the question we need to start by understanding what the term “life expectancy” actually means when it is applied to humans. My full answer to this here: quora .com/What-will-be-the-life-expectancy-in-the-year-3000 So the question now is “how would it work in practice?" Say you are 60 years old at the time of the first intervention and that this early and fundamentally imperfect treatment repairs 75% of the accumulated damage and winds the clock back by 25 years. Then 10 years later you would reach the chronological age of 70 but would be biologically only 45 years old and look and feel like a 45 year old. We now come to the vital key to the whole theory which is this, let's say 20 years after the first treatment, when you are chronologically 80 but biologically 55 years old, both your doctor and yourself will realize that the damage that was not repaired in the first treatment combined with the further damage accumulated over the 20 years since is again posing a health risk. At this point it is time for another intervention. It is now that the progress in medicine comes into play because, by the time 20 years has gone by, anti-aging medicine will have progressed significantly and, whilst the first treatment bought you an extra 25 or 30 years by repairing a fair amount of the damage accumulated over your first 60 years, it did not repair it all. 20 years later medical progress will mean that the latest treatment can not only repair all of the damage corrected by the first intervention but also some of the damage that was not able to be repaired 20 years earlier so in essence you are now chronologically 80 (but biologically in your 50s). This means that, whilst you will have aged 20 years chronologically you will be biologically younger after the second intervention than you were after the first. This is the essence of ADGs theory and pretty much any other theory based on rejuvenation and damage repair, essentially, it's a shortcut to radical life extension. It is not a cure but it acknowledges that it does not need to be because it simply buys time and leads to a situation where regular interventions at say 15/20 year intervals with increasing effective treatments could extend life virtually indefinitely. Will it happen? At this point, there is no doubt that it will happen eventually.

What to Do Tonight Make a list of the things your child has control over. Is there anything you can add to that list? Ask your child if there are things he feels he’d like to be in charge of that he currently isn’t. Consider your language around making plans. Do you say, “Today we’re going to do this and then this,” or do you offer choices? Tell your kids (if they’re ten or older) something like this: “I just read something really interesting—that there are four things about life that make it stressful: new situations, situations that are unpredictable, situations where you feel you could be hurt, criticized, or embarrassed, and situations where you don’t feel you can control what’s happening. It’s interesting, because in my job I get most stressed when I feel I’m expected to make something happen but I can’t control everything that is necessary to make it happen. Are there things that make you stressed?” By identifying stress in your own life and talking about it, you are modeling stress awareness—a critical step in curbing the effects of stress. As the saying goes, “You’ve got to name it to tame it.” If your kid seems to be really anxious, talk to your pediatrician about it. Determine whether some kind of professional intervention is necessary. Research suggests that treating anxiety early significantly lowers the risk of recurring problems. You can let your worried child know that she’s safe, that you’re there for her, but don’t reassure her excessively. Let her know that you have confidence in her ability to handle the stressors in her life. But don’t minimize what she is feeling or try to fix it for her. Think about ways in which you may, intentionally or inadvertently, be trying to protect your kids from experiencing mildly stressful situations that they could grow from. Are you too focused on safety? Are there situations in which you could give your child more independence or more choices? Dozens of scales have been developed over the years to measure a person’s sense of control. The granddaddy of them all is the Rotter Scale, developed by J. B. Rotter in 1966. We highly encourage you to take it so that you can assess your own strengths and struggles when it comes to autonomy. For kids, we like a scale developed by Steven Nowicki and Bonnie Strickland, which asks questions such as “Do you believe that you can stop yourself from catching a cold?” and “When a person doesn’t like you, is there anything you can do about it?” You may be surprised by where your child lands.

The multiple consequences of early child maltreatment call for early identification and intervention with strategies that are effective to children with poorly developed cognitive and verbal abilities. Symptoms mediated through the regulatory neural networks originating in lower brain regions are far less responsive to treatment interventions using verbal, logical, rational, or even emotionally expressive treatment modalities. This is also true of play therapy strategies utilizing these methodologies. van der Kolk (2004) pointed out that traumatized individuals show little activity in the left hemisphere, particularly in language areas, resulting in decreased capacity for planning and analyzing while displaying excessive activity in the right limbic hemisphere, suggesting excessive emotional experience, but no ability to communicate it or understand it. Not surprisingly, such individuals respond poorly to cognitive, verbal, and multimodal treatment designs due to their self-regulatory deficits and language-based limitations.

Carriers of the ApoE4 gene allele, which is the most common genetic risk factor for Alzheimer’s disease, exhibit a reduction in cerebral glucose utilization as early as their third decade in similar regions of the brain as Alzheimer’s patients.18 These young ε4+ subjects show no symptoms of cognitive decline despite PET-FDG measurements demonstrating a 5 to 10 percent reduction in the brain regions associated with memory processing and learning. Brain glucose hypometabolism precedes cognitive decline decades before the first symptoms appear. While we lack definitive proof that this energy deficit causes Alzheimer’s, this chronic, progressive, brain fuel starvation contributes significantly to the onset of Alzheimer’s and offers an opportunity for intervention.

I saw now why the angry young men on the boats around us were so afraid of that derelict refugee boat: that tiny vessel represented the overturning of a centuries-old project that had been essential to the shaping of Europe. Beginning with the early days of chattel slavery, the European imperial powers had launched upon the greatest and most cruel experiment in planetary remaking that history has ever known: in the service of commerce they had transported people between continents on an almost unimaginable scale, ultimately changing the demographic profile of the entire planet. But even as they were repopulating other continents they had always tried to preserve the whiteness of their own metropolitan territories in Europe. This entire project had now been upended. The systems and technologies that had made those massive demographic interventions possible – ranging from armaments to the control of information – had now achieved escape velocity: they were no longer under anyone’s control. This was why those angry young men were so afraid of that little blue fishing boat: through the prism of this vessel they could glimpse the unravelling of a centuries-old project that had conferred vast privilege on them in relation to the rest of the world. In their hearts they knew that their privileges could no longer be assured by the people and institutions they had once trusted to provide for them. The world had changed too much, too fast; the systems that were in control now did not obey any human master; they followed their own imperatives, inscrutable as demons.

it is never too early or too late to work successfully with high-risk youths and families. There are cost-effective prevention and intervention strategies for this demographic at every stage of development, regardless of whether youths are in the general community, the juvenile justice system, or some other institutional setting. The important thing is to identify those at risk, determine the level of that risk, and provide a well-researched response that matches that risk level.

And still. They are my personal Obesity Crisis Intervention team. They have been actively pursuing the problem of my body since I was fourteen years old. I love them so I accept this, sometimes with grace and sometimes without. It is only now, in my early forties, that I have started to put my foot down and say, when they try to broach the conversation of my body, "No. I will not discuss my body with you. No. My body, how I move it, how I nourish it, is not your business.

So we look at a state of the brain in response to a trigger, and in my personal work, this area, cingulate 25, becomes the nexus of the problem. How the rest of the brain responds to a trigger, as a function of your early life experience, your genes, and your temperament, indicates that what the brain is showing us is not the illness, but what the brain is trying to do to restore balance. We can enhance that through different teachings or different kinds of treatment. Consider the metaphor of heart disease. We all know that you shouldn’t smoke and that high cholesterol is a bad risk factor. You should exercise; you shouldn’t eat too many cheeseburgers. But at the point when you have the heart attack, it’s really easy to make the diagnosis that your heart muscle has died. At that point, you are no longer dealing with probabilities. Instead, a specialized test is done to determine the nature of your problem and to match it to the appropriate treatment. For example, if you have one heart vessel clogged, you need to have that single heart vessel opened. Somebody else, who has five heart vessels blocked, will need a different kind of treatment. The heart itself is telling us how it should be treated. Of course, you would like to promise to exercise more and eat fewer cheeseburgers—but only after you survive and have had whatever surgery you need. In cardiology, there is no problem with doing a test to identify how to optimize the short-term and longer-term return to health. We have to take the same approach to the brain, since we are reaching a point where knowing the signal in the brain is potentially very helpful. The state of the brain is really the response, not the cause. It is giving us a signal as to how we might optimize its return to normality. That’s a set of experiments that we are now trying to do. Jack Kornfield: A similar diagnostic process is needed both in meditation teaching and in insight therapy. When people come in to see a teacher, they present specific and unique difficulties, traumas, problems with circumstances in their life, or struggles with their mind and personality. Skillful teaching requires a subtle evaluative process to sense what particular intervention out of the many practices will be most helpful to a given individual. For example, for people with powerful self-critical and judgmental thoughts, a necessary part of meditation instruction will be teaching them how to work with these thoughts. If we don’t attend to this problem, they can do all kinds of other practices, but those self-critical patterns will keep repeating, “You’re not doing it right,” and as a consequence, the other practices they are engaging in may be quite ineffective. Jan Chozen Bays: I want to suggest that we study an intervention that I call media fasting. As I said, we’re not designed as an organism to take in the suffering of the whole world.

The most significant innovation in Chisholm’s overhaul of the office involves an “early intervention” program, which begins after a defendant is arrested but before arraignment. Each defendant is given an eight-question assessment, which can be conducted in about fifteen minutes and is compared to the information on the rap sheet and in the police report. The questions include: “Two or more prior adult convictions?” “Arrested under age sixteen?” “Currently unemployed?” “Some criminal friends?” A low score can lead to an offer of “diversion”—a kind of unofficial probation that, if successfully completed, leaves the individual without a criminal record. A high score leads to a second, more detailed, fifty-four-question assessment. The questions include: “Ever walked away/escaped from a halfway house?” “Were you ever suspended or expelled from school?” “Does your financial situation contribute to your stress?” “Tell me the best thing about your supervisor/teacher.” Results of the assessment may

The prognosis for an officer with a traumatic physical injury is improved by early intervention due to personnel who are increasingly more skilled during each step in the process. The same situation applies to psychological injuries. Officers who receive the best psychological care the soonest are those who have the greatest long-term improvements (Artwohl & Christensen, 1997). Immediate intervention at the scene is vital, followed by more advanced care to ensure stability and to determine the next phase of appropriate assistance. Then finally, definitive care to put things back in order to manage the long-term effects of psychological injuries. Officers facing a traumatic stress injury resulting from a single incident, or officers reaching a breaking point from cumulative strain are in desperate need of some basic psychological first aid. This initial intervention commonly falls to the first responding unit or supervisor to arrive and find an officer in need. Nationwide most law enforcement officers lack the understanding to provide traumatic field care for psychological injury. While officers are trained with multiple options on how to deal with members of the public who have been traumatized as the victim of a crime, those in law enforcement rarely discuss how to take care of each other. The goal of the immediate response is to limit the chances of a temporary injury becoming a longer lasting wound in need of more serious care. On-scene psychological intervention is consistent with the model used when initially dealing with a physical injury, such as a gunshot wound in the field. One-on-one intervention should last no more than a half hour and result in the officer being assured his/her physical and mental responses are normal and they are not alone (Kates, 1999). This initial intervention will be rudimentary in nature, but, if handled properly, it sets the groundwork for all future interventions.

Tertullian recounts the narrative of Jesus, whose labors (unlike Hercules’s) did not include killing, capturing, and stealing43 but who instead kept a low profile, who bore reproaches, who would not hear of forcing people, who ate at anyone’s table, who declined to call for massive angelic intervention, who rejected the avenging sword, who healed the servant of his enemy, and thereby “cursed for all time the works of the sword.

The United States became engaged in hostilities with North Vietnam on November 1, 1955, when President Eisenhower deployed the Military Assistance Advisory Group as advisors to train the army of South Vietnam, better known as the Army of the Republic of Vietnam. Things escalated in 1960, which was about the same time that Cuba established diplomatic relations with Vietnam, the communist country at war with the United States. In May of 1961 President Kennedy sent 400 United States Army Special Forces personnel to South Vietnam for the purpose of training South Vietnamese troops. By November of 1963 when he was killed, President Kennedy had increased the number of military personnel from the original 400 to 900 troops for training purposes. Direct U.S. intervention started with the Gulf of Tonkin Resolution in August of 1964. As things heated up, the number of American troops started including combat units and escalated to 16,000 troops, just before Kennedy’s death. During the early hours of April 30, 1975, the fighting ended abruptly, as South Vietnamese President Duong Van Minh delivered an unconditional surrender to the Communists. Between 195,000 to 430,000 South Vietnamese civilians died in the war and 50,000 to 65,000 North Vietnamese civilians died. The Army of the Republic of Vietnam lost somewhere between 171,331 and 220,357 men during the war. The Communist military forces lost approximately 444,000 men. It is estimated that between 200,000 and 300,000 Cambodians died and another 60,000 Laotians died during this war. In all 58,220 U.S. service members were killed. The last two American servicemen to die in Vietnam were killed during the evacuation of Saigon, when their helicopter crashed. After the United States pulled out of South Vietnam, the two sections of the country came together under Communist rule. Vietnam has since become Cuba’s largest trading partner next to China, and the United States has also returned to a normalized trade relationship with Vietnam.

Exquisitely sensitive to her infant’s nonverbal messages, the “good” mother empathically divines the needs of her baby with near clairvoyant accuracy, relying on her capacity to regressively revive in herself this early communication channel that, Spitz felt, is lost to most adults. She senses why her infant is crying, a mystery to others, and is able to respond correctly. Each accurate reading and satisfying intervention—picking him up, feeding him, jostling him, soothing him—becomes another interaction in the essential cycle of meaning-making. Spitz saw these repetitions as also helping the infant sort out feeling states into discernible, sequential categories with beginnings and endings (for example: I was upset, then I felt better), contributing to the laying down of memory traces of recognizable experience. Thus Spitz offered psychoanalysis a very different kind of developmental progression, adding to the unfolding psychosexual sequence of drive discharge (from oral to anal to phallic to oedipal) the increasing structuralization of ego capacities which emerge, in the first year of life, within crucial transformations in the relationship to the libidinal object.

In early September, convinced that the best way to defend Richmond was to divert attention to Washington, Lee had decided to invade Maryland after obtaining Jefferson Davis’s permission. Today the decision to invade Maryland is remembered through the prism of Lee hoping to win a major battle in the North that would bring about European recognition of the Confederacy, potential intervention, and possible capitulation by the North, whose anti-war Democrats were picking up political momentum.

Physiology at MIT recognized that the richness and detail of the collected data opened the feasibility of creating a new generation of monitoring systems to track the physiologic state of the patient, employing the power of modern signal processing, pattern recognition, computational modeling, and knowledge-based clinical reasoning. In the long term, we hoped to design monitoring systems that not only synthesized and reported all relevant measurements to clinicians, but also formed pathophysiologic hypotheses that best explained the observed data. Such systems would permit early detection of complex problems, provide useful guidance on therapeutic interventions, and ultimately lead to improved patient outcomes.

Mary slips her handbag onto her shoulder and she straightens her suit jacket as I digest this, and then she adds very quietly, “If you ask me, if the state really wanted to help women like your sister, wouldn’t they put the thousands of dollars they’ll spend on her trial and incarcerating her into early intervention programs, or research into addiction? Or Lord, if it’s really all about the baby— wouldn’t you funnel the funds into setting up a better foster care system or maybe some parenting classes that actually help?” “So why don’t they?” I ask, and Mary sighs and shakes her head. “Well, it’s a little bit like this. Half the town is on fire, and the townspeople are all so busy hollering for the fire brigade that no one thinks to find out why people are still playing with matches.

Affecting just a few dozen people worldwide, WHIM is a painful, potentially deadly immunodeficiency disease that makes life difficult for those unfortunate enough to suffer from it. It is caused by a tiny mutation—a single incorrect letter among some six billion total letters of one’s DNA, amounting to a change of just a dozen or so atoms. This minute transformation leaves WHIM victims profoundly susceptible to infection by human papillomavirus (HPV), which causes uncontrollable warts that cover the patient’s skin and can eventually progress to cancer. It’s a testament to the rareness of the disease that the patient in whom WHIM syndrome had first been diagnosed back in the 1960s was the same person whom the NIH researchers met all those years later. In the scientific literature, she’s known simply as WHIM-09, but I’ll call her Kim. Kim had been afflicted with WHIM since birth, and over the course of her life, she had been hospitalized multiple times with serious infections stemming from the disease. In 2013, Kim—then fifty-eight—presented herself and her two daughters, both in their early twenties, to the staff at NIH. The younger women had classic signs of the disease, but the scientists were surprised to discover that Kim herself seemed fine. In fact, she claimed to have been symptom-free for over twenty years. Shockingly, and without any medical intervention, Kim had been cured.

Do recall how you behaved as a child: Maybe your child is just like you once were. (The apple doesn’t fall far from the tree!) Ask yourself what you would have liked to make your childhood easier and more pleasurable. More trips to the playground, free time, or cuddling? Fewer demands? Lower expectations? Try saying, “When I was a kid and life got rough, I liked to climb trees. How about you?” Do respect your child’s needs, even if they seem unusual: “You sure do like a tight tuck-in! There, now you’re as snug as a bug in a rug.” Or, “I’ll stand in front of you while we’re on the escalator. I won’t let you fall.” Do respect your child’s fears, even if they seem senseless: “I see that your ball bounced near those big kids. I’ll go with you. Let’s hold hands.” Your reassurances will help her trust others. Do say “I love you”: Assure your child that you accept and value who she is. You cannot say “I love you” too often! Do follow your instincts: Your instincts will tell you that everyone needs to touch and be touchable, to move and be movable. If your child’s responses seem atypical, ask questions, get information, and follow up with appropriate action. Do listen when others express concerns: When teachers or caregivers suggest that your child’s behavior is unusual, you may react with denial or anger. But remember that they see your child away from home, among many other children. Their perspective is worth considering. Do educate yourself about typical child development: Read. Take parent education classes. Learn about invariable stages of human development, as well as variable temperaments and learning styles. It’s comforting to know that a wide variety of behaviors falls within the normal range. Then, you’ll find it easier to differentiate between typical and atypical behavior. Sometimes a cigar is just a cigar, and a six-year-old is just a six-year-old! Do seek professional help: SPD is a problem that a child can’t overcome alone. Parents and teachers can’t “cure” a child, just as a child can’t cure himself. Early intervention is crucial. Do keep your cool: When your child drives you crazy, collect your thoughts before responding, especially if you are angry, upset, or unpleasantly surprised. A child who is out of control needs the calm reassurance of someone who is in control. She needs a grown-up. Do take care of yourself: When you’re having a hard day, take a break! Hire a babysitter and go for a walk, read a book, take a bath, dine out, make love. Nobody can be expected to give another person undivided attention, and still cope.

Unlocking the Benefits of Continuous Glucose Monitors: A Comprehensive Guide Continuous Glucose Monitors (CGMs) have revolutionized diabetes management, offering real-time insights into blood sugar levels like never before. As the prevalence of diabetes continues to rise globally, understanding the significance of CGMs becomes paramount. Let's delve into the world of CGMs, exploring their benefits, functionality, and impact on diabetes care. What are Continuous Glucose Monitors? Continuous Glucose Monitors are wearable devices that continuously track glucose levels throughout the day and night. Unlike traditional glucose meters, CGMs provide real-time data, offering a comprehensive view of glucose fluctuations and trends. Benefits of Continuous Glucose Monitors Continuous Monitoring CGMs provide a continuous stream of glucose data, empowering individuals to make informed decisions about their diet, exercise, and medication. Early Detection CGMs can detect both hypo- and hyperglycemic episodes before they become severe, enabling prompt intervention. Improved Diabetes Management By providing insights into how different factors affect blood sugar levels, CGMs facilitate personalized diabetes management strategies. Enhanced Quality of Life CGMs reduce the need for frequent fingerstick testing, minimizing discomfort and improving overall quality of life for individuals with diabetes. Remote Monitoring CGMs can be integrated with smartphone apps, allowing caregivers and healthcare providers to remotely monitor glucose levels and provide timely assistance. How do Continuous Glucose Monitors Work? CGMs consist of three main components: a sensor, transmitter, and receiver/display device. Measurement of glucose levels in the interstitial fluid is performed by the sensor, which is commonly inserted beneath the skin. The transmitter sends this data to the receiver/display device, where users can view real-time glucose readings and trends. Conclusion Continuous Glucose Monitors represent a significant advancement in diabetes management, offering unparalleled insights and convenience. With their ability to provide continuous glucose monitoring, early detection of fluctuations, and personalized insights, CGMs are transforming the lives of individuals with diabetes worldwide. Embracing this technology can lead to better diabetes management, improved quality of life, and reduced risk of diabetes-related complications.

Utilizing data gathered in the early stages of underachievement reversal to uncover the basic needs and mental language of the underachiever is usually instrumental in tailoring interventions that address the unique needs and preferences of the student for a more effective reversal process.

The Nazi ideologue Alfred Rosenberg wrote in the early 1920s that Jews had initiated the world war to obtain their state in Palestine. Yet because they were incapable of any of the creative or administrative labor required for statecraft, Rosenberg claimed that what the Jews called a state would really be a power base for their global, nefarious economic operations. In turn, Adolf Hitler wrote in Mein Kampf that a Jewish state, “endowed with sovereign rights and removed from intervention of other states,” would become “a haven for convicted scoundrels and a university for budding crooks.