Adolescents, Alcohol, and Alienation – Part 1

Adolescents, Alcohol, and Alienation – Part 1

Today I’m honored to present much thoughtful information in the series Issues in OUR ORBIT: Substance Abuse & Recovery. This guest post is by Gregory K. from his website Suchness: A Mental & Spiritual Health Blog. Gregory K. holds a Masters of Divinity degree and is working toward a graduate degree in counseling. His goal is to help Christians and others who struggle in “finding some measure of peace living in our own skins.”

At my request, Gregory K. was kind enough to address the very problems that arise in fictional form in my novel Our Orbit. Many thanks to him—

Adolescents, Alcohol, and Alienation – Part 1

Photo by Margaret Sang – children peek through the gaps

To see a teenager drink or use drugs is startling. For those of us who have no experience along these lines to see a child using such a grown-up way of coping can really upset our view of the world.

It is just like sexual crimes. They are that much worse when they are committed against children, those who do not even fully understand what is happening to them. There is a terrible crashing together of cold reality and the innocence of childhood that we so prize in our culture. Therefore before we can help a child who has begun to use alcohol to find emotional relief we must first come to terms with this kind of fear and dark confusion that exists in ourselves.

Our fear, if it is not acknowledged, can taint our attempts to help.

In fear we may find ourselves trying to force such children to stop drinking, screaming and stomping our feet. We may find ourselves lecturing, shaming, and calling attention to all the ways that child has gone wrong morally. We may resort to threats and punishment, forced isolation and indoctrination, anything we can do to grind this problem out of our children.

But where does our desperation come from?

Fear is at the root of such approaches, fear of loss or of pain, for ourselves or for our children. While we may never be able to fully exorcise that fear, if we give into it and allow it to lead us tumbling forward at a frantic pace then we will rush right past the small gate and narrow road that we must travel with our children to find any real peace.

Three youngsters on a hillside appear ready to enter a gray forest.

“…I found myself in a dark wood.” – Dante

With these thoughts in mind let us consider the emotionally troubled teenager who is using alcohol to find some sense of relief. One of the first things that need to be done is for the child to stop using alcohol. This is not because of some moral reason and it is not to lessen our own fears. Instead it is simply a matter of fact that when a person is using chemicals to alter their minds and escape reality they are not fully present with us as we begin our work.

There is a chemical barrier between us and them, and no surgery can be performed through a brick wall. This need for abstinence and sobriety on the part of the teenager though does not give us an excuse to start using force, punishments, and sermons to get them to stop. With teenagers, as with all people, true abstinence along these lines can only be achieved if they are themselves invested in the process.

Motivational interviewing is a technique that is used to help addicted people to start pursuing recovery for themselves.

Motivational interviewing is done by connecting the goal of sobriety with what they value most in their lives. If they are proud of their career, let us link sobriety and that career. If they are very involved with their families, let us link happy family life with sobriety. We are trying to make the rewards of such effort worth the hard work it will take to get there. Similar approaches can also work with the teenagers we are trying to help. This is especially true for the teenagers who have not yet become physiologically dependent, but who are only using alcohol to numb themselves.

It may help to openly and honestly explore with them this concept that alcohol only numbs the pain and does not remove it, and if they are willing to work with us a way may be found to real and lasting wholeness. Such honesty, and such straightforward explanations of the work we hope to do, will certainly work better than preaching, cajoling, and manipulating. If nothing else they will see where we are coming from and begin to develop some level of trust for our work and our intentions.

Now we move forward into the real work that must be done with such teenagers. Rather than present a comprehensive method for such work (which would be beyond my experience anyway) I will present a few concepts that may be helpful to keep in mind.

Honesty

When working with people who use things like alcohol to numb their pain we may be tempted to try and trick or manipulate them. “If you masturbate, you will go blind!” We may also want to shield those we are working with from the truth in some way hoping to protect them (or to protect ourselves). Certainly we need to have some sense of tact in this work since too much truth in the wrong way or at the wrong time can be just as destructive as a lie.

At the same time though the people we work with can be startlingly good at figuring out when we are being genuine or when we are just putting on a show for their benefit. Sometimes they may call us out, or sometimes they will remain darkly silent as they are continually bothered by our pat-answers and fake smiles. Either way, the trust they have for us is damaged each time this happens. And without trust there can be no real forward momentum.

Trust

Adolescents are at the developmental stage where social connections are the most important things they have. Who they are friends with, how they are connected to their families and loved ones, these things are more important than the “hard facts” we may try and throw at them. So before we can expect our words to carry any real weight in the lives of those teenagers we are working with we must first earn their trust by forging a social connection.

This does not mean we are trying to be “friends” with them. If we do try to go about it that way we may be surprised with how easily we become manipulated by the very teenagers we are trying to connect with. Instead it is about the teenagers coming to the realization that when they deal with us they will be treated honestly, fairly, and well. In the life of a troubled teenager these traits in the adults in their lives are more precious than anything else, even if they are too angry or hurt or confused to say so.

Structure

Hints of green appear as the sun finds an opening to shine into a forest of tall trees.Perhaps one of the more difficult ideas to understand when working with children is this idea of creating structure. We are there to help these children and rules only seem to limit and frustrate them. Also we may find we dislike the work of enforcing those rules, especially with children who are suffering in our care. Rules for the sake of rules can indeed be damaging. But rules made with purpose can have lasting benefits.

Rules  can teach teenagers the essential lesson of cause and effect. We are not trying to “discipline” the children, but connect them with the fact that what they choose to do will have certain consequences that must be considered. If they are late for a counseling session that means there will be less time to be together. If they shout they will not be heard as clearly as when they sit and speak. If they strike out they will not receive the care and attention they want. Here are a few guiding points about structure and consequences:

Explaining the rules, and the practical reasons why those rules exist, is an essential part of building a good relationship from adult to child. If a rule cannot be explained along these lines then it is not necessary.

Consistently enforcing those rules reduces the confusion that the teenager may feel when otherwise they may have been screamed at or beaten with no real cause.

Punishments only teach children that the stronger person can hurt the weaker person as she sees fit. All repercussions of breaking a rule then must be intrinsically connected to the practical purpose of the rule.

Allowing the teenagers to have a say in the making of the rules provides an excellent space for the child to learn to input and to feel heard. She becomes part of the process, a part of a relationship as opposed to a prisoner or victim.

The rules must be agreed upon by the child herself. Otherwise these rules simply become blunt instruments used by the adults to impose their will onto the child which creates a situation where social violence may accidentally be done.

~ ~ ~ ~

Gregory K‘s discussion of adolescents and alienation will continue in the near future.  Meanwhile, the links below provide  helpful information on addiction and recovery.

Visit the Harvard Help Guide   

Visit SoberNation

Visit Parent Treatment Advocates

Visit Gabbertsite from mental health counselor Gail Gabbert

And here’s a recent article from the New York Times on teenagers discussing what might have stopped them from using drugs.

Thank you so much for visiting my blog today! Feel free to nose about the website and let me know if you like what you see, or if you have suggestions. You can reach me by leaving a comment in the box below or by clicking the Contact link at upper right  (or just click here). Consider subscribing to my blog or newsletter. And stop by again soon!

How could I reach my child? A Testimonial, Part 2

How could I reach my child? A Testimonial, Part 2

Learning to care for others

Substance abuse is an issue that I’ve been discussing with friends and visitors here on the blog lately. I have confronted this problem in my own life and wouldn’t wish the harm that drug abuse brings in its wake on anyone. But in the spirit of making lemonade when lemons come along, I have called upon those difficult experiences in my creative writing.

Today, a person close to me (who will remain anonymous) shares the conclusion of her story about how drugs affected her family. The first portion of her story is posted here. Scroll down for several links to resources that can be useful to those facing a similar challenge.

A Mother’s Struggle —

Frustrated by her teenage daughter’s denials and drug abuse, this mother was driven to distraction. In last week’s post, she describes “one of my most awful memories”—

…I confronted my daughter. As usual she snowed me with lies. I slapped her in the face. 3 times I slapped her. I demanded she admit what she’d done. I was that desperate. She called me abusive and ran out of the house…

So things dragged on longer than you can imagine, now a little better, now a lot worse.

One tricky thing in the situation is that my kids were in joint custody. Their father is basically a good man, he lived a few blocks away from me. The children could walk to his my house, which seemed like a great arrangement at first. But when my older girl started high school, the gap between Mom and Dad turned into something for her to slip through. She would claim she’d left a favorite sweater or outfit at Dad’s house. Had to have it today! No problem—she could walk right over and get it. But then she didn’t come back for hours. No one knew where she went.

Also her dad insisted she attend his church every Sunday, even when she was with me on the weekend. Okay—I dropped her off at church. But you guessed it, she promptly slipped out another door and ran off to meet the friends she smoked and drank with, instead of meeting her father to join the service.

When we wised up to that, I told her dad I wouldn’t force her to attend church anymore. She was not interested in religion at that time and wanted to stop attending. I thought I could show her some support and let her sleep in on Sunday when she was finally at home and quietly in bed! But the upshot: her dad showed up at my house insisting I get her up so he could drive her to church. This led to all sorts of argument and trouble.

alcoholism-and-families-300x186Probably our daughter wanted drugs in order to escape. But lack of a united front between parents is a dangerous thing. Some kids suffer in silence; others learn to use the arguments to a bad advantage.

When all this got started, it was alcohol and marijuana. Soon she added Ritalin, Adderall, and Xanax, which were sold in the halls of her school. I’m sure she tried cocaine and crack at some point. Thank God—those didn’t hold her, but at community college, she got into meth. She stuck with meth until she discovered Oxycontin. From there, it was on to heroin, which is where the progression stopped because she was addicted. Like many addicts, she tried the “geographical cure,” trying to get clean by moving away from her source of supply. She moved in and out of my house several times, but did not know how to really make a change.

She stole money and valuables from both of her parents and other relatives. Supposedly she had “financial” problems: most of the family actually believed she had run up debts due to a “shopping addiction.” Nothing worse than that! I did not believe this but could find no support and didn’t know what to do.

My daughter had become like the magical gingerbread man—

I ran away from a little old woman,

and I ran away from a little old man.

You can’t catch me—I’m the gingerbread man!

She could elude any attempt to pin her down and make her admit that help was needed.

One sunny Saturday morning, I called our local police. My daughter had left our house earlier that week, and now my husband had discovered several hundred dollars missing from his dresser. A kind and soft-spoken policeman sat on our porch and heard our sad story. He told me about something called “treatment in lieu of conviction,” available in our county. It sounded like a legal process that could spare me from setting my girl up for criminal charges while still teaching her that she was facing real consequences.

There was no guarantee that my daughter would qualify for “treatment in lieu of conviction.” It would depend on the circumstances of her apprehension, items that might be in her possession at the time, how she bahaved, and other crimes that might come to light. But it could also work as a way for setting up court-ordered rehab. I agreed to charge my daughter with theft. The policeman filed a warrant for her arrest.

NeedleonGroundOf course, my daughter’s experience of all this was much different from mine. Once she found out that we had filed a criminal complaint, she went into hiding. She stayed at a hotel with other users and lived on the streets. I talked to many people who knew her, and some of them helped me put up flyers begging for information.

Late one night, a drug addict called my home phone. My daughter had given him the number long before, when she was living with me. This man sounded much older than my daughter. He flat-out told me that he wanted to find her so they could meet up and run some scam together for money, obviously for drugs. It was disgusting, but I heard him out. When I started crying, he said, Never mind: if he saw my daughter again, he would tell her to go home and get clean. To forget about scamming ever again.

I know that was just words of the moment that an addict may laugh about the next day. That man may be scamming still, for all I know. But I was touched and found a grain of hope in his effort to comfort me.

For me, bringing in the law was a turning point where things shifted for the better. At least we were beginning to admit the real problem. I realize that law enforcement is not always helpful to families like us. I’ve heard a few of the horror stories about young people forced to name names in some big police action and winding up in worse trouble than ever. I do believe we’re lucky that our county steers clear of those practices to a certain extent.

There were many more low points along the way. As my daughter would say later, her life was hanging by a thread. That phase went on for many months. But I refused to evade the root of the problem any longer, and I reached out for whatever help I might find. Soon enough, my ex-husband came around to my way of thinking. We used the A-word: it’s an addiction. We were still worried, more worried than ever. But waiting and hoping for our daughter to get arrested was actually a relief after all the lies and spinning wheels. For years we didn’t think our girl would ever shape up. We were afraid she wouldn’t finish high school, wouldn’t go to college or then finish college, wouldn’t stay alive long enough to mature into a real adult. But finally we found cause for hope.

~ ~ ~ ~

Anesa adds— My friend’s daughter evaded arrest for half a year. When she was finally brought to court, she was so intoxicated that her head kept dropping to her shoulder. The judge admonished her, but then he looked up and asked, “Does the defendant have family in the courtroom?”

Her two parents and one stepparent stood up. Persuaded that these elders in her life could offer enough support to give the young woman a chance, the judge ordered her into a county-run program of “treatment in lieu of conviction.” There was a condition that she must not fail a single drug test for two years of probation. After that time, although she was no longer a minor, she would have no criminal record.

Defiant at first, she went through the motions, and ran away from the treatment program twice. Then, over three months of residential rehabilitation, a true desire for recovery emerged. She spent another 15 months at a halfway house, worked a diligent program, and has now been clean and sober for seven years.

YelloWarbler

~ ~ ~ ~

Links below provide  information on addiction and recovery. If you need to do additional reading, I’m offering a chance to receive $50 in free books through the month of April 2015. Click here for details.

Visit the Harvard Help Guide   

Visit SoberNation

Visit Parent Treatment Advocates

Visit Gabbertsite from mental health counselor Gail Gabbert

And here’s a recent article from the New York Times on teenagers discussing what might have stopped them from using drugs.

 

How could I reach my child? a Testimonial, Part 1

How could I reach my child? a Testimonial, Part 1

Substance abuse is an issue that I’ve been discussing with friends and visitors here on the blog lately. I have confronted this problem in my own life and wouldn’t wish the harm that drug abuse brings in its wake on anyone. But in the spirit of making lemonade when lemons come along, I have called upon those difficult experiences in my creative writing.

Today, a person close to me (who will remain anonymous) has agreed to tell her story of how drugs affected her family. As you would imagine, it was a painful journey for everyone. Scroll down, below the testimonial, for several links to resources that can be useful to those facing a similar challenge.

A Mother’s Struggle —

About 12 years ago a member of our family got into using drugs. At first, it was just experimenting. It probably started her first day of high school: out of the house, on her own more or less, because we sent her to a church school half an hour from our home (not to our local school). That space between home and school turned into a big enough crack for her to slip through.

Okay, I will say that this person was my own beloved daughter—the eldest of my three children. I won’t say more than that.

Over time when I became suspicious of what she was getting up to, I started searching her room and reading her notebooks. I did feel it was wrong to snoop through her personal things. At first I felt bad about that. You can imagine how a 14-year-old would scream about her privacy being invaded. Lucky for me, she never found out. Unlucky that I never found anything clear enough to bust her and try to put a stop to it. Not that I would have succeeded.

The trouble was that my daughter became a good liar. She could spin convincing tales of where she’d been after school, who she went with, etc., until I became desperate for any grain of truth. Of course, I could tell things were not right. Her personality was changing. In middle school, she had often been irritable, but now she would blow up over any tiny thing. She refused to help around the house, like she always did before, and her grades fell from excellent to okay to fair, and then poor.

It’s hard for me to think about those times. I feel guilty that I failed to nip problems in the bud. I knew she was getting up to something, even though her denials were always believable. But even when I KNEW her clothes smelled of pot or her words got slurred, she could put a good  face on it. She would claim that she just tried a bit of beer or marijuana because other people she knew were trying them. Not her real friends—Oh, no! Her friends were not “like that,” they never would use nasty stuff. “Nasty” because she hated it when she tried it, and now that she knows what it’s like, she will never touch it again. YUCK!

Like, What’s wrong with people, Mom? Why do they do that?

She was much too clever to leave anything in her room or backpack or even a pocket. Never so much as one rolling paper or a bottle buried in the trash. Nothing definite, that’s what I’m saying.

I know that some parents have seen deceit like this, based on half-truths that pull you in. Other parents have not, because their kids are still reachable. My daughter had an instinct for what I would believe and what I would want to believe. It broke my heart to think that I could not get through to her, could not convince her to fess up and start fixing the problem. We used to be close. Couldn’t I still be her friend, somehow make her realize that I was on her side, even if she wasn’t a little girl anymore?

Before I wised up, it was like she had already come to believe that getting high was on her side. Drugs were on her side, her real friends. Not mom or family or people, at all.

Drug offerOne time I slapped her in the face. She was bragging to a friend on the phone, using slang that I didn’t understand, but it was obvious she was bragging about something she had bought: What she had bought was expensive and important and a big secret. It sounded like she pooled money with a few others from her school. They would be selling it off in smaller bits to cover the cost. In other words, dealing. I was not in the room at the time, but her little sister was there and was overhearing the whole story. As I passed by the door, I caught on.

I saw that my older girl knew her sister could hear it all. She was bragging about this very bad thing in front of her sister, and she knew it.

That’s what hit me so hard.

I confronted my daughter. As usual she snowed me with lies. I slapped her in the face. 3 times I slapped her. I demanded she admit what she’d done. It was that desperate. She called me abusive and ran out of the house. It’s one of my most awful memories. I hate to think of it.

By the end of that day, I managed to get her set up in counseling. Sounds good, right? But this was at least the third time, over her junior high and high school years, that I got her into professional counseling. Something always came up to block any progress. For one thing, I know she tried to snow the counselor: She  would  talk about how unfair everyone was to her, and slip-slide over the heart of the matter. Or else she decided she hated the counselor (of which we had little to choose from), or my kids’ father refused to take part in the process.

This testimonial continues here. Links below provide  helpful information on addiction and recovery. If you need to do additional reading, I’m offering a chance to receive $50 in free books through the month of April 2015. Click here for details.

Visit the Harvard Help Guide   

Visit SoberNation

Visit Parent Treatment Advocates

Visit Gabbertsite from mental health counselor Gail Gabbert

And here’s a recent article from the New York Times on teenagers discussing what might have stopped them from using drugs.

What if my Child is Using? – Adolescent Drug Addiction

What if my Child is Using? – Adolescent Drug Addiction

Imaginative writing is often inspired by the conflicts of everyday life. In our society, where we  may find ourselves stressed to a breaking point, conflict can reflect pressures we don’t even  understand. In an  effort to reach beyond fiction toward  the real-world tensions that inspired my novel, Our Orbit, I’m introducing a few new topic categories here on the blog. You’ll continue to find items on the craft of writing, literature,  and publishing. But since Our Orbit delves into the challenges of family life, I’m also branching out to parenting, including addiction and recovery among teenagers. Here is an offering on this topic, along with links to sources of help and information.

The painful question in the title of this post is one that worried parents ask each day in thousands, if not millions, of  homes across all  continents. This timely article is was written by Mr. Robert Hunt, a youth recovery coach and wellness advocate, re-posted from SoberNation by permission of Mr. Tom Stoddard, founder of that website, which is dedicated to building community by and for people in recovery from addictions and related problems.

From Recovery Coach Robert Hunt —

Adolescent drug addiction treatment can incorporate a number of different approaches, procedures, and timelines, depending on the adolescent.  In our experience, the most effective treatment plans are those that are holistic and individualized, meaning they incorporate different approaches and therapeutic processes, all dependent upon the specific adolescent’s individual symptoms, needs, and unique situation.  Three of the most important aspects of an adolescent’s experience that should always be incorporated into a treatment plan include Co-Occurring Disorders, academic struggles and support, and family support.

CLICK THE PIC FOR DETAILS.

First of all, it’s extremely common for adolescents who struggle with drug or substance abuse to also suffer from a Mental Health disorder or learning challenge.  At times, these symptoms may overlap with those of the drug abuse addiction and effects, thus making it difficult to know which symptoms are attributed to which disorder.  Because of this, unfortunately it’s common for teen Co-Occurring disorders to go undiagnosed and consequently untreated.  In these cases, teens may recover from their addiction and abuse but still be suffering from the other disorder, which will leave them vulnerable to stress that can trigger relapse.  Therefore, the importance of careful evaluation and thorough diagnoses in Adolescent Drug Addiction Treatment can’t be stressed enough, as it’s the foundation upon which recovery is built.

Secondly, adolescents living with addiction and/or abusing drugs often are struggling in school.  Because school is such a central part of adolescents’ lives, experiencing such struggles or failure can quickly lead to serious loss of self-esteem, and together with drug use, can add to the adolescents’ withdrawal from others.  These academic difficulties will hopefully be realized within talk therapy sessions and careful consideration of possible learning disabilities should be made as well.  While in treatment, adolescents should be provided real-life academic support such as tutoring, to help get the students back on track.  For adolescents, success at school is pivotal to success in their lives.

Lastly, Adolescent Drug Addiction Treatment plans should include the family members, to help heal what damage and hurt has been done, re-build relationships, and create a healthy environment for everyone to thrive in together, amidst the adolescent’s recovery.  In our treatment plans, we always provide parents with individual and group family sessions, in order to provide parents the support  necessary to move forward.

Again, because Adolescent Drug Addiction Treatment is different for every adolescent, there is certainly no one right way for it to be done.  However, in our experience these three aspects prove consistently important in supporting our adolescents to achieve true and lasting sobriety.

About the author – Robert Hunt is a recovering addict of 20 years.  He has devoted his life to helping others suffering from chemical addictions as well as mental health challenges.  Robert maintains many blogs on drug addiction, eating disorders and depression.  He is a sober coach and wellness advocate and a prominent figure in the recovery community.


Visit Robert Hunt’s  
blog | Follow him  on Twitter @RecoveryRobert

Visit SoberNation | Follow @SoberNation

Visit Parent Treatment Advocates

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Does Childhood Trauma Cause Addiction?

Does Childhood Trauma Cause Addiction?

Several serious topics drive the story of my novel Our Orbit. Childhood traumas play a major role in the plot, as does the difficult issue of substance abuse. To open the way for a conversation on these matters, I offer the following guest post that first appeared on  Gabbertsite, the blog of mental health professional Gail Gabbert. These themes are so important to my fiction  that I plan to share information about their real-world consequences and treatments  throughout the coming months. Many thanks to Ms.  Gabbert for making her expertise available.

Gail Gabbert writes—

I recently read a Huffington Post article entitled: “The Likely Cause of Addiction Has Been Discovered, and It Is Not What You Think.” The author states “the opposite of addiction is not sobriety. It is human connection.” This piqued my interest in reading the book, “Chasing the Scream: The First and Last Days of the War on Drugs” by Johann Hari, who is also the author of the news article. I highly recommend the book as an interesting account of the history and progress of the war on drugs.

The author cites trauma as a likely culprit of addiction. But the concept of connection as an antidote to addiction is easily misunderstood. A quick reading of the article might cause some parents to blame themselves for a child’s addiction because they didn’t love them enough. Although relational trauma has been documented to be a potential underlying factor in predisposing one toward addiction, unconditional love as an antidote is over-simplifying a very complex issue.

A more accurate description of social connection is found in the book. It is referred, not simply to a bond with one’s circle of friends and family, but rather connection that includes jobs, housing, a sense of worth and dignity. Many of these things are lost to people who have been incarcerated for drug use. Upon release from prison, felons are denied access to public housing and have difficulty securing jobs. They lack many resources to rebuilding a stable life, thereby increasing the odds of return to addictive behavior.

I did my own amateur research on the role of social support in the lives of eleven people who are in treatment for opiate (heroin and/or pain killers) dependency. Ten of the eleven perceived themselves to have had family support prior to their dependency. And ten of the eleven perceive themselves to have family support for their recovery. Therefore, the vast majority of these people feel positively connected to their families and developed a dependency in spite of it. For them, family support didn’t cause their addiction. And family support isn’t sufficient to cure it.

I asked them to complete ACE (Adverse Childhood Experiences) questionnaire to assess child abuse, neglect and household dysfunction. This study was referenced in the book as an indicator of trauma, leading to negative consequences such as substance abuse. The majority (8) of the eleven people in my sample had low scores which could indicate that there are other factors that contributed to their addiction besides trauma. Granted, this is not a scientific study and should not be taken as such. It was my way to satisfy my curiosity on a small scale.

The author ends with advice to unconditionally love people with substance dependencies, rather than isolate them from their community or incarcerate them. Those who promote “tough love” demand that the addict cease all use of their substance or suffer the consequence of isolation, loss of resources and loss of freedom.

It seems to me that early childhood trauma may or may not have caused substance dependence. But I agree with the author that the consequence of social isolation will only deepen their addiction.

Gabbert

Visit  https://gabbertsite.wordpress.com/ for more information and ideas from psychotherapist Gail Gabbert. Leave comments below to share your thoughts on the topic of substance abuse and treatment, or other matters of interest. This item is re-posted with much gratitude to the author.



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