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And the comparisons and lessons to be drawn from the world as it stood but 100 years ago are quite another matter Indeed, as you receive your law school diploma you who will fashion and lead the next century it is not only relevant but highly instructive to take a glance back, scan the highlights of the twentieth century, examine the pivotal junctures that shaped its destiny, and in so doing perhaps glean something about the road ahead Perhaps my father summed it up best Prior to his death in 1990, he told me that even though the horrors of the twentieth century included a new low in the history of mankind two world wars and the Holocaust, an indelible blot that can never be expunged he nevertheless felt it was a most remarkable century.



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First, the therapist helps the family extend the changes into similar family situations Second, he or she helps through relapse prevention techniques to develop an expectation that things will get worse, but can get better again, in order to build confidence that the newly acquired skills will work in different situations over time Finally, the therapist supports change, ensuring that as many community resources as possible are available to, and supportive of, the couple and family In general, long-term change is accomplished when the family is helped to use their own skills to obtain these changes with the guidance of the therapist Miguel s enrollment in a school program that gave him time to support his family during the day increased the chances of his staying in school and thus graduating from high school Furthermore, Miguel s sister and father were instructed to take Miguel Jr.





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In spite of the atrocities, he watched the world go from the horse and buggy (the main form of transportation at his birth in 1904), to Apollo Eleven, which in 1963 took Neil Armstrong to the moon..

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to weekly teen basketball games to help reduce his depressive symptoms and to help him develop positive peer relationships His sister was supported to find a job and enroll in a community college class but to continue living at home and help the family financially by paying for some of the food and transporting her mother to medical appointments and on errands In order to support the changes made by families, therapists must attend to multiple systems (eg, extended family, peer, and cultural context) These systems provide valuable resources to help the family maintain the positive trajectory developed during therapy or defend against powerful negative influences that the therapist must anticipate and work to minimize This is best accomplished when undertaken with an appreciation of the relational system of the family, and it can be matched to available resources (Alexander et al, 2000).

to sexual activities for a small gift, such as a cigarette, there could usually be no prosecution, even though others may have felt that he or she had been exploited. People with intellectual disabilities, physical disabilities, a mental illness, or dementia are all thought to be at increased risk of sexual exploitation and/or sexual abuse because of their social and/or cognitive disadvantages (Sobsey, 1994; Brown et al., 1995; Williams and Keating, 1999; Glendenning, 1999; Nosek et al., 2001). Nevertheless, discussions about capacity to consent to sexual relationships normally only occur in relation to people with intellectual disabilities and these debates tend to be about the degree of sexual knowledge required to indicate capacity. For all vulnerable groups, however, there has been a rising concern about how to provide them with protection, without wishing to remove their right to consenting sexual relationships. It has been suggested (e.g. Copperman and Burrowes, 1992) that mixed gender wards in psychiatric hospitals place women with mental illness or other mental health problems at risk of sexual abuse and that single sex provision should routinely be available (a similar argument might be made for women with intellectual disabilities or dementia living in hospital or community services). In addition, local policy guidelines on personal and sexual relationships and adult protection procedures have been drawn up by and for staff in residential and day care facilities for vulnerable people (Booth and Booth, 1992; Brown and Stein, 1998). Most of the guidelines assert that such persons have the same right to consenting sexual expression as other people but that they also have a right to be protected from abuse and exploitation. The majority of guidelines are then mainly concerned with procedures to be followed when abuse comes to light; they tend to provide no guidance on what constitutes consent.

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