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When the diagnostic criteria in these cases are closely analyzed, it becomes apparent that the diagnosis was made solely by the discrepancy method ie, the patient s symptoms or signs were not deemed to be credible manifestations of disease, based mainly on the clinical experience of the examiner Of course, this assumes that the examiner has a wide experience; unfortunately for the novice, many syndromes are unknown or incomprehensible However, when diagnosis is based on the totality of the clinical picture and not on the discrepancy method, it can be quite accurate The physician can be further reassured that in follow-up studies of patients with so-called conversion disorder (exclusive of pseudoseizures), virtually none develop a neurologic lesion that in retrospect was related to the initial episode as for example in the study by Stone and colleagues.

As yet, computer specialists have no established home base in the organization of a school, and they may never have one. The preceding description identi es some roles for computer specialists in teaching and teacher education. They also are found on the staffs of libraries and media centers, probably because the technology ts so well with materials, media, and equipment, and because the computer can be helpful in cataloging. Further, they serve as central of ce consultants, visiting schools to advise, conduct workshops, and sometimes teach students directly. In the central of ce itself, the value of the computer in number crunching has given specialists a role in school nance. Finally, most school districts have a website that requires constant attention. This need has created the job of webmaster. State education departments are beginning to establish policies on the competence needed for a credential in computer technology. Most states promote integration of technology into the curriculum, and a little more than half of them require computer training for new teachers. However, the use of computers in schools, and the training for such use, are not far enough advanced at this writing that states have established licensure in the eld. Anyone interested in becoming a computer specialist should seek information from the Association for Educational Communications and Technology, the American Association of School Librarians, library media departments and personal computer centers in their local community or at nearby universities, computer user groups, and electronic bulletin boards. In 2001, more than 493,200 computer specialists worked in many settings, in schools and elsewhere. Their average salary was $41,920.

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13

Regular Arithmetic Equivalent x = x + 5; x = x - 5; x = x * 5; x = x / 5; x = x % 5; x=x+1 x=x-1

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FIGURE 1-5

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It is of interest that in the series cited, most patients had persistent functional disability from their conversion symptoms, even a decade later So-called projective tests (the Rorschach and Thematic Apperception Tests), which for a time were popular with dynamic psychiatrists, are not helpful in diagnosis and are now used very little The presence of extreme suggestibility and the tendency to dramatize symptoms as measured by one part of the Minnesota Multiphasic Personality Inventory and other psychometric tests is helpful in diagnosis but not pathognomonic of the disease; these traits appear under certain conditions in individuals who never develop hysteria Finally it should be reemphasized that single bouts of isolated hysterical paresis, blindness, and anesthesia are quite common in neurologic practice and do not presage a chronic hysterical illness.

the ANY privileges appropriate to profile. We will then create a named application realm role that corresponds to appropriate base role, just as we did earlier. Easy enough; let s implement our four application administrator roles.

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