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By X. Connor. Maine Maritime Academy.

The miraculous healing is one of the traditional implements of Mahikari and strangely enough recalls the words of Christ discount 10mg monopril overnight delivery. The Mahikari command, "Rise, speak your name and raise your hand" replaces the "Rise and go forth" of the Gospels. W hat help does our movement, Seikai Mahikari Bunmei Kyodan, offer, and how can it achieve miracles? In dojos throughout the whole world, the leaders and all the initiates as well can practice the art of Mahikari by raising their hands. These initiates, who bear the name of Kami Kumités or Yokoshis, can bring the spiritual assistance necessary to the resolution of health prob- lems; everyday illnesses, wounds, or diseases often considered to be incurable — cancer, heart problems, liver, kidneys, brain, and stom- ach trouble, and psychiatric problems. Better yet, they can help to solve all kinds of difficulties: family and other conflicts, professional difficulties. The propositions espoused in Mahikari are peppered with tradi- tional references to medical esotericism — for example, concerning the role of the pineal gland. W hen one raises the hand to practice the art of Mahikari and to transmit the light of the truth to the pineal gland, where the soul is located, behind the face, the spirits that are possessing the individual start to appear, in suffering. There may be manifestations that indicate how the possessing spirit lived before death, or how he died. This power is not reserved to advanced initiates alone, but can accrue to any follower provided that he adheres to Mahikari and re- ceives the holy talisman: Omitama. W hen you receive purification through practicing the art of Mahi- kari, you will notice yourself that this purification brings something new to you. You will be astonished to have miraculous experiences, such as you never experienced before. During this initiation, you will receive lessons on the principles of the universe that are completely different from all that you learned hith- erto.

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It is interesting to note that water discount monopril 10mg amex, in modern psychology, is frequently viewed as a symbol of the mother or the female side of the personality. The client worked quietly, with a flat affect, and created a snowman (placed in the background on the viewer’s right) and added black clay to the white home. He then destroyed the therapist’s butterfly and the anger microphone, saying, "I don’t need them. At this point the therapist remade the butterfly and stated, "The but- terfly came back and now it’s stronger. After noting that the blue man was now completely separated from the other objects, the therapist placed the butterfly at the man’s feet (object constancy), and this ended the session. Once again, no verbal discussion was imposed; only symbolic ges- tures and verbal metaphors would be utilized until the client felt safe and comfortable. In the eighth art therapy session the client was once again presented with the clay objects, but he stated that he didn’t want to work in clay any longer: he wanted to make a picture. He sought out poster board and chose pencils (a very controlled medium) and drew the image on the left side of Figure 1. The initial on the wavy-lined man’s chest (digitally changed) belongs to the client, and this reinforced the therapist’s interpretation that the men that the client was making all symbolized aspects of him. It is also note- worthy that at this juncture the client wanted desperately to give up the 34 In My Defense 1. He was, however, attempting to move toward autonomy, and therefore his assertive actions were met with approval and acceptance. In the last art therapy session the client returned to the clay project and spent an inordinate amount of time on the car.

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Theses guidelines reinforce the primary impor- tance of careful acquisition of the medical history and performance of a thorough examination purchase 10mg monopril with mastercard, including a detailed neurologic examination (33). Among children at risk for brain lesions based on these criteria, neuro- imaging with either MRI or CT is valuable in combination with close clinical follow-up (Fig. Supporting Evidence: In 2002 the American Academy of Neurology and Child Neurology Society published evidence-based neuroimaging recom- mendations for children (34). Six studies (one prospective and five retro- spective) met inclusion criteria (moderate evidence). Data on 605 of 1275 children with recurrent headache who underwent neuroimaging found only 14 (2. Suggested guidelines for neuroimaging in pediatric patients with headache Persistent headaches of less than 1 month’s duration Headache associated with abnormal neurologic examination Headache associated with seizures Headache with new onset of severe episodes or change in the type of headache Persistent headache without family history of migraine Family or medical history of disorders that may predispose one to CNS lesions, and clinical or laboratory findings that suggest CNS involvement 188 L. Neuroimaging should be considered in children with an abnormal neuro- logic examination or other physical findings that suggest CNS disease. Variables that predicted the presence of a space-occupying lesion included (a) headache of less than 1 month’s duration, (b) absence of family history of migraine, (c) gait abnormalities, and (d) occurrence of seizures. Medina and colleagues (33) performed a 4-year retrospective study of 315 children with no known underlying CNS disease who underwent brain imaging for a chief complaint of headache (moderate evidence). Clinical data were correlated with findings from MRI and CT, and the final diagnosis, by means of logistic regression. Thirteen (4%) of patients had surgical space-occupying lesions—nine malignant neoplasms, three hemorrhagic vascular malformations, and one arachnoid cyst. Medina and colleagues identified seven independent multivariate predictors of a sur- gical lesion, the strongest of which were sleep-related headache [odds ratio 5. Other predictors included vomiting, absence of visual symptoms, headache of less than 6 months’ duration, confusion, and abnormal neurologic examination findings. A positive correlation between the number of predictors and the risk of sur- gical lesion was noted (p <. No difference between MRI and CT was noted in detection of surgical space-occupying lesions, and there were no false-positive or false-negative surgical lesions detected with either modal- ity on clinical follow-up.

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