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Investigating Psychotherapy No Shows Using Latent Growth Mixture Modeling by Riley Palmer

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1Investigating Psychotherapy No-Shows Using Latent Growth Mixture Modeling

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Client dropout, also known as premature or unilateral termination, is a prevalent problem in psychotherapy, and it has problematic consequences for patients and mental health clinics. Dropout has been defined in a variety of ways, including therapist judgment, failure to complete a specified number of sessions, and failure to achieve reliable change. However, most research does not conceptualize it as missing a scheduled appointment, despite this being the form of dropout that is most costly to mental health providers and prevents other patients from being seen (Barrett et al., 2008). This is especially important at college counseling centers, which have seen an increase in the demand for services (Lipson et al., 2019) and which often have significant wait lists (LeViness et al., 2018). There is a general consensus that more therapy is better, and research on the factors associated with dropout has led to the development of interventions designed to reduce its occurrence and increase the number of therapy sessions (Oldham et al., 2012). However, there is evidence to suggest that some of those who drop out show improvement and may have gotten what they needed from therapy (April & Nicholas, 1996; Buizza et al., 2019; O’Keefe et al., 2019). As such, attempts to prolong therapy may actually be counterproductive for those individuals. The data in support of some dropouts getting what they need is largely qualitative, as quantitative studies typically take an average-level approach and may fail to represent those individuals (Bartholomew et al., 2019; Saxon et al., 2017). This study aims to address this gap in the literature by using latent growth mixture modeling (LGMM) and latent class growth analysis (LCGA), techniques that identify subgroups of individuals who share similar trajectories (Frankfurt et al., 2016). This research has the potential to further our understanding of those who drop out of therapy and has implications for which dropout reduction strategies are most appropriate.

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1Tracts for the Times, Volume 1

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Published between 1833 and 1841, the 90 Tracts were written by various members of "The Oxford Movement". They cover various aspects of Anglo-Catholic doctrine and other theological matters. The lead was taken by John Henry Newman (who made the largest contribution), but several other churchmen associated with Oxford University were also involved, among them John Keble, Hurrell Froude, and Edward Pusey. Among the newly written tracts were also re-prints of works from previous generations. The Tracts are of various lengths, ranging from a few pages to book-length works. The format and cheap prices, meant that the Tracts were widely disseminated. Volumes 1 and 2 also had new translations of the works of the early Fathers of the church appended to the end.<br><br> Volume 1 contains Tracts 1 to 46, along with 18 "Records of the Church". These last include all the extant epistles of St. Ignatius, alongside works by Justin Martyr, Irenæus, Clement of Alexandria, and Tertullian. Four accounts of martyrdoms and a tale of St. John round out the collection. (Summary by Beeswaxcandle)

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  • Number of Sections: 65
  • Total Time: 20:34:20

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2Collection of Family Prayers

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That Family-prayer is an indispensible duty, and an important means of religion, are points which are here taken for granted. Among the many excuses commonly urged for the omission of this duty one of the most frequent is, the want of ability or courage to pray, in the presence of others. Where this is the case, the most natural and effectual answer is "Make use of forms." The lawfulness and expediency of so doing, I shall not attempt to prove. It has been admitted by the best of our divines, several of whom have published forms of devotion for the use of families. It is a happiness that we have so many volumes of family-prayers, both by Churchmen and Dissenters, suited to the different tastes and sentiments of different persons. There is yet, however, room for more, as variety is pleasing and edifying. The occasional prayers are new compositions, which are adapted to the most common occurrences, and which may easily be altered as circumstances vary. In all, great attention has been paid to plainness and simplicity, both, of thought and expression. - Summary by Extracted from Preface

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  • Number of Sections: 53
  • Total Time: 04:38:17

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3English Lakes

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An exhaustive and illustrative book explaining the locations as well as descriptions of the lakes of England. Almost like reading a journey, the author takes you through a journey around England, giving depictions of the general western hemisphere and the lakes around. - Summary by Elijah

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  • Number of Sections: 17
  • Total Time: 06:26:43

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4With the New Army on the Somme: My Second Year of the War

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Frederick Palmer was already an experienced war correspondent when World War I began in 1914, as he had previously covered six wars, beginning with the Greco-Turkish War of 1897. "With the New Army on the Somme" was his second book about World War I. The story shifts between his first-person accounts from the trenches and Brigade Headquarters to narrations of distant campaigns, the role of the air war, strategic thinking by the Generals, and the coordination of the allies. A lively and intelligent journalistic account that is also a valuable history. - Summary by Ted Lienhart

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  • Number of Sections: 31

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