Surprises Sample Clauses

Surprises. These are low-probability, high impact events; these are referred to as 'imaginable surprises. Totally unexpected events are referred to as 'true surprises.' Nonlinear, complex, and discontinuous responses. Nonlinear determinants of climate change risks are complex. Unlike thresholds, nonlinear responses occur if the thresholds are exceeded by a stimulus, that is, high sensitivity above the thresholds. Examples of nonlinear, complex, and discontinuous responses include the collapse of fish stocks, disease outbreaks, malnutrition and hunger.

Surprises. I had assumed that implementing CBT with an older adult would be challenging and require significant adaptations, not least due to the chronicity of the presenting problem (her OCD had remained untreated for over 40 years) and the increased potential for rigid and ingrained belief systems. Xxxx however was keen to engage in treatment and extremely committed to understanding her difficulties and learning how to overcome them. She attended all sessions and completed all suggested therapy tasks without difficulty. This diligence is often observed and commented on when working therapeutically with older adults, which may reflect cohort effects around respect for professionals. Xxxx’s dedication to treatment however superseded mere compliance as she clearly expressed a preference for psychological intervention and was very open and flexible about her religious and cultural experiences and beliefs. These combined factors meant that my assumptions that her age, cultural and religious beliefs would render CBT interventions challenging to implement, with reduced effects, null and void. On the contrary, using strategies such as fully exploring the basis of her beliefs and assumptions through extended formulation sessions, setting up competing theories explaining her symptoms (‘Theory A, Theory B’) and evidence for and against these, enabled her to drop all of her safety behaviours (compulsions) earlier in treatment than expected. This enabled later sessions to focus on her co-morbid difficulties such as teaching her relaxation and mindfulness techniques to manage her anxiety, which we were able to do by drawing on her experience of meditation and prayer. In addition we were able to implement basic behavioural activation principles to overcome her symptoms of depression. The relative ease of adapting CBT for OCD for Bibi to achieve a reduction in her level of distress made me reflect on her long wait (over 40 years) to receive an appropriate treatment intervention. This may have been due to institutional stigma, a lack of cultural competence in medical and mental health professionals, as well as self-stigma, factors which we may believe have improved substantially over time. Arguably, these factors still act as a sizeable barrier to people from non-dominant cultures accessing appropriate mental health care and as clinicians, this needs to remain in our awareness in order to work towards culturally competent practice.

Surprises. Be prepared for a few surprises. Some may be pleasant, some not. Among the pleasant ones are . . . the fellow who insisted that his fiancé sign a pre-nupt discovered that, after all, she was rich. "She was worth about four times what he was," chuckles New York divorce attorney Xxxxxx Xxxxxxx.

Surprises. Certain commands provide inter-user communication. Even if you do not plan to use them, it would be well to learn something about them, because someone else may aim them at you.