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IMPROVING THE MANAGEMENT AND PREVENTION OF OBESITY In this section, we offer two sets of recommendations. The rst set entails suggestions to health professionals about ways to improve the care of the obese patient. The second set includes suggestions for the prevention of obesity. Managing Obesity Guidelines for a stepped-care approach for matching treatments to patients based on the severity of obesity and previous response to weight-loss treatment have been described in the recent report of the NIH (NHLBI, 1998). We offer several additional recommendations to health care professionals who treat obese patients. 1. Begin with a comprehensive assessment. An effective treatment plan should begin with a comprehensive assessment of the effects of obesity on the individual s health and emotional well-being (Beliard, Kirschenbaum, & Fitzgibbon, 1992). In addition to determining BMI and waist circumference, the evaluation should include an assessment of the impact of body weight on the obese person s current health and risk for future disease. The presence of signi cant comorbidities may justify consideration of pharmacotherapy in patients with BMIs as low as 27 and bariatric surgery in patients with BMIs as low as 35. The obese person should receive a thorough physical examination that speci cally assesses risk for diabetes, dyslipidemia, and hypertension conditions that are very common yet often go undetected among obese individuals. The initial assessment should also include an assessment of behavioral risk factors, including sedentary lifestyle, consumption of a high-fat diet, and binge eating. Quality of life indicators including social adjustment, body image satisfaction, and

Owner draw buttons work almost exactly like other Windows CE controls just described. The only difference is that the button control s parent window, not the button, is responsible for defining the appearance of the button. An owner draw button behaves in all other ways like a non owner draw button. For example, it still sends WM_COMMAND messages to its parent when pressed. The difference is that in the case of an owner draw button, the button skips its default WM_PAINT processing and instead sends its parent a WM_DRAWITEM message. The window procedure of the button s parent responds to this message by drawing the button.

The restrictions can be placed on any or all of the following of Equation 6.1: The number of factors. The weights of a factor to reproduce a variable. The uniqueness for each variable. The means and standard deviations of the factor scores. These are generally set to either Z scores (mean = 0, SD = 1) or the mean and SD of a particular variable.

AIDS: behavioral goals and, 197 prosocial behavior and, 465, 476, 479 All in the Family, 313 Allocentrism, 37 Allport, Gordon, 142, 607 Alternative ve, 87 Altruism: attitude and social behavior, 317 collective identity, 489 hard-core, 20 soft-core, 20 21 See also Prosocial behavior Alzheimer s disease, 362 Amae, 42, 46, 47 Ambition, 610 Ambivalence, 316 ampli cation and prejudice, 514 515 attitudes and, 304, 310, 316 sexism and, 515 Ambivalent Sexism Inventory (ASI), 515 American Psychiatric Association, 606 American Psychological Association, 507 Amnesia, anterograde, 266 Amnesty International, 579 Ampli cation theory, response, 515 Anal stage, 120 121 Anal triad, 120 121 Analysis of covariance (ANCOVA), 529 Anger, 102 107. See also Aggression; Emotion; Violence Anteroom, 120 Antisocial personality, 12, 22 Anxiety, 342 343 biological bases of personality and, 94 97 gradient, 210 See also Emotion Appraisal theories, 287 object (see under Attitudes, functions) re ected, 335 336 Arousal: arousability, 102 103, 103 104 cortical, 89 91 autonomic, 95 brain, 95 cardiovascular, 103 104 cortical, 88 89, 98 99, 102 103 theory, 429 Asch, Solomon, 397 Association of Behavior Analysis, 139 Attachment theory: communal/contingent rules and, 456 interpersonal theory and, 209 Attitudes: affective processes, 311 312

achieves this bound with equality. Thus, Fano s inequality is sharp. While we are at it, let us introduce a new inequality relating probability of error and entropy. Let X and X by two independent identically distributed random variables with entropy H (X). The probability at X = X is given by Pr(X = X ) =

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The current evolution of Millon s (1999) theoretical synthesis has been in his advancing the importance of personality-guided psychotherapy in clinical practice, as well as his efforts toward instrumentation. In many ways, this parallels many of the key elements of psychoanalytic metapsychology wherein symptom expressions are best understood in the context of characterologic organization. This conceptual advance has spawned an interest in applying this metatheory to many contemporary clinical challenges and populations, and a series of personality-guided volumes are beginning to be published by leading clinicians.