A chaotic, even abusive upbringing predicts a long and harsh life. There are many chronic mental and physical health issues that occur that shorten lifespan and also markedly compromise quality of life. Raised in this environment, a child cannot reach his or her full potential when so much energy is consumed by trying to survive. Consider a young plant in rich soil with plenty of sunlight and water. Compare it to the same plant in poor soil, limited sunlight, little water. It may even look a different species.

Feeling unsafe

When we don’t feel safe, we’ll do whatever we can to achieve it. Feeling unsafe drives many, if not most destructive behaviors. Feel trapped causes us to react aggressively to solve the situation. The physiological response is called anger, which represents the body’s powerful last-ditch effort to regain control.

Since the most stressful problems are ones we can’t solve, sustained anger (threat physiology) turns into rage, destructive behaviors, and chronic illnesses as the body breaks down. Consider how many life situations are unsolvable. One of the deadliest and universal problems is feeling trapped by our thoughts.

We cannot escape our thoughts. Suppressing unpleasant thoughts fires up the threat response even more than experiencing them. Suppression causes the hippocampus (memory center) of the brain to shrink¹ and increases craving for opioids.²  Distracting ourselves with experiences, pursuing pleasure, adventures, and achievements also fires up the immune system.³

So how do we behave?

ADDICTIONS

Addictions create a sense of safety while engaged in the activity, but obviously are not long-term solutions. The reason addictions are so destructive is they temporarily mask mental and physical pain, and pursuing relief is compelling.

POWER

A deadly outcome of feeling chronically unsafe is the relentless pursuit of power in order to gain more control. It can’t and doesn’t work, but few of us are taught alternatives. The manifestations are almost infinite and infiltrate every domain of our lives and relationships with others. People closest to us are the most affected. No one wants to be controlled, yet trying to control others is almost universal. Anger is generated in those being controlled and also in those exerting control. There is never enough to assuage the unconscious brain. Unfortunately, anger is intentionally destructive, as it is your body’s last-ditch effort to survive emotionally or physically.

The data is deep, beginning in the schoolyard. We try to avoid anxiety, or – if we already have it – we try to get rid of it. Nothing enhances our feeling of control more than by gaining power in some way. This need is expressed in our interactions with each other; in fact, it dictates much of human relations.

Every child has significantly increased anxiety when they leave home to begin school, regardless of their family situation. They want to be accepted but there is also the greater need to diminish their fear. The need to get rid of fear and gain power is played out in forming cliques, excluding others, and overt bullying.

Researchers did a study of students who have been bullied versus the bullies to see if there was any difference in their physiological makeup. ⁴ They looked at the levels of a substance called C-reactive protein (CRP), which is elevated in the presence of inflammation; it’s often drawn to determine the presence of a hidden infection. Chronically elevated levels also indicate a stressed and overactive immune system. It is not desirable to have an elevated CRP.

The study revealed that children who had been bullied had significantly elevated levels of CRP compared to those who had not been bullied. Being bullied as your introduction to the real world is not a great start. What I find even more disturbing is that the levels of CRP in bullies was lower than the norm. As it turns out, there is both a social and physiological reward for possessing more power. How all of this plays out in adulthood is not subtle. Why would you want to give up power and control? Especially when feeling the pain of anxiety is the other option.

Every child has a strong need to be accepted, yet what should we make of the fact that it gives him or her more power (and self-esteem) to reject someone else? This is an endless loop, the root cause of which is the solvable problem of anxiety.

SELF-ESTEEM

The other as futile effort to counteract these deeply upleasant survival sensations is to pursue more self-esteem. This is problematic for seversal reasons. First, it is a gross mismatch of your unconsious brain overpowering your conscious brain by about a million to one. Anxiety and anger are hardwired automatic survival reactions over which we have absolutely no control.

Second, the unconscious brain never stops for a millisecond and is always on the lookout for danger. It is why we evolved and stay alive. The conscious brain’s attention is not sustainable and we quickly develop cognitive fatigue trying to stay happy. We also become physically tired as 20 to 25% of your entire body’s energy is used to run your brain.

Third, we are programmed by everyone around us about who we should be or not be. These voices in our heads become as concrete as any object and we act on them. Unfortunately, the “stories” in our heads are essentially all cognitive distortions. Self-esteem represents a huge distortion of labeling. We expend a tremendous amount of energy building up our ego, and then spend endless efforts defending it. The relentless pursuit of self-esteem disconnects us from the reality immediately in front of us. In other words, you lose awareness of other’s needs and relationships are compromised. Look at the human experience of how terribly we treat each other as individuals and societies. We have the resources to create a planet that could thrive yet we are at the mercy of our personal and societal “stories.”

What can you do?

Learn vulnerability. Being vulnerable is at the core of meaningful human relationships, but there is no reward in nature for being physically vulnerable.  Since emotional pain is processed in similar regions of the brain as physical pain, there are penalties for being emotionally vulnerable. Language creates a massive problem causing emotional pain that is much more complex than in other mammals. Anger, as unpleasant as it is, is powerful, addicting, and masks being vulnerable. Anger creates a sense of emotional safety, but no one around you feels safe. How do you learn to be vulnerable when you are used to dealing with a lot of anger?

DYNAMIC HEALING

Needing to pursue the above-mentioned destructive behaviors drops as you address the root cause of sustained threat physiology. You cannot control the survival reactions but there are numerous ways to regulate your physiology. When your body is bathed in safety physiology, you feel safe, connected, and incredibly relaxed. We use the term, “dynamic healing”, which addresses factors affecting your physiology.

• Input – dealing with life’s challenges in a manner that less impact on your nervous system.
• State of the nervous system – calm or hyperactive
• Output or the physiology – can be directly regulated from threat to safety.

The details of the Dynamic Healing model are beyond the scope of this discussion. The focus is on you and learning skills in each category to create “cues of safety”, and not on fixing or solving your pain. It is a healing process, and not “self-help”.

RUTs (repetitive unpleasant thoughts)

Regarding the onslaught of unpleasant thoughts, consider the metaphor of a hornet’s nest, with the nest being your brain, and the hornets your thoughts. At rest, the hornets are busy collecting food, building the nest, cleaning house, and reproducing. If the nest is shaken, the hornets will become aggressive and defend themselves. When your nervous system is inflamed and hyperactive, your thought patterns become intense, since your conscious brain interprets your internal physiology.

The usual approach is to use cognitive rational techniques to counter bad thoughts with good thoughts, which is an impossible task. Then we put up our “shield” (self-esteem, self-affirmations) to protect us. It also overwhelming and wears us down. Exerting increased control (suppression) is also futile. Then the more attention you pay to the thoughts your brain is fired up even more. It is a bi-directional process.

The answer lies in “quit shaking the nest.” The hornets will calm down and return to their usual activities. As your nervous system calms down, your unpleasant thought patterns will lessen, which in turn helps calm your brain. Although cognitive approaches lower the input into the nervous system, calming it down is a separate skill. There are endless other ways besides unpleasant thoughts that fire it up.

There are four aspects of creating a safe relationhip with your thoughts.

• Thought separation
• Calming the nervous system (processing anger)
• Creativity – stimulating new neurological circuits away from the unpleasant ones.
• Dissolution of the ego – once you learn to feel safe, there is less need for it.

Calming your nervous system allows you to feel safe. It allows you to break free of ruminating thought patterns frees you up to create and live life on your terms.

References

1. Hulbert JC, et al. Inducing amnesia through systemic suppression. Nature Communications (2016); 7:11003 | DOI: 10.1038/ncomms11003
2. Garland EL, et al. Thought suppression as a mediator of the association between depressed mood and prescription opioid craving among chronic pain patients. J Behav Med (2016); 39:128–138. 10.1007/s10865-015-9675-9
3. Cole SW, et al. Social Regulation of gene expression in human leukocytes. Genome Biology (2007); 8:R189. doi: 10.1186/gb-2007-8-9-r189
4. Copeland W, et al.” Childhood bullying involvement predicts low-grade systemic inflammation into adulthood.” PNAS (2014); 111: 7570-7575.

The post Our Need to Feel Safe first appeared on Back in Control.

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• Honor your suffering. You are trapped by physical and mental sensations without an apparent way out.
• You feel extremely isolated but many people in this hole (The Abyss) are also suffering badly. You are not alone.
• Your rightful frustration (rage) fires up your symptoms even more.
• Systematically learning and using tools to calm your body, will allow you to heal.

The Depth of Your Suffering – Darkness

All of us seek safety – physically and mentally. When we don’t feel safe, our bodies switch to a flight or fight mode, and we feel stressed. Another descriptive word is “anxious”, which is simply the feeling generated when you sense danger. We yearn for safety and detest anxiety, and when we can’t resolve the problem causing us to feel uneasy, we feel trapped. The word for this more intense bodily response is anger. It is our last-ditch effort to regain control and feel safe. When we still can’t escape a real or perceived threat, our bodies break down with the outcome being chronic mental and physical diseases.

Anxiety and anger are not psychological constructs; they are your body’s warning signals, and they evolved to be intentionally unpleasant. They are the pain and are manifested in many ways. Even with physical symptoms, the cause is unclear. There are reasons. Chronic stress translates into threat physiology (how your body functions), which causes symptoms, illness, and disease. Unless you know how to effectively process stress, you are trapped.

Feeling trapped causes deep suffering, creates many problems. BTW, everyone suffers. There are degrees, and not having basic needs met such as safety, food, shelter, and companionship creates havoc with every aspect of your health and life. I do not want to dishonor this level of suffering. For example, the incidence of significant anxiety issues is 100% if your income level is less than 19,000/ year.¹ This is 1994 data that translates in approximately $38,000 in 2024.

We are also trapped by being a species with language, abstract thinking, and awareness of the finite nature of life. We can’t escape death. In addition to our physical challenges to staying alive, we cannot escape our thoughts. We have no protection from mental pain and suppressing unpleasant thoughts inflames the brain even more. These translate into RUTs, (repetitive unpleasant thoughts). They are universal varying in severity and frequency. The range is:

• Occasional unwanted thoughts
• Repetitive thoughts
• RUTs
• Repetitive disruptive thoughts
• Invasive thoughts

 “The Abyss”

One afternoon, I was listening to a patient attempting to describe the depth of her suffering and it hit me how deep and hopeless this hole is for most people. I realized that words were inadequate to encapsulate the degree of misery. Since no one seemed to have any answers, there was no apparent way out. The description that seemed to fit for this dark, bottomless pit was “The Abyss”.

A recent research paper documented that the effect of chronic pain on one’s life is similar te the impact of terminal cancer.² You hadn’t anticipated the possibility of your life being consumed by pain. The paper showed that chronic pain was worse in that with cancer, you at least know the diagnosis and there is an endpoint, one way or the other. This statement might sound harsh in that suffering from terminal cancer is horrible, but ongoing pain (mental and physical) without knowing if there is an endpoint is even worse.

A stark example of how uncertainty can eat away at you is illustrated in Dr. Viktor Frankl’s book, Man’s Search for Meaning.³ He was an Austrian psychiatrist who was imprisoned in a concentration camp during WWII. He lost several close family members and experienced unspeakable horrors. As he describes his personal experience, it is difficult to imagine anyone enduring even a fraction of what he witnessed and endured. Yet, he points out that the worst part of it all was not knowing when it was going to end. 

Life in The Abyss

In addition to other life stresses, patients are trapped by unpleasant mental and physical symptoms, illnesses,and diseases. You are also trapped by the medical system, which is not consistently showing you a way out. Over time, you become discouraged (despondent). My equation for it is:

The Abyss = Anxiety/Anger x Time

Why isn’t pain part of this equation? It is because anxiety is the pain. When you are stuck in a whirlpool of relentless anxiety and frustration, life goes dark.

How deep is this hole? Here is a short list of the suffering I have encountered both personally and witnessed in my patients.

Losses include:

• Independence
  • Financial
  • At the mercy of the disability system
• Capacity to enjoy good music, friends, fine food, and hobbies without the experience being marred by pain
• Peaceful family life
• Feeling good – there are over 30 symptoms created by a chronically activated nervous system. There are also many other mental and physical disease states. Your body breaks down.
• Integrity – people don’t believe you and often the harder you try to convince your friends, family, peers, employers, and health care providers, the less you are believed.
  • Being labeled – malingerer, drug-seeker, lazy, not motivated, and difficult
• Unlimited physical activity
• Peace of mind – RUTs are relentless and may be the worst part of the ordeal.
• Hope – this may be the worst aspect of it all. Repeatedly having your hopes dashed induces a depression.

No Way Out

Consider the depth of “The Abyss.” Your soul is being pounded into the ground by a pile driver of anxiety/anger as you remain trapped in your body, riddled by mental and physical pain. Your life is being systematically destroyed, but in some cruel cosmic joke, you’re alive to bear witness – without hope. This dark place in your mind is unusually deep – bottomless. And no one is listening………

Recap

Allow yourself to comprehend the depth of your suffering and degree of damage your pain has inflicted on your life. Awareness is the first step in successfully reversing this downward spiral. Right now, you are at the bottom, except there is no bottom……

Chronic illnesses are complex and random treatments can’t and don’t work. It is necessary to break your unique situation into its component parts and systematically deal with them. There is a way out of this incredibly dark place, but you cannot go from the depths of suffering to better health with willpower and belief. As you methodically acquire knowledge and skills to deal with each aspect of your situation, you’ll be able calm and re-route your body to break free and heal.

Questions and considerations

1. First, give yourself a break. You are suffering badly. Many treatments have failed, and you may even be worse. No one seems to be able to show you a way out or even offer hope. There is no reason to have positive feelings about any of this. Allow yourself to feel the depth of your suffering and frustration. Express it a piece of paper and immediately tear it up. A few people have difficulty processing the feelings released with this exercise, and if you feel uncomfortable, immediately stop.
2. Consider what is important to you in life, but you can’t access or experience them. Write down two or three things you would like to experience. Not being in pain is not one of the choices. You’ll see why as the course unfolds and it is also a given. None of us want to be in pain.
3. List three to five of your most intolerable symptoms. For many people, the relentless onslaught of unpleasant thoughts is the worst aspect of it all.
4. Give yourself credit for staying on your feet long enough to keep trying. A willingness to learn and practice is the number one factor predicting success.

 References:

1. Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-month prevalence of dsm-iii-r psychiatric disorders in the united states: Results from the national comorbidity survey. Arch Gen Psychiatry. 1994; 51(1): 8-9.
2. O’Connor AB. Neuropathic pain: quality-of-life impact, costs, and cost effectiveness of therapy. Pharmacoeconomics (2009); 27: 95- 112.
3. Frankl, Viktor. Man’s Search for Meaning. Beacon Press, Boston, MA, 1959,1962,1984, 2006.

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The post “The Abyss” – Honour your suffering appeared first on Back in Control.

“The gift of the unconscious “– life

The interoceptive nervous system is intertwined with every cell and organ in your body. The interpretation of these internal signals gives rise to consciousness. The warning signals evolved to be intensely unpleasant so as to compel the organism optimize function and act in order to survive. Conversely, sensations of safety became equally as powerful to drive cooperation and reproduction. The reward and warning system are both always active and in a delicate balance. This finely tuned interaction allows immediate action in either direction. However, since survival is clearly the primary need, unpleasant sensations will be more frequent. Most of the time, your actions will minimize them quickly, and avoiding physical pain and unpleasant sensations is how we are programmed to stay alive. This incredibly powerful complex unconscious system is the “gift of life.”

“The curse of cognitive consciousness” – RUTs

Language allows us to possess “cognitive consciousness”, and the capacity to describe these sensations. Meaning is given to the feelings generated by these neurochemical reactions reflecting danger and safety. Since we are always on some degree of alert for trouble, there is an endless stream of RUTs (repetitive unpleasant thoughts). Since physiology (how the body functions) affects every cell in your body, it is all encompassing, feels like who you are, and becomes a core part of your identity. So, the “gift of life” translates into the “curse of cognitive consciousness.”

Our brains become inflamed and hyperreactive with excitatory neurotransmitters and inflammatory cells when in flight or fight physiology. Humans describe these sensations generated from an activated threat response, “anxiety and anger.” They are physiologic states and not psychological.^1,2 Blood flow in the brain shifts from the neocortex (thinking centers) to the limbic system (fear and survival regions) so you cannot think as clearly when you are under real or perceived stress. An inflamed brain fires up even more RUTs, which are also perceived as dangerous and there is no end to this cycle.

                                                                     Goodtime/Adobe Stock

While we have an automatic withdrawal response (nociceptive system) for acute physical pain, there is no such response for mental pain. Suppressing RUTs only fires up threat physiology more and further creates more RUTS. There is no end to this loop, and we have no protection from mental pain.³

We attempt to create “good thoughts” from our conscious brain to counter the “bad” thoughts. This is an impossible task, as the unconscious brain continues to remain “fired up” and the bad thoughts continue to fly. Cognition requires conscious mental effort, consumes energy, is a gross mismatch of power, and is not sustainable. The unconscious brain processes between 20-40 million bits of information per second and our conscious brain deals with only about 40 per second. This interaction is why RUTs are so common, miserable for many, and the consequences are often severe.

Consequences of RUTs

One consequence is that well-intentioned people are more affected in that they may view themselves negatively because these thoughts are such a dark contrast to who they perceive they are or what they stand for. They don’t realize that these thoughts are interpretations of feelings generated from the unconscious brain. Efforts to combat RUTs often border on heroic, but the fallout is that people who potentially could significantly contribute to the common good are often crippled by anxiety (threat physiology) or just get worn down.

Less well-intentioned people may simply act out these thoughts and impulses without a lot of self-judgment. Hence, history is replete with tyranny and control. There is actually a physiological reward for power and control. Bullies have been documented to have lower inflammatory markers than average, whereas those who have been subjected to being bullied have higher inflammatory markers.⁴

Not only do humans expend a lot of energy fighting bad thoughts with good ones, but we also create “stories” to feel better about ourselves. We call it ego, self-esteem, or identity. As the powerful unconscious brain continues to keep us alive regardless of what we think or feel, there is no end to our efforts to create an identity that is bulletproof.

Another, more primitive solution, is exerting power and control based on these stories. The solution to anxiety is control, but without a way of decreasing RUTs, there is also no limit to what we do to control ourselves and others. These “stories” are often the basis evil actions. Once we label someone or a group of people as “less than” than we can justify any action in order to “bring them in line” or exterminate them. Labels are cognitive distortions that destroy awareness of details and the needs of others.^5,6

“The gift of cognitive consciousness” – choice

Anytime you are anxious or frustrated, you are reacting to something that was perceived as dangerous from the past. You are no longer in the present and cannot clearly see the details of the situation in front of you. You can will your way back to neutral or better for periods of time. But you have now lost choice, which is the gift of consciousness. It is truly a gift in that you can use the body’s property of neuroplasticity to create any brain (and reality) that you wish. But you cannot access it while you feel under threat. It is simply not possible.

The gift of our unconscious is life, and it keeps us alive at any cost. RUTs reflect this effort and are the curse of cognitive consciousness. Separating our identity from them and regulating our physiology from threat to safety allows us to access the gift of consciousness, which is choice. There are no shortcuts. You must  separate your identity from your survival reactions with awareness create choices. You are “letting go” (“Cing” first) in order to proactively move forward into creating the brain (neuroplasticity) and life you desire . Our lives can and will transform from reaCtive to Creative.

Why has this not been figured out long ago? Maybe it is because anxiety and anger have historically been placed into psychological/ mental categories instead of understanding they are such powerful activated physiological states. Avoiding the sensation of anxiety (vulnerability) drives most of human behavior. Much of it is dysfunctional and destructive. Medicine has not collectively acknowledged threat physiology as the driving force behind chronic mental/ physical symptoms, illness, and disease. It is no wonder that the burden of chronic disease continues spiral out of control.

The human race is a reactive species that knows how to physically survive. We have choice but can’t seem to access it with enough regularity to proactively create a thriving life and planet. Awareness allows choice and is where mental and physical healing begins.

References

1. Teed AR, et al. Association of generalized anxiety disorder with autonomic hypersensitivity and blunted ventromedial prefrontal cortex activity during peripheral adrenergic stimulation. JAMA Psychiatry (2022); doi:10.1001/jamapsychiatry.2021.4225
2. Takahashi A, et al. Aggression, social stress, and the immune system in humans and animal models. Front. Behav. Neurosci. (2018); 12:56. Doi: 10.3389/fnbeh.2018.00056
3. Wegner, DM. Ironic processes of mental control (1994); 101:34-52.
4. Copeland W, et al.” Childhood bullying involvement predicts low-grade systemic inflammation into adulthood.” PNAS (2014); 111: 7570-7575.
5. Burns, David. Ten Days to Self-Esteem. Harper Collins, New York, 1993.
6. De Mello, Anthony. The Way to Love: The Last Meditations of Anthony De Mello. Doubleday, New York, NY,1992.

The post Accept the Gift of Consciousness – Choice first appeared on Back in Control.

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Here is the essence of the problem with RUTs and the human condition. The sequence begins with your unconscious brain that is constantly on alert for danger and is much more powerful than our late-evolving language-based consciousness. Humans use language to give meaning to everything, especially to sensations generated from inside of your body (interoception). Danger, real or perceived creates threat physiology that generates various levels and kinds of discomfort, and we have created many words that describe how badly we feel. These unpleasant thoughts evolve into concepts. They originate from the brain and also are sensory input back into it that we react to with threat physiology. We are on a spinning wheel without brakes and our brains are on fire.

New Africa/AdobeStock

The conscious versus unconscious brain mismatch

So, we generate positive thoughts to counteract unpleasant ones. We work hard to develop enough self-esteem to feel better about ourselves. But the powerful unconscious brain can generate an infinite number of troubling thoughts with minimal extra energy expended whereas the conscious brain can only create a limited number of “good” thoughts that requires effort and expenditure of energy. It is a gross mismatch, your survival brain overwhelms your efforts to feel better about yourself, you experience cognitive fatigue, and you are worn down.

The root cause driving the creation of RUTs is your fired up inflamed brain. Once the thoughts are released, how can you put them back into the box? You cannot. It is like trying to kill a swarm of mosquitos with a fly swatter. What’s effective is calming down threat physiology (anxiety and anger), the RUTs are diminished, which lessens the threat load even more. This is a bidirectional process. The medical/ psychology world has primarily focused on the RUTs without addressing the physiological root cause. Over the last decade, that is changing, and many practitioners are using methods to calm people down as the primary focus. Why not drain the swamp?

Consider a hornet’s nest where the inhabitants are minding their own business. They are working together constructing a home, gathering food, watching out for danger, and reproducing. Then someone or animal comes along and starts poking at the hive. Appropriately, they sense danger and use the weapons at their disposal to fight off the threat. Swarms of hornets attack the predator with the intention to inflict pain and they do. What is the best answer? Is it trying to battle the hornets once they are in the battle mode, or would it be easier to quit prodding the nest? It is impossible to do battle with your innumerable RUTs. Why not calm down your inflamed brain? Your RUTs will quiet down. Then you have the ”space” to move into brain circuits where you can nurture joy, move away from pain circuits, and where the definitive healing happens.

schankz/AdobeStock

Dissolution of your ego

The final step of allowing your ego (self-esteem) to dissolve can’t happen until you are able to tolerate the painful thoughts arising from your unconscious brain. Emotional pain is processed in similar regions of the brain as physical pain. The reason we spend so much time and energy on our self-esteem is because RUTs make us feel so badly about ourselves and we don’t like to hurt. Once you have no more need to “defend” your identity built largely from cognitive distortions, you can live your life in freedom.

There is another layer to the devastating effects of RUTs. “Good” self-esteem is a cognitive distortion of labeling. It doesn’t matter whether your label is “better than” or “less than”, it is still a distortion and where does it end? Then think of how many aspects of your identity are determined by “stories” consisting of cognitive distortions. A major one is “should or should not” thinking, which is at the core of how we are programmed from birth. It manifests in perfectionism and self-critical voices. These voices become stronger with time and become embedded in our brains as concretely as physical objects. At some tipping point, we spend the rest of our lives processing our worlds though our life lens and it is continually reinforced. Many people develop mental rigidity as part of this process, and it is a trait that is at the center of almost any mental health problem. Defending and becoming attached to your own sense of self is the antithesis of awareness which is essential for successful human interactions.

RUTs are one of the expressions of threat physiology. Addressing this root cause allows definitive solutions. Humans must learn to navigate cognitive consciousness in ways other than a survival mindset. Understanding the nature of the problem opens up possibilities to thrive. It is the next step in our evolution of our species with dire consequences if we don’t.

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