Even when coaches adopt a more empirically validated approach than McNulty did, they still tend to fall into the trap of treating the symptoms rather than the disorder. That’s because they typically derive their treatments from behavioral psychology. Of course, behaviorism has been a great boon to psychiatry in recent years. Findings from this discipline have helped people enormously in controlling specific behaviors and learning to cope in particular situations. But treatments derived from behavioral psychology are sometimes too limited to address the problems that disrupt executives’ ability to function.

One of Google’s earliest executives, Chade-Meng Tan, teaches a popular course for Google employees that helps build such qualities. It’s demonstrated positive benefits for success and wellbeing. And much research confirms that self-examination is critical for leaders’ positive development. For example, Scott Keller, a director at McKinsey & Company, described the importance of overcoming self-interest and delusion in the Harvard Business Review. He emphasized the need for openness to personal growth and development, because “deep down, (leaders) do not believe that it is they who need to change...” and that “the real bottleneck...is knowing what to change at a personal level.” Self-awareness also expands the capacity to know what not to pursue, not just what to go after, as Greg McKeown, CEO of THIS, Inc., described regarding what he learned from an Apple executive.
When you sign up to the quit smoking program, you will receive a series of emails telling you how to use the program and get the results you are looking for. These are from Mark Tyrrell, the creator of '10 Steps to Become a Non-Smoker', one of the co-founders of Hypnosis Downloads. Mark is a highly experienced hypnotherapist and psychology trainer. His emails will remind you to keep moving with the program and help you stay focused on the goal.
Before people subject themselves to hypnotherapy they are advised to learn as much about the process and about the chosen therapist as is necessary to feel comfortable. Rapport and trust are two key ingredients in making a potential hypnotherapy patient comfortable. Therapists should be open and willing to answer all questions regarding qualifications, expertise, and methods used. A well-qualified professional will not undertake the use of hypnosis without interviewing the patient to ascertain their level of understanding of the process. This is very important for two reasons. First, it allows the patient the opportunity to have questions answered and to develop some rapport with the therapist. Second, it is important for the therapist to know the patient's expectations since meeting these expectations will enhance the likelihood of success.
It’s important to remember that depression, along with severe and chronic mental illnesses such as bipolar disorder and schizophrenia, also affect a person’s physical health. Depression is more than just feeling sad or having negative thoughts. It’s a condition where the chemicals in your brain are imbalanced. Hypnotherapy is a complementary therapy, and it shouldn’t be the only therapy a person uses to enhance their mental health.

Entry-level positions for licensed sports psychologists typically require a master's or doctorate degree in clinical psychology, sports psychology or counseling. Very few schools currently offer full sports and exercise psychology programs at the undergraduate or graduate level. Undergraduate students may consider pursuing double majors in psychology and exercise science, or a major in one discipline with a minor in the second.


One of the most popular behaviorist solutions is assertiveness training. This technique is most often used to help individuals cope with situations that evoke intense negative feelings—for example, helping drug addicts to “just say no” to temptation. Executive coaches use assertiveness training in a number of contexts. For instance, many coaches working with executives who appear to be lacking confidence employ the technique in an effort to get them to perform better. Unfortunately, learning effective responses to stressors often fails to help corporate executives deal with their intrapsychic pressures.
interpersonal communication. They need to deepen the social and emotional intelligence that are so essential in executive leadership roles. They need to pay closer attention to nonverbal communication as manifested in their body language, tone of voice, and facial expression. They need to improve their stress management skills, so that they don’t come across to others as frustrated, irritable, or dismissive.
Thomas works in partnership with psychologists, so that they are trained to administer our assessments and deliver valuable feedback to the rest of the organisation. This approach will enable them to build on their detailed knowledge of the athletes, coaches, sport and organisation so that feedback is unique and based on a high level of relevant content.
Sports psychology is an interdisciplinary practice that explores the link between psychological and physical factors affecting performance in competitive sports and athletic activity. This specialty incorporates the science of physiology, kinesiology and biomechanics to assist sports psychologists in treating a wide range of mental health issues commonly experienced by athletes and sports industry professionals in a clinical setting.
I have no prior experience with hypnosis. I went into this with no expectations, but I did have the willingness to quit smoking. I have tried nicoderm patches, nicoderm gum, Chantix, Wellbutrin, cold turkey, weaning off, etc...for the last two years. The most I ever got were 28 agonizing days. The cravings never went away. Then I met with Rita Black and here I am 6 weeks later to share how amazed I am with the success of our 1 meeting! I walked out of Rita's office a non-smoker in every way. Rita explained to me how to manage the "cravings" if and when they come. I have totally regained my power against smoking. I highly recommend this life saving service (not to mention, financial savings).
Had Mirabella’s coach been less sports driven—or better versed in interpersonal psychology—he could have anticipated that all the learned bravado in the world could never prepare Mirabella for the role he was assigned to fill. Mirabella needed someone who would listen to his fears and analyze their origins. In the end, Mirabella could function effectively only if his advancement was predicated on his own desires and leadership style—not on someone else’s. Once he was able to deal with his inner conflicts related to those issues, Mirabella’s career proceeded without incident.
Mayo Clinic in Rochester, Minn., also is exploring adding hypnotherapy for IBS patients. — Sumathi Reddy, WSJ, "A Surprise Medical Solution: Hypnosis," 7 May 2018 Click to Read Story A Surprise Medical Solution: Hypnosis Major hospitals are finding hypnotherapy can help sufferers of digestive conditions like heartburn, acid reflux and irritable bowel syndrome. — Sumathi Reddy, WSJ, "From Meditation to Medication: Headspace Has a Prescription Strategy," 25 June 2018 The case’s progression is traced on Friday night’s episode of ABC’s 20/20, which is exclusively previewed above, in a clip that explains how Marcell first decided to undergo hypnotherapy to aid law enforcement. — Adam Carlson, PEOPLE.com, "Years After a High School Senior Was Nearly Beaten to Death, Hypnosis Helped Her ID the Suspect," 15 June 2018 Most professionals who conduct hypnotherapy treatments are psychologists. — Sumathi Reddy, WSJ, "A Surprise Medical Solution: Hypnosis," 7 May 2018 Such feats helped lay the foundation for both hypnotherapy and the work of later famous disabled Americans such as Helen Keller. — Justin T. Clark, BostonGlobe.com, "Building Boston to shape morality," 14 Apr. 2018 Exercise, healthy eating, and stress-reduction techniques—like mindfulness, acupuncture, or hypnotherapy—may be helpful, as well. — Amanda Macmillan, Health.com, "12 Reasons You Might Have Cramps That Have Nothing to Do With Your Period," 27 Mar. 2018 This past Saturday, almost 100 women and a smattering of men showed up to hear inspirational speakers participate in a healing circle, discover their inner power and watch a demonstration on the healing capabilities of hypnotherapy. — Ruth Sowby Rands, latimes.com, "On the Town: Event emphasizes inspiration, empowerment and healing," 26 Mar. 2018 The guideline said that non-drug therapies such as acupuncture (as well as physical and massage therapies, biofeedback and hypnotherapy) should be considered as first-line treatments for acute pain. — Brie Zeltner, cleveland.com, "New Medicaid rule will further open acupuncture services to 108,000 Ohio patients with low back pain, migraines," 31 Dec. 2017
Executive coaches are at their most dangerous when they win the CEO’s ear. This puts them in a position to wield great power over an entire organization, a scenario that occurs with disturbing frequency. Since many executive coaches were corporate types in prior lives, they connect with CEOs far more readily than most psychotherapists do. They are fluent in business patois, and they move easily from discussions of improving an individual’s performance to conducting interventions that can help entire business units capture or retain market share. Unless these executive coaches have been trained in the dynamics of interpersonal relations, however, they may abuse their power—often without meaning to. Indeed, many coaches gain a Svengali-like hold over both the executives they train and the CEOs they report to, sometimes with disastrous consequences.
But conflating hypnosis with sleep (the word is derived from the Greek for sleep), is inaccurate, according to the hypnotist and author Charles Tebbetts, as relayed by his student C. Roy Hunter in his book The Art of Hypnosis: Mastering Basic Techniques. Hypnotism “is actually a natural state of mind and induced normally in everyday living much more often than it is induced artificially. Every time we become engrossed in a novel or a motion picture, we are in a natural hypnotic trance,” Tebetts wrote.  Hunter writes that it's more accurate to say that all hypnosis is actually self-hypnosis. The hypnotherapist, much like a physical trainer then, is merely helping the subject convince themselves to do something they were already capable of doing, nudging them in the right direction.
You want to stop smoking because it’s a very unhealthy and expensive habit. Chances are you’ve already tried a variety of ways to stop smoking, but you’re still struggling. You may even have stopped before, but whether it’s been for a few days or for several months, somehow the smoking habit has crept back and you’ve found yourself back there, puffing away again on your “cancer sticks”. Why does this keep happening?
Thanks so much for your lovely review. I would like to point out you saved yourself by making the decision to become a non-smoker! So thank yourself as well. I am so glad making that powerful decision opened other doors of self-fulfillment for you--it often does. It is my joy that I was part of that wonderful experience for you. Thank you for letting me be of service:) Best--Rita Read more
The British Psychological Society commissioned a working group to survey the evidence and write a formal report on hypnotherapy in 2001. They found, “Enough studies have now accumulated to suggest that the inclusion of hypnotic procedures may be beneficial in the management and treatment of a wide range of conditions and problems encountered in the practice of medicine, psychiatry and psychotherapy.”
Hypnotherapy is a therapy that spans hundreds of years and has many practitioners across the United States. Researchers have studied whether hypnosis can treat a variety of medical conditions, from irritable bowel syndrome to anxiety and depression. The goal for hypnotherapy is to help a patient learn to better control their state of awareness. In the case of depression, hypnotherapy sessions may be focused on helping a person achieve a state of relaxation. In this relaxed state, they can discuss their feelings and emotions without raising stress and anxiety levels.
Ferruccio Antonelli established the International Society of Sport Psychology (ISSP) in 1965 and by the 1970s sports psychology had been introduced to university course offerings throughout North America. The first academic journal, the International Journal of Sport Psychology, was introduced in 1970, which was then followed by the establishment of the Journal of Sport Psychology in 1979.
October 20, 2017 - Center Director, Trent A. Petrie, PhD., and graduate students Carlie McGregor, Andrew Walsh, Karolina Wartolowicz, Alan Chu, Tess Palmateer, Christina Villajon, Malia Johnson, and Veera Korjala attended the annual AASP conference October 18-21, 2017 in Orlando FL.  At the conference, they presented their research findings on the help seeking behaviors of male athletes, mental health screening of collegiate athletes, psychosocial well-being of retired collegiate athletes, to name a few.  For more information on any of the specific research papers, please contact us at [email protected]

Although both the organization and the executive must be committed to coaching for it to be successful, the idea to engage a coach can originate from either HR and leadership development professionals or from executives themselves. In the past, it has more often sprung from the organizational side. But given the growing track record of coaching as a tool for fast movers, "We see more executives choosing coaching as a proactive component of their professional life," says Cheryl Leitschuh, a leadership development consultant with RSM McGladrey (Bloomington, Minnesota).
Due to the increase in certified coaches, the improved ROI that results from pairing coaching with leadership training, and the normalization of coaching rates due to a supply and demand shift in the market, coaching will become more commonly used in employee and leadership development at all levels. Coaching will no longer be viewed as something that is only available at the executive level. - Amy Douglas, Spark Coaching, LLC
Sports psychologists are hired by athletic teams and schools. A sampling of employers posting on the Association for Applied Sport Psychology website in late 2013 reveals a wide variety of organizations: Western State Colorado University, Bridgewater State University, K-State Athletics, the New York Mets. Perusing postings gives a sense of what top facilities are looking for (http://www.appliedsportpsych.org/resource-center/employment-opportunities).
Roughly six months after Bernstein and Davis finished working together, Bernstein’s immediate boss left the business, and he was tapped to fill the position. True to his history, Bernstein was soon embroiled in controversy. This time, rather than alienating subordinates, Bernstein was suspected of embezzlement. When confronted, he asked to work with his coach again. Fortunately for Bernstein, the CEO suspected that something deeper was wrong, and instead of calling Davis, he turned to me for help.
Some sport psychologists might also work closely with once enthusiastic athletes that have suffered injuries as well. Depending on the severity of the injury, a sport psychologist may attempt to help a recovering athlete segue back into his career with as little stress as possible. Some athletes don't have this choice, however, and they may need the help of a sport psychologist to help them deal with the fact that they may not be able to play their sport with as much talent and drive as they had at one time.
Entry-level positions for licensed sports psychologists typically require a master's or doctorate degree in clinical psychology, sports psychology or counseling. Very few schools currently offer full sports and exercise psychology programs at the undergraduate or graduate level. Undergraduate students may consider pursuing double majors in psychology and exercise science, or a major in one discipline with a minor in the second.
My misgivings about executive coaching are not a clarion call for psychotherapy or psychoanalysis. Psychoanalysis, in particular, does not—and never will—suit everybody. Nor is it up to corporate leaders to ensure that all employees deal with their personal demons. My goal, as someone with a doctorate in psychology who also serves as an executive coach, is to heighten awareness of the difference between a “problem executive” who can be trained to function effectively and an “executive with a problem” who can best be helped by psychotherapy.
A recent study by the Stanford Business School found that nearly two-thirds of CEOs don’t receive executive coaching or leadership development. And almost half of senior executives in general aren’t receiving any, either. Paradoxically, nearly 100 percent said they would like coaching to enhance their development, as both Bloomberg BusinessWeek and Forbes reported in recent articles.
This is what you say or think to yourself. Self-talk patterns are related to how people feel and act. Changing self-talk is commonly used for (a) prompting a specific behavior, (b) improving self–confidence, (c) attention control, (d) motivation, and (e) arousal control. Common components include the identification of negative or irrelevant thoughts, challenging these thoughts, the creation of positive thoughts, and the substitution of positive thoughts for the negative thoughts.

Improvements that stem directly from coaching engagements include: enhanced executive learning, gains in corporate performance, enhanced relationships, increased leadership effectiveness and personal and organizational improvements. In the process, not only do executives improve themselves but substantially have a greater impact on their organization. Benefits to the organization include enhanced individual and organizational performance which positively affect organizational culture. These further provide enhanced reputation within the industry, improved employee morale, and positive work environments, thus greater productivity and enhanced client relationships. Coaching can be your competitive edge!


Skill commonly used for enhancing motivation, focusing attention on the aspects of performance that are most in need of improvement, or facilitating rehabilitation from injury. The establishment of a goal-setting program often includes several common components, including: emphasis on skill development (not the outcome, such as winning), identifying target dates for attaining goals, identifying goal achievement strategies, and providing regular goal evaluation.
Abnormal results can occur in instances where amateurs, who know the fundamentals of hypnosis, entice friends to become their experimental subjects. Their lack of full understanding can lead to immediate consequences, which can linger for some time after the event. If, for example, the amateur plants the suggestion that the subject is being bitten by mosquitoes, the subject would naturally scratch where the bites were perceived. When awakened from the trance, if the amateur forgets to remove the suggestion, the subject will continue the behavior. Left unchecked, the behavior could land the subject in a physician's office in an attempt to stop the itching and scratching cycle. If the physician is astute enough to question the genesis of the behavior and hypnosis is used to remove the suggestion, the subject may experience long-term negative emotional distress and anger upon understanding exactly what happened. The lack of full understanding, complete training, and supervised experience on the part of the amateur places the subject at risk.
Continuing weight loss may deteriorate into wasting, a vaguely defined condition called cachexia.[30] Cachexia differs from starvation in part because it involves a systemic inflammatory response.[30] It is associated with poorer outcomes.[25][30][31] In the advanced stages of progressive disease, metabolism can change so that they lose weight even when they are getting what is normally regarded as adequate nutrition and the body cannot compensate. This leads to a condition called anorexia cachexia syndrome (ACS) and additional nutrition or supplementation is unlikely to help.[27] Symptoms of weight loss from ACS include severe weight loss from muscle rather than body fat, loss of appetite and feeling full after eating small amounts, nausea, anemia, weakness and fatigue.[27]
Neuro-Linguistic Programming (NLP) is the name given to a series of models and techniques used to enhance the therapist's ability to do hypnotherapy. NLP consists of a number of models, with a series of techniques based on those models. Sensory acuity and physiology is one model whose premise is that a person's thought processes change their physiological state. People recognize such a physiological change when startled. The body receives a great dose of adrenaline, the heart beats faster, the scare may be verbalized by shouting, and the startled person may sweat. Sensory acuity, (i.e., being attuned to changes occurring in another person) will strengthen communication to a person in ways over and above simple verbal cues, therefore making the therapist more effective. A second model of NLP deals with representational systems. The idea behind this model is that different people represent knowledge in different sensory styles. In other words, an individual's language reveals that person's mode of representation. There are three basic modes of representation. These are: Auditory, Visual, and Kinesthetic. The same information will be expressed differently by each. For example, the auditory person might say, "That sounds good to me;" the visual person might convey, "I see it the same way;" and the kinesthetic person would offer, "I'm comfortable with it too."
The program includes classes in the areas of Assessment and Interviewing, Transitional Coaching (focusing on leaders who are attempting to adapt to new work environments), Developmental Coaching focusing on accelerating the development of high-potential leaders), and Performance Coaching (focusing on leaders who are attempting to overcome performance issues)
I soon realized that Mirabella wasn’t trying to sabotage his colleagues in order to get ahead. In fact, he felt he was moving ahead too fast. Mirabella was convinced that he had only been promoted because, like the company’s CEO, he was an Italian-American. Mirabella believed that he hadn’t earned his success but had it imposed on him because of the CEO’s wish for an appropriate heir to the throne. As a result, Mirabella felt enormously anxious and angry. “Why should I be forced to overachieve just so I can fulfill my boss’s dream to keep the company in the hands of Italians?” he demanded.
Thanks so much for your lovely review. I would like to point out you saved yourself by making the decision to become a non-smoker! So thank yourself as well. I am so glad making that powerful decision opened other doors of self-fulfillment for you--it often does. It is my joy that I was part of that wonderful experience for you. Thank you for letting me be of service:) Best--Rita Read more

"I provide counseling services to children, teens, adults, couples, and families. Expectations: A warm, direct, nurturing, and supportive experience, as we identify and address immediate and underlying sources of distress impeding your ability to live a happier and more fulfilling life. I individualize an eclectic mix of mindfulness, cognitive behavioral, and solution-focused therapy techniques with each client. As our academic and career experiences are a significant part of our lives, I also provide assessment, academic, career counseling services- including: attention (diagnostic) assessments, memory improvement therapy, study skills training, attention training, executive coaching, and organizational and time management skills training."


This course examines organizational coaching and surveys the foundational disciplines on which the practice of organizational coaching is based, applicable theories and methods. Coaching will be explored as an intervention and developmental technology. Students are introduced to the practice of coaching and coaching conversation models as well as coaching-related skills including contracting, listening, questioning, designing actions, planning and goal setting, and managing progress and accountability. 
So long as the therapist is trained and follows basic ethical norms, hypnotherapy is safe. Some people may feel dizzy or nauseous during or after being hypnotized. People who discuss traumatic memories may be subject to feelings of panic, flashbacks, or general feelings of anxiety, and the clinician or client may elect to discontinue treatment when symptoms are severe.
A commonly overlooked obstacle to eating better (and losing weight) is sleep. While sleep needs vary, according to the National Sleep Foundation, adults require seven to nine hours a night. Unfortunately, two-thirds of people report experiencing sleep problems at least a few nights a week, with women more prone to sleep problems than men. A review study that looked at 36 studies on sleep and weight gain found short sleep duration was independently linked to weight gain. Studies show the fewer minutes you spend asleep, the more likely you are to feel hungrier and make poor food choices the next day. Make sure you’re getting enough Zzzzs to reap the rewards of your weight loss efforts.
Although descriptions of psychic disorders date back to antiquity, the practice of psychiatry in its contemporary form only began to take shape in the late 19th and early 20th centuries, when psychiatry split off from neurology as a distinct medical specialty. Modern psychotropic medications first emerged in the 1950s, ushering in an age of “biological psychiatry” wherein mental suffering was medicalized and increasingly understood from the vantage point of neuroscience and related fields.
Competence of the coach is the fourth important factor that is often mentioned to determine success in the coaching arrangement. At a minimum coaches should be creditable, educated and certified. They should have a coaching process that includes helping the client set an action plan in order to change behavior as well as a process to measure change. The International Coaches Federation estimates that over 10,000 people call themselves coaches, yet not all are effective. The coach should have a philosophy of coaching for sustainable change; in other words, the coaching commitment should be “transformational” and not “transactional”.
“Does anyone here feel like cigarettes are their best friend?” Hall asked, telling us to clap our hands, then to clap them again, this time leading with the opposite hand of what we were used to. It felt weird. The sound in the room changed noticeably as well. The point, Hall said, was that smoking is a habit we all perform as involuntarily, through muscle memory, as the way we choose to clap our hands.
Learn From Your Personal Time-Line: Describe key turning points in both your career and personal life, with an eye to what shaped your values, attitudes and behavior; how your career decisions and experiences have affected your personal development. Identify the consequences, both positive and negative. What does this knowledge point you towards, in terms of reclaiming and growing dormant or neglected parts of yourself?
While it’s good to be aware of portion sizes on nutrition labels, why not flip them to your benefit? For example, instead of a bowl of ice cream with a few blueberries, have a bowl of blueberries with a spoonful of ice cream. While one cup of ice cream has more than 250 calories and not much in the way of nutrition, one cup of blueberries contains only 80 calories and is a good source of fiber and vitamin C. Or, instead of a plate of pasta with some veggies, have a plate of veggies with some pasta. A mix of steamed or roasted cruciferous vegetables works great with a smaller amount of pasta. Not only does this ingredient swap cut the calories in the dish, the additional veggies provide nutrients like fiber, potassium and vitamin A.
For many people, playing sports is a fun way to stay fit, and compete with friends and peers. A select few might also make a pretty decent living by playing professional sports. But what makes some strive to play sports, to compete? What makes some push themselves to their limits for nothing more than the satisfaction of winning? How does playing sports affect people mentally and emotionally?
We have created the two-year part-time Ashridge Masters in Executive Coaching in response to the emergence of executive coaching as an established and distinct profession within the international field of individual and organizational development. Our aim is to raise the standard of coaching both professionally and ethically. The program draws on theories from complexity science, sociology and psychology to come to a distinct understanding of organizations and hence the role of both coaches and clients.

A study of 286 smokers compared the effectiveness of hypnosis versus behavioral counseling when both interventions were combined with nicotine patches. At 6 months, 26% of the participants in the hypnosis group were abstinent compared with 18% of the behavioral group. At 12 months, the abstinence rate was 20% for the hypnosis group compared to 14% for the behavioral group. It was concluded that, for long-term quit rates, hypnosis compares favorably to standard behavioral counseling when used with nicotine patches.
There were a lot of surprises. Foodwise, now I actually crave vegetables. Also, there unfortunately is definitely a difference in how people treat you when you’re bigger versus when you’re smaller. But I think the biggest surprise for me is, physically, it’s crazy how much I can walk without getting winded or how many sports I’ve found I actually enjoy, such as cycling and skiing.
Americans are snacking more than ever, so making smart snacking choices are key to achieving your weight loss goals. Aim for snacks that satisfy by choosing foods that provide a mix of protein and fiber, stabilizing blood sugar levels and keeping hunger at bay. An apple and almond butter, a plain yogurt with berries, or high-fiber crispbread crackers and hummus can all be smart snacking options. For example, two Wasa Flax Seed crispbread crackers combined with two tablespoons of hummus provide 4 grams of protein and 4 grams of fiber for staying power. For an added boost, add a few teaspoons of hot sauce. Research shows spicy foods may help speed up metabolism and curb appetite.
A unique combination of medical and psychological competencies is needed to become a qualified sports psychologist in the United States, though individual qualifications and licensure requirements vary from state to state. Few schools in the U.S. offer undergraduate or graduate programs specifically in sports psychology, though students looking to major in this field may double-major in psychology and exercise science or pursue a degree in clinical psychology with a sports psychology concentration.
The issue is threefold. First, many executive coaches, especially those who draw their inspiration from sports, sell themselves as purveyors of simple answers and quick results. Second, even coaches who accept that an executive’s problems may require time to address still tend to rely solely on behavioral solutions. Finally, executive coaches unschooled in the dynamics of psychotherapy often exploit the powerful hold they develop over their clients. Sadly, misguided coaching ignores—and even creates—deep-rooted psychological problems that often only psychotherapy can fix.

In 1996, as a result of a three-year research project led by Lindsay B. Yeates, the Australian Hypnotherapists Association[48] (founded in 1949), the oldest hypnotism-oriented professional organization in Australia, instituted a peer-group accreditation system for full-time Australian professional hypnotherapists, the first of its kind in the world, which "accredit[ed] specific individuals on the basis of their actual demonstrated knowledge and clinical performance; instead of approving particular 'courses' or approving particular 'teaching institutions'" (Yeates, 1996, p.iv; 1999, p.xiv).[49] The system was further revised in 1999.[50]
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