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The school psychologist with a doctorate may seek certi cation from the state examining board for psychology The latter is essential only if the psychologist engages in independent, unsupervised practice For school psychologists who have secondary employment in private practice, this certi cation is obligatory There are two professional associations to which school psychologists might belong NASP exists exclusively for school psychologists and admits master s-level practitioners to full membership, as well as those with a mas-.

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Figure 5.5: Performance of the Schmidt-Kalman Filter from Example 5.9. The left column of plots shows the error standard deviation of each estimate. The right column of plots shows the lter gains.

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The McGraw Hill Companies, 2010

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Correspondence or home study courses leading to a certificate or even a college degree are always a possibility. The Distance Education and Training Council provides a wide range of information. You ll find the mailing address and website listed at the end of this chapter. A good time to improve yourself is between jobs. Since Enrico Caprizi was ten years old, he wanted to become an emergency medical technician because he had seen a team in action. His family, however, would hear nothing of it and pointed him toward a banking career. Working as a teller, he managed to save enough to enable him to resign and pay for his EMT training and living expenses until he could finish school and obtain permanent employment.

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would not trouble the normal person, and no amount of reassurance relieves his state of mind The anxiety and depressed mood of these persons may be obscured by their preoccupation with visceral functions When the patient is examined, his facial expression is often plaintive, troubled, pained, or anguished The patient s attitude and manner betray a prevailing mood of depression, hopelessness, and despondency In other words, the affect, which is the outward expression of feeling, is consistent with the depressed mood During the interview the patient may sigh frequently or be tearful and may cry openly In some, there is a kind of immobility of the face that mimics parkinsonism, though others are restless and agitated (pacing, wringing their hands, etc) Occasionally the patient will smile, but the smile impresses one as more a social gesture than a genuine expression of feeling The stream of speech is slow.

Sighing is frequent There may be long pauses between questions and answers The latter are brief and may be monosyllabic There is a paucity of ideas The retardation extends to all topics of conversation and affects movement of the limbs as well (anergic depression) The most extreme forms of decreased motor activity, rarely seen in the of ce or clinic, border on muteness and stupor ( anergic depression ) Conversation is replete with pessimistic thoughts, fears, and expressions of unworthiness, inadequacy, inferiority, hopelessness, and sometimes guilt In severe depressions, bizarre ideas and bodily delusions ( blood drying up, bowels are blocked with cement, I am half dead ) may be expressed.

Table 22-2.

Three theories have emerged concerning the cause of the pathologic depressive state: (1) that the endogenous form is hereditary, (2) that a biochemical abnormality results in a periodic depletion in the brain of serotonin and norepinephrine, and (3) that a basic fault in character development exists These theories are elaborated in Chap 57 It is the authors belief that depressive states are among the most commonly overlooked diagnoses in clinical medicine Part of the trouble is with the word itself, which implies being unhappy about something Endogenous depression should be suspected in all states of chronic ill health, hypochondriasis, disability that exceeds the manifest signs of a medical disease, neurasthenia and ongoing fatigue, chronic pain syndromes all of which may be termed masked depressions Inasmuch as recovery is the rule, suicide is a tragedy for which the medical profession must often share responsibility.

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Depressive illnesses and theories of their causation and management are considered further in Chap 57..

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