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Periodically, he has brought in one of the women he is dating for therapy sessions with him Currently, he is being seen conjointly with the woman with whom he is involved This relationship seems a little less tumultuous But she too is about 25 years younger than he is and has not worked since graduating from college except at her hobbies tennis and skiing COMMENTARY ON THE RICH AND FAMOUS My theoretical and therapeutic approach throughout has been integrative (Kaslow & Lebow, 2002), comprehensive (Kirschner & Kirschner, 1986), and multimodal (Lazarus, 1981) I have tried to work judiciously from whatever theoretical set of assumptions most illuminates what he is sharing and what is transpiring always within a family systems perspective so that what we discuss and what he decides to do have a beneficial impact on his significant others.

understanding of the interdependencies that exist between each activity. The result of this management process is portrayed in Gantt form and enables users to view each feature, to determine what progress has been made, and when the speci cations required for that feature are likely to be completed. A technical co-ordinator is appointed within MCC to manage the work plan. 3GPP makes extensive use of modern IT tools and MCC plays a leading role in the development and deployment of such tools. An IT co-ordinator within MCC has the task of evaluating new tools and for developing methods to improve the ef ciency of the document editing process. Since MCC is an integral part of the ETSI secretariat it is required to meet the requirements of the ISO 9002 quality system and regularly undergoes stringent auditing to ensure that the requirements are met. Figure 19.3.1 gives a snap shot of MCC taken at the end of 2000 and shows the distribution of work at that point in time.

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My basic psychodynamic view of personality structure and diagnosis (Brenner, 1992) undergirds how I interpret what I see and hear Sometimes, I use a narrative approach (White & Epston, 1990); other times my work veers toward cognitive behavioral (Kaslow & Patterson, 2002), or humanistic and existential (Kaslow, Massey, & Massey, 2002; Maslow, 1968) What has become glaringly apparent in my treatment of dozens of rich and famous couples or families is the sense of privilege and entitlement they have For example, they start out by expecting the therapist to be at their beck and call regarding appointment times and to accept their cancellations when something comes up at the last minute be it a business meeting or a tennis or fishing engagement (and they often resent being charged for this).

Extreme narcissism and impulsivity is manifested in I want what I want whenever I want it and it should be bigger and better than what anyone else has, whether it be a canary, diamond ring, or a yacht The conspicuous consumption first described over a century ago by Veblen (1899/1994) is rampant and unabashed Many of these couples treat au pairs and nannies as modern-day slaves, often underpaid and expected to be available for extra hours and tasks whenever requested (really demanded) without additional compensation The portrait presented in The Nanny Diaries (McLaughlin & Kraus, 2002) is all too typical nannies have very little leverage for bargaining, and since they often become devoted to the children they care for and have few other job options or time off to go on interviews, they are easily, and at times, heartlessly exploited.

(eg, couples often wish to model better conflict resolution for their children) Finally, we explain that without a direct focus on ending the aggression, there is a risk that the therapy itself may escalate the aggression, as the couple will be asked to discuss difficult topics likely to engender anger We then explain that treatment will take a two-pronged approach In the first prong, the therapy will help the spouses to control their behavior when angry Once anger management skills are learned, the couple will be in a safer position to engage in the second prong of therapy problem solving regarding their major presenting problems We find that following such a discussion, most couples are willing to agree to a treatment plan that will initially focus on anger management and controlling aggression.

The affluent are sought as board members for boards of directors of corporations, hospitals, philanthropic organizations in the health and welfare arena, and by cultural organizations They bring prestige to the role, are expected to make sizeable contributions and to convince their acquaintances to do so also Some, like Mr A, bring plenty of experience and know-how to the table..

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