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Son-Rise

Son-Rise is a home-based, parent-led developmental intervention program developed in the 1970s by Barry Neil Kaufman and Samahria Lyte Kaufman for treating their son Raun, who had been diagnosed with severe autism, involving intensive one-on-one interaction in a dedicated playroom where adults join the child's repetitive behaviors with high enthusiasm to foster connection, eye contact, and skill development. The approach, formalized through the Autism Treatment Center of America founded in 1983, emphasizes belief in the child's potential, flexibility over rigid protocols, and parental empowerment, with sessions often lasting hours daily and costing thousands for training. Proponents, including the Kaufmans, cite Raun's claimed full recovery from autism as a foundational success, leading to books, a 1979 film adaptation, and global program dissemination, though this outcome relies on parental testimony rather than independent verification. Empirical support remains limited, with small-scale studies indicating potential improvements in social interaction but no large randomized controlled trials confirming broad efficacy or recovery rates, and a 2003 survey of families reporting more drawbacks, such as heightened stress and logistical burdens, than sustained benefits. Critics highlight unsubstantiated cure claims and the program's divergence from evidence-based practices like applied behavior analysis, underscoring risks of opportunity costs for families pursuing unproven intensive home therapies amid autism's complex etiology.

Origins and Development

The Kaufmans' Personal Experience

In the early 1970s, Barry Neil Kaufman and Samahria Lyte Kaufman observed their son Raun exhibiting severe developmental delays, including insensitivity to auditory stimuli by 12 months of age and complete withdrawal from human contact by 17 months, characterized by passive staring, preference for solitary play, and limp posture when held. At 17 months, multiple experts diagnosed Raun with severe, irreversible autism, estimating his IQ at 10 and deeming him functionally retarded, with recommendations for institutionalization, electric shock aversion therapy, or behavior modification techniques that the parents viewed as dehumanizing. Rejecting these conventional institutional approaches as incompatible with their belief in Raun's inherent potential, the Kaufmans shifted their perspective to regard autism not as an immutable neurological pathology but as an interactive barrier—a "wall" separating Raun from social engagement—that could be addressed through persistent, non-judgmental entry into his world. In 1973, both parents quit their jobs to commit fully to a home-based intervention, devoting approximately 80 hours per week to engaging Raun in his repetitive behaviors, such as rocking and spinning, with unconditional acceptance and enthusiasm rather than correction or isolation. This intensive, family-led effort yielded initial breakthroughs within eight months, as Raun reportedly began responding socially, making eye contact, initiating interactions, and displaying affection, marking a transition from isolation to reciprocal engagement. The Kaufmans attributed these changes to their strategy of "joining" Raun's reality on his terms, fostering trust and motivation for connection without reliance on external therapies.

Initial Formulation and Early Implementation

Following the reported progress with their son Raun, Barry Neil Kaufman and Samahria Lyte Kaufman refined the ad-hoc strategies they had employed since the early 1970s into a more structured approach emphasizing parental involvement and child-led interaction. By the mid-1970s, after publishing Son-Rise in 1976 documenting their methods, they began testing and adapting these techniques with other children diagnosed with autism, transitioning from personal experimentation to initial outreach for families seeking guidance. This evolution culminated in the formalization of dissemination efforts through the establishment of the Option Institute in Sheffield, Massachusetts, in 1983 by the Kaufmans, which initially focused on broader personal growth programs incorporating elements of their relational model before expanding to autism-specific training. The affiliated Autism Treatment Center of America, operating as a division of the institute, began offering structured parent training workshops shortly thereafter, enabling families to replicate the home-based model under guided instruction. By the 1990s, these workshops had grown in scope, attracting participants from multiple countries and laying the groundwork for international application, with reports of over 40,000 families eventually engaging through the program by the 2020s.

Philosophical Foundations

Core Principles of Relational Interaction

The Son-Rise program posits autism as fundamentally a relational and interactional challenge, addressable through facilitators entering the child's world via enthusiastic participation in their activities rather than imposing external demands. The foundational tenet of "joining" involves mirroring the child's repetitive or stereotypical behaviors—such as hand-flapping, rocking, or object manipulation—to signal acceptance and build rapport, thereby diminishing defensiveness and prompting voluntary engagement. This approach, derived from the developers' observations of causal patterns in social withdrawal, aims to reverse isolation by positioning the adult as a non-threatening ally who celebrates the child's lead. Key metrics of relational progress include sustained eye contact, increased flexibility in play (shifting from rigid repetition to varied interactions), and the child's initiation of inclusion with others, all viewed as indicators of emerging trust and motivation unlocked through persistent, child-led exchanges. Facilitators prioritize the child's natural interests over scripted interventions, believing that genuine admiration and responsiveness foster a sense of safety and control, enabling the child to expand social capacities organically. Underlying these interactions is the conviction that relational deficits stem not from immutable genetic determinism but from unmet needs for connection, which persistent love and belief in unlimited potential can overcome, as illustrated by the program's rejection of lifelong impairment prognoses in favor of transformative relational bonds. This principle challenges fatalistic views by emphasizing empirical family insights into how non-coercive persistence correlates with behavioral shifts toward relational openness.

Integration of the Option Process

The Option Process, developed by Barry Neil Kaufman in the early 1970s, forms the foundational psychological framework within the Son-Rise Program for reshaping parental cognition prior to engaging with the child. This process, which Kaufman and his wife Samahria began teaching publicly in 1972, emphasizes rigorous self-examination through guided dialogues to identify and dismantle limiting beliefs rooted in fear, such as the notion that autism renders a child unreachable or that developmental challenges necessitate perpetual despair. By questioning the validity of these beliefs—treating them as optional interpretations rather than immutable facts—parents cultivate unconditional acceptance and emotional freedom, enabling a mindset shift toward proactive optimism. In the Son-Rise context, the Option Process is applied by parents to select "options" for responses characterized by joy and enthusiasm over judgment or frustration, with the program's philosophy asserting a direct causal influence: a parent's energized, belief-free attitude purportedly models and invites reciprocal openness from the child, enhancing interaction quality. This internal work precedes child-facing activities, positioning parental mindset as the primary lever for relational dynamics, in contrast to conventional therapies that prioritize symptom-targeted behavioral protocols without incorporating tools for addressing caregivers' underlying fears or cognitive barriers. Kaufman described this integration as essential, drawing from his pre-Son-Rise experiences where belief examination yielded personal empowerment applicable to familial challenges like autism.

Program Structure and Techniques

The Dedicated Playroom Setup

The dedicated playroom serves as the central venue for Son-Rise Program sessions, engineered to create a controlled, low-stimulation space that prioritizes the child's comfort and engagement by eliminating external distractions. Walls and floors are typically painted in light, unpatterned colors to reduce visual clutter, while minimal furniture—such as a small table, chair, and full-length mirror for self-observation—preserves ample open floor area for unrestricted movement and play. Echoes and harsh acoustics are mitigated through soft, absorbent materials where necessary, fostering an acoustically neutral environment conducive to verbal interaction without overwhelming sensory input. Electronic devices, including televisions and screens, are strictly prohibited, as are fluorescent lighting and any non-essential decorations or "stuff" that could introduce competing stimuli or overstimulation. Toy selection emphasizes the child's demonstrated interests and motivators, stocking shelves with simple, versatile items such as blocks, bubbles, costumes, puppets, stuffed animals, balls, musical instruments, and gross motor aids like mini-trampolines or therapy balls, while avoiding battery-operated or electronically enhanced toys that might divert attention. This curation ensures the environment aligns with the child's lead, maximizing opportunities for organic relational play without imposed agendas. Parents or primary caregivers initially act as the exclusive facilitators within the playroom, entering and exiting on structured schedules to model boundaries while granting the child high degrees of over in-room activities, with peers or additional participants deferred until the child exhibits readiness. A lockable door secures the space, preventing interruptions and control challenges, thereby establishing it as a predictable "safe haven" for learning. is upheld through clutter to minimize hazards, padded or soft flooring options where falls are anticipated, and adherence to childproofing, enabling sustained sessions of up to several hours without constant corrective interventions. Hygiene protocols, though not exhaustively detailed in program literature, involve routine cleaning of toys and surfaces between uses to accommodate extended, intensive interactions.

Key Interaction Strategies

Central to the Son-Rise Program's interaction strategies is joining, a technique where facilitators enter the child's world by non-interruptively mirroring their repetitive behaviors, such as spinning or lining up objects, to convey acceptance and safety without judgment or redirection. This approach aims to build trust and reciprocity by demonstrating that the adult's presence is non-threatening, allowing the child to gradually initiate interactions on their terms; facilitators avoid common pitfalls like staring, hovering too closely, narrating actions, or imposing time limits on joining sessions. Once the child signals openness—through eye contact or inclusion—facilitators transition to gentle invitations for mutual engagement, leveraging the established rapport to encourage social bids. Another core tactic involves celebration of efforts, wherein adults provide enthusiastic verbal praise for any attempt at interaction, regardless of outcome, to reinforce the child's motivations for connecting with others. This positive reinforcement, such as exclaiming "Great job reaching out!" after a glance or gesture, is intended to make social engagement rewarding and habitual, fostering optimism and repeated tries without conditional approval tied to "correct" behavior. The program emphasizes tracking and utilizing the child's intrinsic motivations—such as sensory preferences or interests in specific activities—to guide interactions, distinguishing deeper drives for avoidance from surface-level enjoyments to tailor engagements accordingly. Punishment or correction is explicitly avoided, as it is viewed as counterproductive to building relational bonds; instead, facilitators prioritize following the child's lead to promote willing participation and reduce withdrawal. These strategies collectively form a relational model grounded in the program's assertion that relational deficits stem from unmet trust needs, addressable through consistent, child-led reciprocity.

Intensity and Parental Role

The Son-Rise Program designates parents as the primary therapists, responsible for initiating and sustaining child-led interactions within a controlled home playroom setting to build relational momentum. This central parental role stems from the program's foundational view that familial emotional investment and consistency drive engagement, with parents trained to prioritize the child's interests over directive teaching. Implementation requires intensive daily effort, often starting with several hours of one-on-one sessions and scalable to full-time coverage—up to 56 hours weekly—through recruitment and oversight of volunteers or hired facilitators after parents master core competencies. The program's structure posits that such volume of interactions causally necessitates progress by maximizing opportunities for the child to initiate and generalize social behaviors, though even part-time application (e.g., a few hours daily) is presented as viable for initial gains. Parental preparation follows a progressive curriculum: the introductory 5-day Start-Up training equips families with essential tools for program setup and basic facilitation, followed by advanced courses like those in the Son-Rise Sequence for deeper technique refinement and long-term sustainability. These certifications enable parents to direct expanded teams, ensuring alignment with program principles amid sustained demands on family resources and routines. While the core intensive, home-based model applies across the autism spectrum, including adaptations for adults or milder presentations via scaled relational play, parental leadership remains indispensable for tailoring intensity to individual responsiveness and maintaining causal focus on motivation-building volume.

Claimed Results and Anecdotal Evidence

Raun Kaufman's Reported Recovery

Raun Kaufman, born in 1970, exhibited severe symptoms of autism by 18 months of age, including non-verbal communication, social isolation, unresponsiveness to external stimuli, and an estimated IQ below 30 as assessed by multiple medical professionals. His parents, Barry and Samahria Kaufman, initiated the Son-Rise program in response, engaging him intensively for over three years, averaging 12 hours per day in a dedicated playroom environment starting around 1971. By the conclusion of the in approximately , at four, Raun reportedly transitioned to verbal communication and socially adaptive behaviors, demonstrating high and emerging as a talkative capable of forming relationships. psychological evaluations conducted post-program indicated age-appropriate cognitive and social functioning, with subsequent testing revealing a near-genius IQ level. In adulthood, Raun Kaufman graduated from Brown University in 1995 and assumed leadership roles at the Autism Treatment Center of America, serving as Director of Global Education and contributing to the program's dissemination through teaching and writing. He authored Autism Breakthrough: The Groundbreaking Method That Has Helped Families All Over the World in 2014, detailing his experiences and the Son-Rise approach.

Broader Testimonials and Family Outcomes

Numerous parents implementing the Son-Rise Program have reported reductions in their children's autistic stereotypies, such as repetitive movements, alongside increased behavioral flexibility and social reciprocity after 6 to 12 months of consistent home-based application. These accounts often highlight emergent eye contact, verbal initiations, and spontaneous interactions, attributing such shifts to the program's emphasis on parental joining and enthusiasm in play. Testimonials spanning multiple decades describe sustained family-wide benefits, including diminished parental and sibling , with children progressing toward greater in daily routines. International adopters, including families from , the , , , , , and , these patterns, reporting similar gains in child despite varying cultural contexts. Proponents assert that these outcomes foster long-term reductions in dependency on external supports, potentially yielding cost savings for families by minimizing reliance on hourly professional therapies in favor of parent-led implementation following initial training.

Empirical Assessment

Available Research Studies

A 2003 longitudinal questionnaire study surveyed 141 parents in the United Kingdom who implemented the Son-Rise Program (SRP) with their children diagnosed with autism, reporting perceived advancements in children's social interaction, communication, and overall developmental progress, alongside positive family impacts such as reduced stress. Similar parent-reported outcomes emerged from a Scottish regional survey in the early 2000s, where families using SRP noted gains in social and developmental metrics over time compared to baseline interventions. In a 2013 single-subject experimental design involving five children with autism spectrum disorder (ASD), SRP sessions—emphasizing parental joining of children's repetitive behaviors—yielded significant increases in child-initiated social communications, with mean rates rising from 0.48 to 4.35 per minute across participants during intervention phases. This effect was attributed to the program's relational strategies enhancing motivation for interaction. A 2020 quasi-experimental study compared SRP and Floor-Time interventions in 30 children with ASD, finding that SRP participants exhibited statistically significant reductions in stereotypical behaviors (pre-test mean score 28.4 to post-test 18.7 on the Gilliam Autism Rating Scale) and improvements in social interaction skills (pre-test mean 22.1 to post-test 31.4), though Floor-Time showed marginally greater gains in stereotypes. A 2022 retrospective analysis of 90 children receiving SRP over two years reported average developmental quotient improvements from 45 to 68, with specific gains in social skills (from 12th to 45th percentile) and communication (from 10th to 40th percentile) based on standardized parent assessments. Studies funded or supported by the Autism Treatment Center of America, which developed SRP, have validated core principles like "joining," demonstrating its role in boosting children's motivational responses to social engagement through alignment with their interests and activities.

Methodological Limitations and Critiques

Research evaluating the Son-Rise Program has consistently been hampered by small sample sizes, typically involving fewer than 10 participants per group, which restricts statistical power and the ability to generalize findings. For instance, a controlled trial by Houghton et al. examined effects on six children receiving 40 hours of intervention over five days compared to six controls, yielding preliminary results without evidence of long-term maintenance or comparison to established treatments. Similarly, case studies and family evaluations often draw from single dyads or groups as small as five, as documented in qualitative investigations of home-based implementation. The absence of blinding and randomization in these studies heightens susceptibility to observer bias and expectancy effects, especially given the parent-led nature of the program. Parent-reported outcomes predominate, lacking direct child observations, standardized assessments, or inter-rater reliability checks; for example, a survey of 49 parents correlated self-reported intensity with perceived gains but omitted objective measures of child progress. Without blinded assessors, subjective enthusiasm from emotionally invested families may inflate perceived benefits, confounding true intervention effects with maturation or nonspecific factors. Self-selection among participating families, often those already committed to the program's philosophy and affiliated with its originating center, introduces selection bias and limits representativeness. Data collection tied to the Autism Treatment Center of America, the program's developer, further compromises independence, as evaluations may emphasize positive aspects while underreporting variability or null results. Concurrent use of other interventions by up to 69% of families obscures causal attribution to Son-Rise techniques alone. Challenges in measuring intervention fidelity exacerbate these issues, with evidence of "therapist drift" where parents deviate from prescribed child-led joining toward more directive approaches over time, observed in longitudinal video analyses of multiple dyads. The lack of standardized protocols for technique frequency and reliance on adapted home implementations hinder replicability. No independent, large-scale trials have replicated claims of substantial gains, leaving potential placebo responses or natural developmental trajectories unaccounted for in uncontrolled designs.

Controversies and Debates

Assertions of Autism "Cure" Versus Spectrum Consensus

Proponents of the Son-Rise Program, including Barry Neil Kaufman and Raun Kaufman, assert that autism is reversible through a relational approach emphasizing parental attitude shifts, unconditional acceptance, and child-led interaction, which they claim leverages neuroplasticity to eliminate core symptoms and enable full social and cognitive functioning. This view posits autism not as an innate neurological fixedness but as a developmental pattern amenable to change via belief in the child's potential and immersive engagement, with Raun Kaufman's reported transition from nonverbal isolation to Ivy League graduation cited as prototypical evidence of causality rooted in relational dynamics rather than genetic inevitability. In contrast, the diagnostic frameworks of DSM-5 and ICD-11 classify autism spectrum disorder (ASD) as a persistent neurodevelopmental condition originating in early brain development, characterized by deficits in social communication and repetitive behaviors that endure across the lifespan, with no established pathway to complete reversal or "cure." Empirical estimates place ASD heritability at 80-90%, implicating hundreds of genetic variants and de novo mutations that disrupt neural connectivity prenatally or perinatally, compounded by limited environmental contributions such as prenatal exposures, rendering core traits largely immutable post-critical periods despite symptomatic management through evidence-based interventions. While the notion of autism's incurability faces challenge from documented cases of "optimal outcome," where 3-25% of diagnosed children lose ASD criteria by adolescence—often those with higher initial IQ, milder symptoms, and early intensive behavioral support—such recoveries remain exceptional and typically involve multifaceted factors including natural developmental trajectories rather than program-specific attribution. Spontaneous resolutions without intervention are rarer still, with isolated reports like a 5.6-year-old's 13-day unaided improvement underscoring potential misdiagnosis or regression to mean but lacking causal links to relational therapies like Son-Rise, which await randomized controlled trials to validate beyond anecdotal correlation. Skeptics, including Yale's Fred Volkmar, director of the Autism Program, highlight the absence of rigorous scientific validation for Son-Rise's curative assertions, noting that uncontrolled testimonials fail to disentangle intervention effects from regression to the mean or coincidental maturation in a spectrum disorder where variability is inherent. This evidentiary gap persists despite program claims, as peer-reviewed meta-analyses affirm no alternative therapy reliably eradicates ASD etiology, prioritizing instead incremental skill-building over promises of reversal amid high genetic determinism.

Conflicts with Established Therapies Like ABA

The Son-Rise Program critiques Applied Behavior Analysis (ABA) as inherently coercive, prioritizing rote compliance and external control through techniques like discrete trial training and prompting, which it claims suppress a child's natural motivations and fail to foster genuine relationships. In contrast, ABA methodologies emphasize positive reinforcement schedules and data-driven measurement to systematically build skills such as communication and social interaction, with meta-analyses of randomized controlled trials indicating moderate to large effect sizes on intellectual functioning and adaptive behaviors in children with autism spectrum disorder. These clashes reflect divergent causal assumptions: Son-Rise views autism-related behaviors as defensive responses best addressed by parental "joining" and unconditional acceptance to encourage voluntary engagement, whereas ABA treats them as learnable repertoires modifiable via operant conditioning principles, irrespective of immediate relational dynamics. Public disputes intensified in the 2010s via a Son-Rise-produced video series highlighting alleged ABA harms, such as recorded instances of therapist reprimands, which drew rebuttals from ABA advocates for misrepresenting contemporary practices that largely eschew aversives in favor of naturalistic and reinforcement-based strategies. The Association for Science in Autism Treatment responded with an open letter to Son-Rise executive Raun Kaufman, charging the series with factual distortions—like equating ABA solely to rigid early intensive behavioral intervention while disregarding its broader evidence base—and urged its removal alongside calls for Son-Rise to undergo peer-reviewed evaluation. Despite the rivalry, neither approach has been empirically compared in hybrid protocols that might integrate ABA's structured skill-building with Son-Rise's child-led relational emphasis, leaving unresolved whether complementary mechanisms could enhance outcomes beyond standalone applications.

Financial and Practical Barriers

The Son-Rise Program requires substantial upfront and ongoing financial investments, including training fees for startup courses ranging from $1,000 to $2,200 per parent and intensive programs up to $18,000 for families attending with their child. Some families report total expenditures exceeding $50,000 over several years, encompassing multiple trainings, consultations, and materials. These costs are not typically covered by insurance, as the program operates outside standard medical reimbursement frameworks, with limited public funding availability and reliance on private donations or family fundraising efforts. Additional expenses arise from playroom modifications, volunteer accommodations, and potential loss of household income, as one parent often reduces or ceases employment to meet the program's demands. Practical implementation poses significant hurdles due to the program's high intensity, recommending 20 to 40 or more hours per week of one-on-one interaction, often extending to 80 hours in intensive phases, which families average at about 20 total hours but with parents contributing 11 hours personally. This level of commitment frequently leads to parental exhaustion, with reports of feeling "permanently exhausted" from sustaining enthusiasm while managing household responsibilities and work. Recruiting and coordinating volunteers—averaging fewer than the hoped-for numbers, particularly in rural areas—adds logistical strain, as does the loss of family privacy and time for spouses or other children, with over half of surveyed parents citing reduced family interactions as a drawback. Accessibility is further limited by long waiting lists for trainings, geographic barriers to support, and the need for sustained motivation amid competing life demands, rendering the approach unsustainable for many households without external help.

Broader Reception and Legacy

Adoption by Families and Practitioners

The Son-Rise Program has been adopted by over 42,000 families worldwide since its development in 1983, with training delivered through in-person and online formats at the Autism Treatment Center of America. Primary uptake has occurred in the United States, where the program's home base is located, alongside notable clusters in the United Kingdom and Australia, as evidenced by dedicated international training sessions and regional endorsements. The program reaches families across more than 80 countries, facilitated by annual lectures and start-up courses in locations including Japan, Portugal, Singapore, and Ireland. Adoption emphasizes parent-led implementation, with families progressing from initial five-day start-up trainings to advanced modules focused on scaling home-based sessions, often involving 20-40 hours weekly of one-on-one interaction. Many practitioners—primarily parents and trained facilitators—maintain long-term adherence by accessing ongoing online resources and community support, enabling sustained application over years rather than short-term interventions. Some families hybridize Son-Rise principles, such as child-led joining and eye contact encouragement, with complementary therapies like speech therapy, while prioritizing relational dynamics over behavioral compliance. This parent-empowerment model has led to widespread rejection of institutionalization, with families constructing dedicated playrooms for intensive, non-coercive engagement that fosters perceived gains in social initiation and communication. Informal networks among trained families provide peer guidance, though formal alumni structures remain limited to center-affiliated events and online forums. Reported outcomes highlight increased parental confidence in managing autism at home, reducing reliance on external professionals for core developmental support.

Critiques from Scientific and Advocacy Communities

The Association for Science in Autism Treatment (ASAT) has characterized the Son-Rise Program as lacking sufficient scientific validation, citing the absence of randomized controlled trials and reliance on anecdotal reports or small-scale, uncontrolled studies to support claims of efficacy. ASAT advises against its use as a primary treatment for autism, warning that promotional materials may disseminate misleading information about autism interventions, potentially diverting families from evidence-based options like applied behavior analysis (ABA). In 2015, ASAT issued an open letter to program proponent Raun Kaufman critiquing a video series that contrasted Son-Rise favorably against ABA, arguing it promoted unsubstantiated assertions of superiority without comparative data. Major institutions such as the American Psychological Association (APA), Centers for Disease Control and Prevention (CDC), and Autism Society of America (ASA) have not endorsed Son-Rise, with CDC resources on autism treatments emphasizing interventions backed by systematic reviews and meta-analyses, categories into which Son-Rise does not fit due to methodological limitations in available research. Critics within these communities highlight risks including financial burdens from intensive home-based implementation—often requiring 20-40 hours weekly without guaranteed outcomes—and the potential delay in accessing therapies with demonstrated impacts on core symptoms like communication deficits. A 2013 study on Son-Rise's effects on child-initiated interactions involved only 16 participants with pre-post designs lacking controls, underscoring broader concerns over replicability and generalizability. While these critiques prioritize empirical rigor, some observers note that institutional preferences for behavioral or pharmacological models may undervalue relational, parent-driven approaches that target social engagement through non-directive play, potentially reflecting a bias toward scalable, professional-led interventions over individualized family innovations. ASAT's stance, for instance, aligns with advocacy for ABA despite its own debates over intensity and long-term effects, raising questions about whether dismissals of alternatives like Son-Rise overlook causal mechanisms in autism related to interpersonal trust and motivation rather than solely operant conditioning. Nonetheless, without robust, peer-reviewed evidence from large-scale trials, mainstream scientific consensus maintains that Son-Rise remains unproven and carries opportunity costs for vulnerable families.

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