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His laugh was a torrent of high-pitched giggling that reminded me of Tom Hulce in Amadeus. Schreiber nodded vigorously when Evy told him of the shame that shed felt at having been in a mental hospital like that. She added, You dont even realize how strong it is, until finally a day comes when the tables are turned, and its No, shame on you. This was the purpose of this institutionto shame, Schreiber said

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10,11,17,28 The better smoking cessation results in the gradual cessation group could be due to the increase in post-baseline motivation to quit

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