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The key point in Miller's argument is that imposing excessive regulatory costs on American pharmaceutical firms forces them to experience corporate mergers, reduced competition, and higher prices. In the long run, this leads companies to focus on shorter-term, lower-risk research and development intended for larger patient populations. Thus, smaller groups of patients in need of new medical innovations that require long-term study at higher per-capita costs suffer the most from delays in approving new products.
Miller addresses the myth that there must be a tradeoff between promoting more efficient drug research and improving drug safety. Efficiency and safety can both be improved simultaneously by introducing competition where regulatory oversight has become excessive and changing the FDA's role in the process. Rather than evaluating data itself, it should allow other organizations to evaluate clinical testing and focus on monitoring their efforts instead.
A key problem that many drug manufacturers face is that regulations are not static. When new rules are enacted, regulators generally adopt narrow interpretations of them, but broaden those interpretations as time goes on. Because of this, regulators must be viewed as a special interest group - expanding their turf by skirting congressional oversight and gradually inflating burdens for manufacturers underneath the radar screen.
These problems lead many companies to alter their research priorities. Instead of focusing solely on prospective benefits for consumers when choosing which products to develop, firms must account for potential regulatory costs as well. The high costs of getting drugs approved reduces the diversity of products being prepared - leading many companies to devote more energy to dealing with the regulatory apparatus. Innovation suffers as a result.
The biggest problem with the FDA's current system, though, is its lack of accountability to the public. Consumers cannot participate in its product-review process and cannot obtain judicial review of its decisions. In addition, seldom is information about delayed or rejected drugs and medical devices made available to the media. Thus, the nature of the evaluation process itself reduces consumers' freedom of choice and individual autonomy. It leads many frustrated consumers to travel abroad to obtain safe drugs and services not available here in the U.S.
Fortunately, Miller offers a solution to the problem: allow independent, non-profit drug certifying bodies - instead of the FDA - to review test results from companies. Then allow the FDA to monitor the technical, scientific, and managerial expertise of these bodies to ensure they perform proper reviews. This would be similar to OSHA's accreditation process for testing laboratories. It would also introduce much needed competition, innovation, and efficiency into the oversight process and help alleviate many of the perverse incentives regulators face when interpreting new standards.
Overall, America's drug review procedure is in need of reform. Excessive regulations that lead to increased suffering or death among consumers should be repealed. In addition, when the regulatory process itself delays new technologies or innovations that can reduce suffering or death among the public, the procedure itself should be closely examined. Miller's book sheds new light on a frequently-ignored cost of overregulation: how preventing the adoption of new products or services that save lives can be just as costly as overlooking those that cost lives. His arguments should be given careful consideration by anyone who is concerned about the state of health care in the United States.

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The book is a very interesting view of what happened to the author. The details are rich and he does a good job of painting the scenes for us. He also did a good job of explaining the depression of being a captive and what it is like to loss seven years of your life, although I do not think any author could truly express the emotional pain that he must have gone through. If you are interested in this part of the world or this story, this is a great book. It is also interesting given the current climate in the Middle East to read about what was happening 20 years ago.

When I decided to study journalism in college, I chose the E.W. Scripps School of Journalism at Ohio University. When I heard that Terry Anderson was going to be joining the faculty at Scripps, I was truly excited. I read his memoirs and then had the opportunity to hear him speak about his ordeal. Having him as a professor at Scripps was a wonderful experience for all journalism students. I have the great privilege of saying that I met one of my role models and I am grateful for that.
Den of Lions: Memoirs of Seven Years is one of the best books I have ever read. It is touching and wonderfully written. It tells Terry Anderson's story in a way that only he could.


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There are many interesting ways to interperate Anderson's landmark work. While there have been many cases of the book being used in Harvard as examples of American literature of the turn of the century, colleges such as Evergreen have used it to inquire into the sexuality and gender issues that we face today, and the development of the American psyche.
Anderson's book will read like a book of his time, so if you are looking for a book the dictates American history from an Ivory tower 50 years from the future, this is not it. This is first hand history, and first rate literature. This is a complex, exciting, and disturbing look into the American midwest.

Rather than an idyllic portrayal of American small town life in the 1890's, these stories are about psychological isolation, loneliness, and sexual repression and frustration brought about by small town mores. These people are as sad and neurotic as any that might be found living in the big cities. Anderson calls them "grotesques," people who are warped by the sanctimoniousness of provincial piety and their own inhibitions. His nonchalant, ironic way of writing understates the peculiarity and the gloominess of the stories.
The stories are loaded with symbolism that is difficult to decipher. My favorite is probably the four-part "Godliness", which, in a satire of religious fervor, merges parodies of the biblical tales of Abraham's near-sacrifice of Isaac and David's slaying of Goliath. But all the stories have interesting allusions of various degrees of subtlety. This work must have seemed quite groundbreaking in its depth, complexity, and boldness when it was first published in 1919.

It is obvious that the writer loves these people, and is frustrated at the isolation and unhappiness of their lives, even though he makes it clear that they hold within themselves everything needed to make them happy. The character in the first story is a dying old writer who is attempting to write about all the people he has known as a "book of grotesques". What follows is the collection of stories, which each character fulfilling that expectation.
There are the young lovers who don't quite connect; there is a old man so obsessed with religious fervor that he attempts to sacrifice his grandson; there is a married man who regrets it all and tries to warn a younger man of future unhappiness; there's a doctor and a sick woman who try to connect. The book is full of people who toil all their lives and never achieve happiness. As I made my way through the book I kept hoping that even one of the characters would rise above the morass. It didn't happen.
The writer has a wonderful sense of place and the town of Winesburg in the early part of the 20th Century is very real. These people were not poor or disadvantaged in the usual sense of the word; they didn't suffer fire, floods or famine. Instead, they trapped themselves in their own psychological webs that made it impossible for them to lead anything but sad unfulfilled lives. This is a fine book and stands alone as a clear voice of its time.

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There are some interesting "counseling assistance tools" in it that could be helpful.
If you're looking for a book that more closely ties Psychology, Theology and Spirituality together look for the book by that very title - by Dr. Mark McMinn

They explain that the evangelical Christian community is defined by several nonnegotiable core beliefs but beyond that there are diverse strategies in Christian counseling that the authors examine. They range from secular psychology by Christian practitioners to "Bible only" methods that reject all psychology. The authors then attempt to find a balanced integration of theology and psychology. It centers on helping a client to realize his new identity in Christ. The authors present a Biblical strategy for Christian counseling that involves three levels of conflict and seven steps to freedom. The seven "Steps to Freedom in Christ" is process that the counselor assists the client in working through where a person takes a moral inventory and makes a commitment to truth.
In order for a counselor to be effective he must be growing himself. Several recommendations are for growth are given. The subject of assessing client's spiritual condition is examined. The obstacles in counseling in the marketplace are discussed and an explanation of how to present the Gospel in that setting. Issues involving the reality of managed care are also considered. A large section of the book is given to the subject of counseling tools. A summary is given concerning each of these tools. They include cognitive-behavioral therapy, theophostics, and a therapy plan for the following issues: bonding; early recollections; eating disorders; grief and loss; physical, emotional, and sexual abuse; parenting issues; anxiety disorders; depression; boundaries; dissociative identity disorder; marriage communication; sexual addiction; and chemical addictions.
The book examines the issue of the professional Christian therapy and the church community as a collaborative partnership. A model for the interrelationship between the church and the Christian counselor is given. This includes how to establish a freedom ministry in the local church and the logistics and related issues in organizing such a ministry. Finally there is an extensive appendix that includes forms to be used in counseling ministry within the local church.
At the center of the book is Neil Anderson's 7 steps to freedom. This treatment plan is both Biblical and practical. I am confident that in many cases the 7 steps have brought individuals into new levels of freedom and wholeness. Yet the authors seem to promote the 7 steps as a panacea for nearly every mental health disorder. In my opinion this may be too simplistic and unrealistic. I also feel the book falls short in being a definitive integration of psychology and theology. This is unquestionably a Herculean task that was valiantly engaged but I felt the book fell short of fully satisfying this objective.
Despite its shortcomings, Christ Centered Therapy is a valuable work that should prove to be a wonderful resource for pastoral counselors and Christian mental health professionals as well as a quality textbook for seminaries and Christian colleges. The authors do a good job of exposing the anti-Christian bias in psychology and of explaining the different views of counseling in the Christian community. They have a great respect for the power of God's Word and the work of the Holy Spirit in counseling. I particularly appreciated the tool kit section, which presented various conditions and the interventions.






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His new publication is an excellent book for beginners who want the basics. Terry introduces you to the history of cacti and in the main deals with plants which are fairly common and often available from plant sources. You will learn how to buy and select the best plants, how to look after them, propagate them and control pests and diseases. A seasonal calendar is included explaining what to do during the different seasons of the year.
Information is additionally given on indoor arrrangements, greenhouse and outdoor growing. And a color photo section of about 50 varieties of cacti is included which tells you the origin of each variety, gives a botanical description and the expected height and spread of the plants when given pot culture.

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The book takes one of two approaches: to place absolute faith in markets when it comes to environmental protection, or to deny the reality of particularly intractable problems. It's interesting to note that the sub-chapter on global warming, titled "Global Warming or a Lot of Hot Air?" (deriding those who believe in global warming as "Chicken Littles") which appeared in the first edition has disappeared from the 2001 revised edition. The revised edition doesn't even list global warming or climate change in the index.
Anderson and Leal make their strongest argument where they write about "government failure" in funding the construction, by the Army Corps of Engineers and Bureau of Reclamation, of un-economic and ecologically harmful dams throughout the 20th century. This sort of pork-barrel spending wasted taxpayer money and harmed the environment and was largely unopposed, at least until Presidents Carter and Reagan (to both of their credit) began to resist, as is recounted at great length in Marc Reisner's excellent book Cadillac Desert.
In Anderson and Leal's chosen scheme of environmentalism, the most likely determiner of how natural resources would be allocated would be big multinational corporations, not unlike Enron, Global Crossing, WorldCom, etc.. We have seen how (un)wisely these corporations protect the public interest and how equally (un)wisely they protect the interests of their own shareholders. Yes, by all means, lets put the Great Lakes into a water market and allow some new "Enron" to control the trading. (See Anderson and Leal's Chapter 8, titled "Priming the Invisible Pump.") It's scary to think that the decision over whether we will have any wilderness left at all would be in such (in)capable private hands. Yet that's what the authors recommend. This book's solutions are overly simplistic and thus either wrong or incomplete. I give the book a five for readability and a one for policy, with policy weighted most heavily.

Some people might not believe its notion that the private sector will always do the right thing. And, of course, it won't. However, this book is a good guide to the growing movement to find a better way to protect the environment.