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heterogeneous patient groups that may have encompassed subjects manifesting purely psychiatric disorders Considerable data indicates that cognitive behavioral interventions are very effective for individuals with depression; therefore, it remains unclear as to which population or subgroups of patients actually bene t from this type of treatment Medical Utilization Because most prior research has consisted of medically referred samples, it has been unclear what medical services have been used by the population of individuals with CFS and what proportion of individuals suffering from CFS have gone untreated or have been treated for other illnesses In a study of individuals with chronic fatigue, CFS, and bromyalgia from a university-based chronic fatigue clinic (Bombardier & Buchwald, 1996), individuals were found to access health care services, both allopathic and alternative, at a rate higher than the average, possibly indicating simultaneous and uncoordinated use of services.

This may be indicative of the lack of diagnostic or treatment satisfaction among individuals seeking care for fatiguing illnesses such as CFS Related to this nding, Lane, Matthews, and Manu (1990) found that in individuals accessing physical examinations and laboratory investigations for a chief complaint of fatigue, diagnostic information was produced in only 2% of physical examinations and 5% of laboratory investigations These investigations indicate that perhaps due to the nature of fatigue-related physical complaints, individuals with fatigue in general and CFS in particular are subject to inaccurate diagnoses and dissatisfaction with health care practitioners In a recent community-based study of CFS, Jason, Taylor, Kennedy, Song, et al (2000) found that the majority of individuals diagnosed with CFS had consulted a physician regarding their fatigue (656%), but only 10% to 15% of them had been previously diagnosed with CFS This is important for two reasons.

Whether it is a mobile extension to an existing business, an advertising model or a digital content-delivery model, multiple actors from different backgrounds need to co-operate in a value net The essential difference between the two scenarios is found in who takes the lead This difference very much determines the product/service component of the business model as well as the organisational components such as orchestration In the Old Rules scenario the traditional players still lead They provide extensions and enhancements to their current offerings in much the same way as they do now, building on current hierarchical governance forms to control the provisioning network For companies providing enabling technologies or for SMEs developing solutions, the main guideline is to look for strategic partnerships to build and keep lasting supply relationships with established players in the mobile services eld This would mean partnerships rst with operators but manufacturers as well.

First, over one-third of people with CFS have never been seen by a physician for their fatigue This nding may be attributable, in part, to limited social and economic resources among many of the individuals with CFS in our sample (Jason, Richman, et al, 1999) and a resulting decreased tendency for those individuals to seek appropriate medical care Second, of those who had been seen by a physician, very few had been appropriately diagnosed with CFS This suggests that there may be inadequacies in medical awareness of diagnostic criteria and/or biases in medical perceptions of fatigue-related illness that prevent individuals from receiving appropriate diagnosis and treatment Findings for high levels of dissatisfaction with traditional medical care among individuals with CFS (Anderson &.

tudents wishing to become clinical psychologists do so for a variety of reasons. Many are interested in being helpful to others, whereas others are fascinated by human behavior. Some are interested in the interface between psychology and biology as manifested in health issues. Others are sensitive to human suffering and the nuances of human relationships, feeling naturally drawn to clinical psychology as a field of study. Still others are primarily interested in contributing to improvements in society at large. Many are

In short, the service developer positioning in this case is all about being a very close and trusted partner of some dominant or strongly emerging mobile player In the Wind Turns scenario, new players rather than the traditional mobile players are in the lead For example, we have seen that the service provider offering mobile extension types of service will most likely be a party from the business line rather than the operator These parties bring their domain knowledge to create tailor-made solutions for speci c customer segments Services can be created from standardised, easy-to-combine layers and components In the Wind Turns scenario, the technology providers and service developers could market their products or services as separate, easy-to-integrate products The opportunity is to embrace public standards and interoperable technologies.

Figure 22-11: The author s FaceId Identifier add-in shows the FaceId values for built-in toolbar images.