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By Susan E. Keefe

"This quantity is the 1st to discover greatly many very important theoretical and utilized concerns about the psychological future health of Appalachians. The authors--anthropologists, psychologists, social employees and others--overturn many assumptions held by way of previous writers, who've tended to work out Appalachia and its humans as being ruled by means of a tradition of poverty."

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We have since found a better way of dealing with this issue. Shortly after David moved to his current residence, we helped him tune up his bike and get a bike lock installed. A few days later David showed up at our house on his bike, looking very pleased with himself after successfully negotiating three miles of busy streets. Herman congratulated him on his accomplishment, gave him a meal, and then sent him off to return to his residence, which he did willingly. Sometimes during his visits to our home, I help David enter his writings on the computer.

What this has come to mean in practice is that David cannot live with us nor can he come and go freely from our home. We maintain contact and are committed to our relationship with David, but the time he spends with us and in our home is limited to afternoon and early-evening visits of four to six hours once, twice, and sometimes three times a week, depending on his proximity. David’s sisters have their own approaches to understanding and relating to their brother. Both are saddened by his sickness, but they are also clear about their need to live their own lives, which include demanding jobs and, for our youngest daughter, two growing children.

He stayed with them for four days and then decided to walk back to his former residence. David said that he was 36 Many Forms of Madness aware that he would not be taken in, but he didn’t know where else to go. David was tanned but thin when we found him, having lost sixty pounds over the previous few weeks. He actually looked remarkably well and seemed quite cheerful. As instructed by the Los Angeles hospital, we drove him to an emergency facility in Bellflower, which did the intake clearance and then sent him on to a hospital.

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