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Thus, the raters were aware of when participants were receiving treatment but were unaware of the identity of that treatment. At home, participants also completed a 17-item daily diary (available on request) covering 12 manic symptoms and 5 depressive symptoms experienced during the past 24 hours. The diaries generated a manic score of 0 to 48 and a depression score of 0 to 20. Participants also marked a 100-point visual analog "liking" scale with 3 anchors: "I dislike the way that I feel on this Clen for burning fat very much" (0 points), Clen for burning fat, "neutral" (50 points), and "I like the Clenbuterol weight loss pills that I feel on this medication very much" (100 points). Total manic, depressive, and liking scores for each week represented the mean scores of all diaries submitted during the preceding 7 days. Significant others rated the participant's behavior weekly in a virtually identical diary. In the second study year, we introduced a computerized measure of aggression, the Point Subtraction Aggression Paradigm (PSAP). We presented this technique in detail in a previous article,49 together with preliminary data from 5 participants in the present study. Briefly, each participant was seated in a booth equipped with a monitor screen and was told that he was playing against an unseen male opponent, which was actually a computer. The participant could accumulate points on the screenexchangeable for moneyby pressing one button, or he could deprive his "opponent" of points by pressing another button.

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