American Psychological Association Division 40 (Clinical Neuropsychology) Records

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Division of Clinical Neuropsychology
Newsletter 40
American Psychological Association
Volume IV, Number 2 August 1986

Election Results
Results of the annual spring executive committee election are as follows:
President-elect Byron P. Rourke
Treasurer Raymond Dean
Member-at-Large Jeffrey Barth
Council Representatives Linas Bieliauskas Manfred Meier

Division 40 Convention Program
Division 40's program for the APA convention in Washington, D.C., will address scientific and professional issues ranging from the implications of neurobiological processes for cognitive reorganization to models of clinical training for neuropsychologists.
For the first time, a conversation hour has been scheduled (4:00, Saturday) to discuss the controversial topic of cognitive retraining. This immediately follows a symposium on the same topic.
As customary, a Division day has been scheduled to allow concentration of invited addresses, symposia, the presidential address, the business meeting and the social hour.
This year's program committee included Linas Bieliauskas (chair), Polly Pechstedt (co-chair), Carl Dodrill, Alan Goldberg, Susan Filskov, Alfred Kaszniak, Robert Wilson, and Allan Yozawitz.
A full listing of the Division 40 schedule can be found on page 2 of the Newsletter.

Newsletter Note
Due to the change in position of Newsletter 40 editor Roberta White, this is the last issue which will be typeset and organized in Boston. The contribution of the Boston University Educational Media Department to the appearance and publication of the Newsletter in its present format has been substantial. Alice Vickery has been particularly invaluable in her assistance in layout and design.

Current addresses of the editorial board can be found on page 2. August 1986

ABPP to Recognize Arthur Benton
The American Board of Professional Psychology will be awarding its Distinguished Contribution Award to Professor Emeritus Arthur Benton (University of Iowa) at its convocation during the APA meetings in Washington, D.C. Professor Benton will be given the award before addressing the convocation to be held in Atrium II of the Washington Sheraton Hotel from 11:OO a.m. to 12:50 p.m. on Sunday, August 24. Professor Benton represents the first diplomate of the American Board of Clinical Neuropsychology/-American Board of Professional Psychology to receive this honor which is conferred on the basis of an ABPP-wide membership election. His presentation is entitled Birth and Growth of a Clinical Specialty.”

Executive Committee, Division 40, 1985-86
President: Manfred Meier
President-elect: Edith Kaplan
Past president: Lawrence Hartlage
Secretary: Kenneth Adams
Treasurer: Raymond Dean
Members-at-large:
Linas Bieliauskas
Cecil Reynolds
Byron Rourke
Council representative: Thomas Boll
Newsletter editor: Roberta White
Chairpersons, standing committees:
Membership: Gordon Chelune
Fellowships: Otfried Spreen
Program: Linas Bieliauskas
Chairpersons, ad hoc committees:
Division 40/INS Task Force, and Legislation: Stanley Berent
Ethnic minorities: Alonzo Campbell
Gay concerns: James Quinlan
Computers in neuropsychology: Charles Matthews

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Newsletter 40
Newsletter 40 is the official newsletter of the Division of Clinical Neuropsychology (Division 40) of the American Psychological Association. It is published biannually.
Staff:
Roberta Firnhaber White, Editor
CFOB - PO Box 056
Department of Psychiatry
Univ. of Michigan Medical Center
Ann Arbor, Ml 48104
Mark B. Moss, Associate Editor
Boston University Medical Center
Department of Neurology
720 Harrison Ave., Suite 707
Boston, MA 02118

Thursday, August 21
l:00-4:50, Presidential (S)
Task Force on Education, Credentialing, and Accreditation in Clinical Neuropsychology
Chair: Stanley Berent

Friday, August 22
10:00-l 1:50, Idaho (SW)
Paper Sessions: Issues in Cerebral Lateralization of Functions
Chair: Robert Bornstein

1:00-l :50, Exhibit Hall (WH)
Poster Session: Developments in Assessment and Intervention in Clincal Neuropsychology
Chair: James Youngjohn

2:00-3:50, Calvert (SW)
Paper Session: Blue Ribbon Research in Clinical Neuropsychology
Chair: Linas Bieliauskas

4:00-7:50 Executive Committee Meeting
Chair: Manfred Meier

Saturday, August 23
9:00-9:50, Exhibit Hall (WH)
Poster Session: Trauma, Disease, and Cognitive Functioning.
Chair: Jack Fletcher

10:00-l 1:50, Executive (S)
Paper Session: Substance Abuse and Cognitive Functioning Chair: Nelson Butters

l :00-2:50, Calvert (S)
Symposium: Applications of Multivariate Methods in Neuropsychology
Chair: James Schear

3:00-3:50, Capitol (S)
Symposium: Cognitive Rehabilitation Software. Therapy or Adjunct? A Call for Standards
Chair: Bruce Becker

4:00-4:50, Capitol (S)
Conversation Hour: Computer Assisted Cognitive Retraining Programs: Pros and Cons
Chair: Byron Rourke

Sunday, August 24
9:00-9:50, Capitol (S)
Invited Address - Ursula Bellugi and Howard Poizner: What the Hands Reveal about the Brain
Chair: Polly Pechstedt

11:00-l 1:50, Wilmington (SW)
Invited Address - Allan Mirsky: From Worcester to Haifa: Fifty Years of Attention Research in Neuropsychiatry
Chair: Nelson Butters

l:00-2:50, Hampton (S)
Symposium: Altering Cognitive Processes: A Psychobiological Perspective
Chair: Herbert Weingartner

4:00-4:50, Diplomat (S)
Presidential Address - Manfred Meier: Continuing Education: An Alternative to Respecialization in Clinical Neuropsychology
Chair: Lawrence Hartlage

5:00-5:50, Diplomat(S)
Business Meeting
Chair: Manfred Meier

6:00-7:50, Diplomat(S)
Social Hour
Chair: Linas Bieliauskas

Monday, August 25
9:00-9:50, Exhibit Hall (WH)
Poster Session: Neuropsychological Performance Patterns in Conditions with Physical and Psychiatric Etiologies
Chair: Robert Hart

11:00-l2:50, Rockville (SW)
Symposioum: Specialty Developments and Credentialing in Clinical Neurops ychology and Forensic Psychology
Chair: Manfred Meier

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 Newsletter 40

l :00-2:50, Wisconsin (SW)
Symposium:Neurops ychological Applications in Psychiatric Disorders
Chair: Murdo Dowds

3:00-4:50, Kansas (SW)
Paper Session: Cognitive and Behavioral Sequelae of Head Injury
Chair: Lloyd Cripe

Tuesday, August 26
9:00-9:50, Idaho (SW)
Symposium: Issues in the Neuropsychological Application of Information from the WAIS-R
Chair: Kenneth Adams

10:00-l 0:50, Woodley (SW)
Paper Session: Cognitive Changes in Alzheimer Disease Chair: David Berry

The division has also agreed to co-sponsor a number of programs from other divisions which would be of interest to our members. These include invited addresses, papers, and symposia, including an invited address by Vernon Mountcastle to Division 6. Please check your program for exact time and place.
S = Shoreham Hotel
WH = Washington Hilton
SW = Sheraton-Washington
CH = Capitol Hilton

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 Newsletter 40
INS/Division 40 Guidelines Approved
The following guidelines for doctoral and post-doctoral training developed by the Division 40/INS task force on education and credentialing were approved by the Division 40 Executive Committee March 14-15 and by the Executive Committee of the International Neuropsychological Society at its European meeting in June in Veldhoven, Holland. The guidelines on doctoral internship already approved by both organizations were previously published in Newsletter 40 (1984).

INS-Divison 40 Task Force on Accreditation Education and Credentialling
Guidelines for Doctoral Training Programs in Clinical Neuropsychology
Doctoral training in Clinical Neuropsychology should ordinarily result in the awarding of a Ph.D. degree from a regionally accredited university. It may be accomplished through a Ph.D. program in Clinical Neuropsychology offered by a psychology department or medical faculty or through the completion of a Ph.D. program in a related specialty area (e.g. Elinical Psychology) which offer sufficient specialization in Clinical Neuropsychology.
Training programs in Clinical Neuropsychology prepare students for health service delivery, basic clinical research, teaching and consultation. As such they must contain (a) a generic psychology core, (b) a generic clinical core, (c) specialized training in the neurosciences and basic human and animal neuropsychology, (d) specific training in clinical neuropsychology. This should include a 1800 hour internship which should be preceded by appropriate practicum experience.
A. Generic Psychology Core
1. Statistics and Methodology
2. Learning, Cognition and Per-ception
3. Social Psychology and Personality
4. Physiological Psychology
5. Life Span Developmental
6. History
B. Generic clinical Core
1. Psychopathology
2. Psychometric Theory
3. Interview and Assessment Techniques
a. Interviewing
b. Intelligence Assessment
c. Personality Assessment
4. Intervention Techniques
a. Counselling and Psychotherapy
b. BehaviorTherapy/Modification
c. Consultation
5. Professional Ethics
C. Neurosciences and Basic Human and Animal Neuropsychology
1. Basic Neurosciences
2. Advanced Physiological Psychology and Pharmacology
3. Neuropsychology of Perceptual, Cognitive and Executive Processes
4. Research Design and Research Practicum in Neuropsychology
D. Specific Clinical Neuropsychological Training
1. Clinical Neurology and Neuropathology
2. Specialized Neuropsychological Assessment Techniques
3. Specialized Neuropsychological Intervention Techniques
. Assessment practicum children and/or adults in University Supervised Assessment Facility
5. Clinical Neuropsychological Internship of 1800 hours preferably in university facility. (As per INS-Div. 40 task force guidelines). Ordinarily this internshipwill becompleted in a single year but in exceptional circumstance may be completed in a two-year period.
E. Doctoral Dissertation
It is recognized that the completion of a Ph.D. in Clinical Neuropsychology prepares the person to begin work as a clinical neuropshychologist. In most jurisdictions, an additional year of supervised clinical practicewill be required in order to qualify for licensure. Furthermore, training at the post-doctoral level to increase both general and subspecialty competencies, is viewed as desirable.

Post-Doctoral Training in Clinical Neuropsychology Post-doctoral training, as described herein, is designed to provide clinical training to produce an advanced level of competence in the specialty of clinical neuropsychology. It is recognized that clinical neuropsychology is a scientifically- based and evolving discipline and that such training should also provide a significant research component. Thus, this report is concerned with post-doctoral training in clinical neuropsychology which is specifically geared toward producing independent practitioner level competence which includes both necessary clinical and research skills. This report does not address training in neuropsychology which is focused solely on research.

Entry Criteria
Entry into a clinical neuropsychology post-doctoral training program ordinarily should be based on completion of a regionally accredited Ph.D. graduate training program in one of the health service delivery areas of psychology or a Ph.D. in psychology with additional completion of a respecialization” program designed to meet equivalent criteria as a health services delivery program in psychology. In all cases, candidacy for post-doctoral training in clinical neuropsychology must be based on demonstration of training and research methodology designed to meet equivalent criteria as a health services delivery professsional in the scientist-practitioner model. Ordinarily, aclinical internship, listed by the Association of Psychology Intern-ship Centers, must also have been completed.

General Considerations
A post-doctoral training program in clinical neuropsychology should be directed by a board certified clinical neuropsychologist. In most cases, the program should extend over at least a two-year period. The only exception would be for individuals who have completed a specific clinical neuropsychology specialization in their graduate programs and/or a clinical neuropsychology internship (Subcommittee Report of the Task Force, 1984) provided the exit criteria are met (see below). As a general guideline, the postdoctoral training program should provide at least 50% time in clinical service and at least 25% time in clinical research.Variance within these guidelines should be tailored to the needs of the individual. Specific training in neuropsychology must be provided, including any areas where the individual is deemed to be deficient (testing, consultation, intervention, neurosciences, neurology, etc.).

Specific Considerations
Such a post-doctoral training program should be associated with hospital settings which have neurological and/or neurosurgical services to offer to the training background. Necessary training should be provded in both adidactic and experiential format and should include the following:

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Didactic Training
A. Training in neurological and psychiatric diagnosis.
B. Training in consultation to neurological and neurosurgical services.
C. Training in direct consultation to psychiatric, pediatric, or general medical services.
D. Exposure to methods and practices of neurological and neurosurgical consultation (Grand Rounds, Bed Rounds, Seminars, etc.).
E. Observation of neurosurgical procedures and biomedical tests (revascu-larization procedures, cerebral blood flow, WADA testing, etc.).
F. Participation in seminars offered to neurology and neurosurgery residents (neuropharmacology, EEG, brain cut-ting, etc.)
G. Training in neuropsychological techniques, examination, interpretation of test results, report writing.
H. Training in consultation to patients and referral sources.
I. Training in methods of intervention specific to clinical neuropsychology.
J. Seminars, readings, etc., in neuropsychology (case conferences, journal discussion, topic-specific semi-nars).
K. Didactic training in neuroanatomy, neuropathology, and related neurosciences.

Experiential Training
A. Neuropsychological examination and evaluation of patients with actual and suspected neurological diseases and disorders.
B. Neuropsychological examination and evaluation of patients with psychiatric disorders and/or pediatric or general medical patients with neurobehavioral disorders.
C. Participation in clinical activities with neurologists and neurosurgeons (Bed Rounds, Grand Rounds, etc.).
D. Experience at a specialty clinic, such as a dementia clinic or epilepsy clinic, which emphasizes multidisciplinary approaches to diagnosis and treatment.
E. Direct consultation to patients involving neuropsychological assessment.
F. Direct intervention with patients, specific to neuropsychological issues, and to include psychotherapy and/or family therapy where indicated.
G. Research in neuropsychology, i.e., collaboration on a research project or other scholarly academic activity, initiation of an independent research project or other scholarly academic activity, and presentation or publication of research data where appropriate.

Exit Criteria
At the conclusion of the post-doctoral training program, the individual should be able to undertake consultation to patients and professionals on an independent basis. Accomplishment in research should also be demonstrated. The program is designed to produce a competent practitioner in the areas designated in Section B of the Task Force Report (1981) and to provide eligibility for certification in Clinical Neu-ropsychology by the American Board of Professional Psychology.
References:
Report of the Task Force on Education, Accreditation and Credentialing.
The INS Bulletin, 1981, 5-10. Newsletter 40, 1984, 2, 3-8
Report of the Subcommittee on Psychology Internships. Newsletter 40, 1984, 2, 7. The INS Bulletin, 1984, 33. APIC Newsletter, 1983, IX, 27-28.

Minutes
Division of Clinical Neuropsychology (40)
American Psychological Association
Midwinter Meeting of the Executive Committee (EC)
March 14-15, 1986
American Psychological Association Headquarters, Washington, D.C.

Attending: Adams, Berent, Bieliauskas, Boll, Chelune, Kaplan, Matthews, Meier, Rourke, White
Regrets: Dean, Hartlage, Reynolds

1. Order. The meeting was called to order by President Meier. Meier thanked the committee members for their attendance at the meeting during a very busy time.

2. Minutes. Minutes of the previous Executive Committee had been circulated to the EC in advance. President Meier asked for any points requiring attention. It was suggested that the previous minutes did not reflect the fact that Linas Bieliauskas was asked and assented to serve as Chairman of the Program Committee for an additional year. The record has been changed to reflect this fact. Hearing no further requests or points, the EC (Rourke-Bieliauskas) voted approval unanimously.

3. Treasurers Report. Raymond Dean provided a mid-term report of expenditures. The EC reviewed this document, and suggested that an additional $1,000 expense expenditure be allocated by the Treasurer for the second Council Representative for the Division in light of the successful apportionment vote last fall. This would only figure in next year's budget plans as the new representative will be seated until January 1987. President Meier reminded officers and committee heads to prepare 1986-1987 budgets for the Treasurer in the early summer so that these could be integrated with the Treasurer's estimates at the August meeting. All other offices and expenses appeared to fall within expected limits.The EC (Kaplan-Boll) voted approval of this report with the budget modification.

4. Council of Representatives. Boll reviewed recent discussions of this body, with special reference to the document proposing APA reorganization, In brief, the report suggests that APA be subdivided into four separate societies reflecting certain constituencies. Many details would remain to be worked out, but the clear intent of the proposal is to prevent over-representation in APA governance structures by applied or health psychologists.
The EC received this document prior to this meeting and much discussion ensued. The clear consensus of the EC was in opposition to the reorganization proposal. It was felt that sufficient care and sensitivity to non-professional, non-clinical, scientific, and other problems was possible given the current APA structure.
At the same time, the EC expressed strong support for streamlining APA, cutting unnecessary committees, and deliberate avoidance of ill-advised financial adventures” not supported by the dues-paying membership (such as the purchase of Psychology Today).
The EC voted (Berent-Bieliauskas) unanimously to empower President Meier to communicate these sentiments to the APA leadership. In addition, further discussion and comment by all Division 40 members would be solicited before and during the annual meeting in Washington. In another development, Thomas Boll described work being done towards a

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 definition of psychology. Further work and comment will be directed by Stanley Berent on the Division's behalf.

5. Division 40-INS Task Force. Stanley Berent reviewed the work of the Division 40-INS Task Force. The principal document for review at this EC meeting was the completed draft on Guidelines for Post Doctoral Training. Approval in principle has been given by both Division 40 and INS after numerous hours of committee work. At this time the EC voted (Rourke-Bieliauskas) approval of the Guidelines. This marks the third and final set of approved documents encompassing predoctoral, internship, and postdoctoral training in clinical neuropsychology. The newsletter editor, Roberta White, will undertake printing of these guidelines in the Newsletter. In related matters, the EC approved the current structure and need for the revised task force and gave unanimous assent (Boll-Kaplan) for its continuation with appreciation to Stanley Berent. Future work for this task force will center on definitions of practice and principles to guide laymen and administrators.

6. Membership. Gordon Chelune presented his membership report. Divison 40 is in excess of 1,600 members and has earned a second seat on council as a result. New applications and requests are being handled at a rapid rate. Special arrangements have been made to provide Division 40 applications at related meetings of interest. Requests concerning student membership and other affiliations were reviewed, and the EC deemed the Newsletter to be the most effective mechanism for communication, given the current membership structure of APA and the Division Bylaws. The EC expressed unanimous appreciation and support for Gordon Chelune's efforts in this successful membership year.

7. Fellowships. President Meier with the EC the written report of Otfried Spreen concerning fellowships. Discussion ensued on recent fellow nominations to APA and the EC expressed its views. Unanimous appreciation to Otfried Spreen and his committee for this work was articulated by the EC.

8. Nominations/Election. The Executive Committee reviewed the status of nominations, and concluded that a representative slate needed to be formed post-haste, given the lack of a committee report and the impending deadline of the APA governance office. Kenneth Adams was designated by EC motion (Berent-Boll) to poll an ad-hoc committee of previous presidents of the Division to accomplish this aim, with final approval to be given by the President.

9. Program. Linas Bieliauskas described current scientific program work. There were 102 papers submitted for the annual meeting. Approximately 70% of papers were accepted. Quality of papers is reasonable, and the balance bf papers is good. Each paper is reviewed by four separate reviewers. President Meier discussed some special programs done in conjunction with Division 41, Psychology and the Law.
Linas Bieliauskas announced that a new Program Committee chairman will be needed and candidates will be solicited.
He described several problems with the evolution of the program, although the divisional membership had generated consistently good programs in recent years, according to member reactions. The biggest problem is generating sufficient submissions for the call for papers. The APA call deadline occurs at an inopportune time for many Division 40 members, given their interest in other organizations that have meetings or deadlines at the beginning of the year. New ways to increase member interest and participation are needed. At this time, President Meier ruled that a new business item would be most appropriately discussed here. Byron Rourke proposed that member interest and participation might be increased by publication of the scientific abstracts. He offered the pages of the new journal, The Clinical Neuropsychologist (being edited by Byron P. Rourke and Kenneth M. Adams) for this purpose. At this time, President Meier recognized the wish of Rourke and Adams to excuse themselves from participation in deliberations or vote. Discus-sion ensued concerning the advisability and logistics. Discount rates for this journal were made a condition of agreement, given this arrangement. The Executive Committee (Bieliauskas- Kaplan) voted unanimously that the abstracts of Division 40 be assigned with individual author permission) for publication in The Clinical Neuropsychologist.

10. Computers and Neuropsychology. Charles Matthews presented recent materials on computer-based testing. Two documents were presented concerning Phase I work on the use of computers in interpretative work in neuropsychology. The Committee discussed this and the EC presented final comments to the membership for comment in Washington. Given the salience of this work, the EC recommended that Linas Bieliauskas attempt to encourage program submissions dealing with this topic.
A phase two committee was described by Charles Matthews to continue this work (Preston Harley, Robert Kurlichek, Jim Malec, John McSweeny, William Lynch, Leonard Diller, Greg Brown, Rosamund Gianotsos, Dan Schachter). Interested others would be recruited and welcomed, according to Matthews. The EC (Rourke-White) approved this interim report and especially thanked Charles Matthews.

11. Legislation. Stanley Berent delivered a detailed analysis of current developments, culled from a number of sources. Change characterizes the scene. PPO and HMO providers are entering and predominating in new programs. Information is being trans-mitted and new programs promulgated very fast. Increased use of neuropsycholgists as expert witnesses in cases is occurring. Clinical competition is increasing. Stanley Berent will draft an annual report describing trends in these areas for the EC at the August meeting.

12. Ethnic Minorities. No report from the ethnic minority liaison was received.

13. Committee on Women in Psychology. Roberta White reported concerning her participation as Division liaison to the Committee on Women in Psychology. Few issues of any wide-spread and substantive interest to Division members have been discussed. At the same time, the Division continues to receive requests to

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appoint a Division liaison when one exists who attends and participates. Roberta White announced her intention to resign as Division liaison. The EC accepted this with appreciation. President Meier announced that this vacancy would remain open until such time that a liaison would be relevant and the appointment recognized. Candidates would besolicited infuturedivisional meetings and publications.

14. Gay Concerns. President Meier reviewed the history of the post of liaison on Gay Concerns, ably handled in the EC view by James Quinlan. Given the creation of Division 44 the EC voted (Rourke-White) to eliminate this position, and expressed its thanks to James Quinlan for an excel-lent job.

15. Post-doctoral Fellowships. Given the increasing number of requests for information Linas Bieliauskas proposed that the EC accept a proposal by member Lloyd Cripe to start a comprehensive listing of post-doctoral fellowships in neuropsychology. The EC asked Linas Bieliauskas to initiate this registry with Lloyd Gripe and to ask for a progress report at the August meeting.
In this same context, Linas Bieliauskas will develop with Lloyd Cripe a databank for information on predoctoral and internship programs as well. Future information on this database will be forthcoming.
More generally, President Meier reiterated his view that interested members needed to be recruited and welcomed to committee work within the Division. In the past members have helped to make their Division successful within APA, and those wishing to help would be contacted via committee chairs. The EC supported the view and recommended that this call be restated in Washington.

16. New Business. In a matter of new business, President Meier described the formation of an ad-hoc Division ethics committee to deal with problems and standards for practice. Kenneth Adams will be chairman of this committee with Roberta White and Manfred Meier as initial members, with other colleagues to be recruited as the terms of reference for this committee are developed.

17. Adjournment. There being no new items of business, President Meier adjourned the EC until the annual APA meeting in August in Washing-ton, D.C.

Fellowship Application Procedures
Member of Division 40 who would like to become Fellows of APA or who would like to nominate another member for fellowship, should write to the chairperson the the Fellowship Committee, Dr. Otfried Spreen, Psychology Department, University of Victoria, P.O. Box 1700, Victoria, B.C., Canada, V8W 2Y2, and request instructions, application and endorsement forms. Completed applications are voted on by the other members of the committee (Dr. H. Goodglass, Dr. J. Matarazzo, Dr. 0. Parsons) and then forwarded during May of each year to the APA Fellowship committee for final evaluation and vote. A more simplified procedure applies to mem-bers who are already fellows of another division.

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 Newsletter 40
Roberta Firnhaber White
CFOB - P.O. Box 056
Department of Psychiatry
University of Michigan Medical Center
Ann Arbor, Michigan 48104

(End of text)

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