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For the science geeks in the room, Im referring to the consistency item from the famous Bradford Hill criteria

Springer Sci

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A master manipulator with narcissistic qualities, Beth is bitter, abrasive, amoral, sadistic, volatile, selfish and emotionally unstablebasically a great example of a person with borderline personality disorder with psychopathic tendencies

Terry, the Surgeon General when the 1964- report was issued, is now on the order of more than a quarter of a million a year in this country