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All Careers
We have 974 careers for you to choose from. Click any title to see more information. You can also see just the Bright Outlook careers, Green careers, or careers with Registered Apprenticeships.
We have 974 careers for you to choose from. Click any title to see more information. You can also see just the Bright Outlook careers, Green careers, or careers with Registered Apprenticeships.
|Career name
|Bright Outlook
|Acute Care Nurses
|Adapted Physical Education Specialists
|Adhesive Bonding Machine Operators & Tenders
|Administrative Law Judges, Adjudicators, & Hearing Officers
|Administrative Services Managers
|Adult Basic & Secondary Education & Literacy Teachers & Instructors
|Advanced Practice Psychiatric Nurses
|Advertising & Promotions Managers
|Advertising Sales Agents
|Aerospace Engineering & Operations Technicians
|Aerospace Engineers
|Agents & Business Managers of Artists, Performers, & Athletes
|Agricultural Engineers
|Agricultural Equipment Operators
|Agricultural Inspectors
|Agricultural Sciences Teachers, Postsecondary
|Agricultural Technicians
|Air Traffic Controllers
|Aircraft Cargo Handling Supervisors
|Aircraft Mechanics & Service Technicians
|Aircraft Structure, Surfaces, Rigging, & Systems Assemblers
|Airfield Operations Specialists
|Airline Pilots, Copilots, & Flight Engineers
|Allergists & Immunologists
|Ambulance Drivers & Attendants
|Amusement & Recreation Attendants
|Anesthesiologist Assistants
|Animal Breeders
|Animal Control Workers
|Animal Scientists
|Animal Trainers
|Anthropology & Archeology Teachers, Postsecondary
|Appraisers, Real Estate
|Aquacultural Managers
|Arbitrators, Mediators, & Conciliators
|Architectural & Engineering Managers
|Architectural Drafters
|Architecture Teachers, Postsecondary
|Area, Ethnic, & Cultural Studies Teachers, Postsecondary
|Art Directors
|Art Therapists
|Art, Drama, & Music Teachers, Postsecondary
|Athletes & Sports Competitors
|Athletic Trainers
|Atmospheric & Space Scientists
|Atmospheric, Earth, Marine, & Space Sciences Teachers, Postsecondary
|Audio & Video Equipment Technicians
|Audio-Visual & Multimedia Collections Specialists
|Automotive & Watercraft Service Attendants
|Automotive Body & Related Repairers
|Automotive Engineering Technicians
|Automotive Engineers
|Automotive Glass Installers & Repairers
|Automotive Master Mechanics
|Automotive Specialty Technicians
|Aviation Inspectors
|Avionics Technicians
|Baggage Porters & Bellhops
|Bicycle Repairers
|Bill & Account Collectors
|Billing, Cost, & Rate Clerks
|Biochemical Engineers
|Biochemists & Biophysicists
|Biofuels Processing Technicians
|Biofuels Production Managers
|Biofuels/Biodiesel Technology & Product Development Managers
|Bioinformatics Scientists
|Bioinformatics Technicians
|Biological Science Teachers, Postsecondary
|Biological Technicians
|Biomass Plant Technicians
|Biomass Power Plant Managers
|Biomedical Engineers
|Bookkeeping, Accounting, & Auditing Clerks
|Brickmasons & Blockmasons
|Bridge & Lock Tenders
|Broadcast News Analysts
|Broadcast Technicians
|Brokerage Clerks
|Brownfield Redevelopment Specialists & Site Managers
|Budget Analysts
|Bus & Truck Mechanics & Diesel Engine Specialists
|Bus Drivers, School or Special Client
|Bus Drivers, Transit & Intercity
|Business Continuity Planners
|Business Intelligence Analysts
|Business Teachers, Postsecondary
|Butchers & Meat Cutters
|Buyers & Purchasing Agents, Farm Products
|Cabinetmakers & Bench Carpenters
|Camera & Photographic Equipment Repairers
|Camera Operators, Television, Video, & Motion Picture
|Cardiovascular Technologists & Technicians
|Career/Technical Education Teachers, Middle School
|Career/Technical Education Teachers, Secondary School
|Cargo & Freight Agents
|Carpet Installers
|Cartographers & Photogrammetrists
|Cement Masons & Concrete Finishers
|Chefs & Head Cooks
|Chemical Engineers
|Chemical Equipment Operators & Tenders
|Chemical Plant & System Operators
|Chemical Technicians
|Chemistry Teachers, Postsecondary
|Chief Executives
|Chief Sustainability Officers
|Child, Family, & School Social Workers
|Childcare Workers
|City & Regional Planning Aides
|Civil Drafters
|Civil Engineering Technicians
|Civil Engineers
|Claims Examiners, Property & Casualty Insurance
|Cleaners of Vehicles & Equipment
|Cleaning, Washing, & Metal Pickling Equipment Operators & Tenders
|Climate Change Analysts
|Clinical Data Managers
|Clinical Nurse Specialists
|Clinical Psychologists
|Clinical Research Coordinators
|Coaches & Scouts
|Coating, Painting, & Spraying Machine Setters, Operators, & Tenders
|Coil Winders, Tapers, & Finishers
|Coin, Vending, & Amusement Machine Servicers & Repairers
|Combined Food Preparation & Serving Workers, Including Fast Food
|Commercial & Industrial Designers
|Commercial Divers
|Commercial Pilots
|Communications Teachers, Postsecondary
|Community Health Workers
|Compensation & Benefits Managers
|Compensation, Benefits, & Job Analysis Specialists
|Compliance Managers
|Computer & Information Research Scientists
|Computer & Information Systems Managers
|Computer Hardware Engineers
|Computer Network Architects
|Computer Network Support Specialists
|Computer Numerically Controlled Machine Tool Programmers, Metal & Plastic
|Computer Operators
|Computer Programmers
|Computer Science Teachers, Postsecondary
|Computer Systems Analysts
|Computer Systems Engineers/Architects
|Computer User Support Specialists
|Computer, Automated Teller, & Office Machine Repairers
|Computer-Controlled Machine Tool Operators, Metal & Plastic
|Construction & Building Inspectors
|Construction Carpenters
|Construction Laborers
|Construction Managers
|Continuous Mining Machine Operators
|Control & Valve Installers & Repairers
|Conveyor Operators & Tenders
|Cooks, Fast Food
|Cooks, Institution & Cafeteria
|Cooks, Private Household
|Cooks, Restaurant
|Cooks, Short Order
|Cooling & Freezing Equipment Operators & Tenders
|Copy Writers
|Correctional Officers & Jailers
|Correspondence Clerks
|Cost Estimators
|Costume Attendants
|Counseling Psychologists
|Counter & Rental Clerks
|Counter Attendants, Cafeteria, Food Concession, & Coffee Shop
|Couriers & Messengers
|Court Clerks
|Court Reporters
|Craft Artists
|Crane & Tower Operators
|Credit Analysts
|Credit Authorizers
|Credit Checkers
|Credit Counselors
|Criminal Investigators & Special Agents
|Criminal Justice & Law Enforcement Teachers, Postsecondary
|Critical Care Nurses
|Crossing Guards
|Crushing, Grinding, & Polishing Machine Setters, Operators, & Tenders
|Customer Service Representatives
|Customs Brokers
|Cutters & Trimmers, Hand
|Cutting & Slicing Machine Setters, Operators, & Tenders
|Cutting, Punching, & Press Machine Setters, Operators, & Tenders, Metal & Plastic
|Cytogenetic Technologists
|Career name
|Bright Outlook
|Data Entry Keyers
|Data Warehousing Specialists
|Database Administrators
|Database Architects
|Demonstrators & Product Promoters
|Dental Assistants
|Dental Hygienists
|Dental Laboratory Technicians
|Dentists, General
|Derrick Operators, Oil & Gas
|Desktop Publishers
|Diagnostic Medical Sonographers
|Dietetic Technicians
|Dietitians & Nutritionists
|Dining Room & Cafeteria Attendants & Bartender Helpers
|Directors, Religious Activities & Education
|Directors- Stage, Motion Pictures, Television, & Radio
|Distance Learning Coordinators
|Document Management Specialists
|Door-To-Door Sales Workers, News & Street Vendors, & Related Workers
|Dredge Operators
|Drilling & Boring Machine Tool Setters, Operators, & Tenders, Metal & Plastic
|Driver/Sales Workers
|Drywall & Ceiling Tile Installers
|Earth Drillers
|Economics Teachers, Postsecondary
|Education Administrators, Elementary & Secondary School
|Education Administrators, Postsecondary
|Education Administrators, Preschool & Childcare Center/Program
|Education Teachers, Postsecondary
|Educational, Guidance, School, & Vocational Counselors
|Electric Motor, Power Tool, & Related Repairers
|Electrical & Electronic Equipment Assemblers
|Electrical & Electronics Installers & Repairers, Transportation Equipment
|Electrical & Electronics Repairers, Commercial & Industrial Equipment
|Electrical & Electronics Repairers, Powerhouse, Substation, & Relay
|Electrical Drafters
|Electrical Engineering Technicians
|Electrical Engineering Technologists
|Electrical Engineers
|Electrical Power-Line Installers & Repairers
|Electro-Mechanical Technicians
|Electromechanical Engineering Technologists
|Electromechanical Equipment Assemblers
|Electronic Drafters
|Electronic Equipment Installers & Repairers, Motor Vehicles
|Electronic Home Entertainment Equipment Installers & Repairers
|Electronics Engineering Technicians
|Electronics Engineering Technologists
|Electronics Engineers
|Elementary School Teachers
|Elevator Installers & Repairers
|Eligibility Interviewers, Government Programs
|Emergency Management Directors
|Emergency Medical Technicians & Paramedics
|Endoscopy Technicians
|Energy Auditors
|Energy Brokers
|Energy Engineers
|Engine & Other Machine Assemblers
|Engineering Teachers, Postsecondary
|English Language & Literature Teachers, Postsecondary
|Environmental Compliance Inspectors
|Environmental Economists
|Environmental Engineering Technicians
|Environmental Engineers
|Environmental Restoration Planners
|Environmental Science & Protection Technicians, Including Health
|Environmental Science Teachers, Postsecondary
|Environmental Scientists & Specialists, Including Health
|Equal Opportunity Representatives & Officers
|Etchers & Engravers
|Excavating & Loading Machine & Dragline Operators
|Executive Secretaries & Executive Administrative Assistants
|Exercise Physiologists
|Explosives Workers, Ordnance Handling Experts, & Blasters
|Extruding & Drawing Machine Setters, Operators, & Tenders, Metal & Plastic
|Extruding & Forming Machine Setters, Operators, & Tenders, Synthetic & Glass Fibers
|Extruding, Forming, Pressing, & Compacting Machine Setters, Operators, & Tenders
|Fabric & Apparel Patternmakers
|Fabric Menders
|Family & General Practitioners
|Farm & Home Management Advisors
|Farm & Ranch Managers
|Farm Equipment Mechanics & Service Technicians
|Farm Labor Contractors
|Farmworkers & Laborers, Crop
|Farmworkers, Farm, Ranch, & Aquacultural Animals
|Fashion Designers
|Fence Erectors
|Fiberglass Laminators & Fabricators
|File Clerks
|Film & Video Editors
|Financial Analysts
|Financial Examiners
|Financial Managers, Branch or Department
|Financial Quantitative Analysts
|Fine Artists, Including Painters, Sculptors, & Illustrators
|Fire Inspectors
|Fire Investigators
|Fire-Prevention & Protection Engineers
|First-Line Supervisors of Agricultural Crop & Horticultural Workers
|First-Line Supervisors of Animal Husbandry & Animal Care Workers
|First-Line Supervisors of Aquacultural Workers
|First-Line Supervisors of Construction Trades & Extraction Workers
|First-Line Supervisors of Correctional Officers
|First-Line Supervisors of Food Preparation & Serving Workers
|First-Line Supervisors of Helpers, Laborers, & Material Movers, Hand
|First-Line Supervisors of Housekeeping & Janitorial Workers
|First-Line Supervisors of Landscaping, Lawn Service, & Groundskeeping Workers
|First-Line Supervisors of Logging Workers
|First-Line Supervisors of Mechanics, Installers, & Repairers
|First-Line Supervisors of Non-Retail Sales Workers
|First-Line Supervisors of Office & Administrative Support Workers
|First-Line Supervisors of Personal Service Workers
|First-Line Supervisors of Police & Detectives
|First-Line Supervisors of Production & Operating Workers
|First-Line Supervisors of Retail Sales Workers
|First-Line Supervisors of Transportation & Material-Moving Machine & Vehicle Operators
|Fish & Game Wardens
|Fishers & Related Fishing Workers
|Fitness & Wellness Coordinators
|Fitness Trainers & Aerobics Instructors
|Flight Attendants
|Floor Layers
|Floor Sanders & Finishers
|Floral Designers
|Food & Tobacco Roasting, Baking, & Drying Machine Operators & Tenders
|Food Batchmakers
|Food Cooking Machine Operators & Tenders
|Food Preparation Workers
|Food Science Technicians
|Food Scientists & Technologists
|Food Servers, Nonrestaurant
|Food Service Managers
|Foreign Language & Literature Teachers, Postsecondary
|Forensic Science Technicians
|Forest & Conservation Technicians
|Forest & Conservation Workers
|Forest Fire Fighting & Prevention Supervisors
|Forest Fire Inspectors & Prevention Specialists
|Forest Firefighters
|Forestry & Conservation Science Teachers, Postsecondary
|Forging Machine Setters, Operators, & Tenders, Metal & Plastic
|Foundry Mold & Coremakers
|Fraud Examiners, Investigators & Analysts
|Freight & Cargo Inspectors
|Freight Forwarders
|Fuel Cell Engineers
|Fuel Cell Technicians
|Funeral Attendants
|Funeral Service Managers
|Furnace, Kiln, Oven, Drier, & Kettle Operators & Tenders
|Furniture Finishers
|Gaming & Sports Book Writers & Runners
|Gaming Cage Workers
|Gaming Change Persons & Booth Cashiers
|Gaming Dealers
|Gaming Managers
|Gaming Supervisors
|Gaming Surveillance Officers & Gaming Investigators
|Gas Compressor & Gas Pumping Station Operators
|Gas Plant Operators
|Gem & Diamond Workers
|General & Operations Managers
|Genetic Counselors
|Geodetic Surveyors
|Geographic Information Systems Technicians
|Geography Teachers, Postsecondary
|Geological Sample Test Technicians
|Geophysical Data Technicians
|Geospatial Information Scientists & Technologists
|Geothermal Production Managers
|Geothermal Technicians
|Glass Blowers, Molders, Benders, & Finishers
|Government Property Inspectors & Investigators
|Graders & Sorters, Agricultural Products
|Graduate Teaching Assistants
|Graphic Designers
|Green Marketers
|Grinding & Polishing Workers, Hand
|Grinding, Lapping, Polishing, & Buffing Machine Tool Setters, Operators, & Tenders, Metal & Plastic
|Career name
|Bright Outlook
|Hairdressers, Hairstylists, & Cosmetologists
|Hazardous Materials Removal Workers
|Health Educators
|Health Specialties Teachers, Postsecondary
|Healthcare Social Workers
|Hearing Aid Specialists
|Heat Treating Equipment Setters, Operators, & Tenders, Metal & Plastic
|Heating & Air Conditioning Mechanics & Installers
|Heavy & Tractor-Trailer Truck Drivers
|Helpers--Brickmasons, Blockmasons, Stonemasons, & Tile & Marble Setters
|Helpers--Extraction Workers
|Helpers--Installation, Maintenance, & Repair Workers
|Helpers--Painters, Paperhangers, Plasterers, & Stucco Masons
|Helpers--Pipelayers, Plumbers, Pipefitters, & Steamfitters
|Helpers--Production Workers
|Highway Maintenance Workers
|History Teachers, Postsecondary
|Histotechnologists & Histologic Technicians
|Hoist & Winch Operators
|Home Appliance Repairers
|Home Economics Teachers, Postsecondary
|Home Health Aides
|Hosts & Hostesses, Restaurant, Lounge, & Coffee Shop
|Hotel, Motel, & Resort Desk Clerks
|Human Factors Engineers & Ergonomists
|Human Resources Assistants
|Human Resources Managers
|Human Resources Specialists
|Hunters & Trappers
|Hydroelectric Plant Technicians
|Hydroelectric Production Managers
|Immigration & Customs Inspectors
|Industrial Ecologists
|Industrial Engineering Technicians
|Industrial Engineering Technologists
|Industrial Engineers
|Industrial Machinery Mechanics
|Industrial Production Managers
|Industrial Safety & Health Engineers
|Industrial Truck & Tractor Operators
|Industrial-Organizational Psychologists
|Informatics Nurse Specialists
|Information Security Analysts
|Information Technology Project Managers
|Inspectors, Testers, Sorters, Samplers, & Weighers
|Instructional Coordinators
|Instructional Designers & Technologists
|Insulation Workers, Floor, Ceiling, & Wall
|Insulation Workers, Mechanical
|Insurance Adjusters, Examiners, & Investigators
|Insurance Appraisers, Auto Damage
|Insurance Claims Clerks
|Insurance Policy Processing Clerks
|Insurance Sales Agents
|Insurance Underwriters
|Intelligence Analysts
|Interior Designers
|Internists, General
|Interpreters & Translators
|Investment Fund Managers
|Investment Underwriters
|Janitors & Cleaners
|Judges, Magistrate Judges, & Magistrates
|Judicial Law Clerks
|Kindergarten Teachers
|Labor Relations Specialists
|Laborers & Freight, Stock, & Material Movers, Hand
|Landscape Architects
|Landscaping & Groundskeeping Workers
|Lathe & Turning Machine Tool Setters, Operators, & Tenders, Metal & Plastic
|Laundry & Dry-Cleaning Workers
|Law Teachers, Postsecondary
|Layout Workers, Metal & Plastic
|Legal Secretaries
|Library Assistants, Clerical
|Library Science Teachers, Postsecondary
|Library Technicians
|License Clerks
|Licensed Practical & Licensed Vocational Nurses
|Licensing Examiners & Inspectors
|Lifeguards, Ski Patrol, & Other Recreational Protective Service Workers
|Light Truck or Delivery Services Drivers
|Loading Machine Operators, Underground Mining
|Loan Counselors
|Loan Interviewers & Clerks
|Loan Officers
|Locker Room, Coatroom, & Dressing Room Attendants
|Locksmiths & Safe Repairers
|Locomotive Engineers
|Locomotive Firers
|Lodging Managers
|Log Graders & Scalers
|Logging Equipment Operators
|Logistics Analysts
|Logistics Engineers
|Logistics Managers
|Loss Prevention Managers
|Low Vision Therapists, Orientation & Mobility Specialists, & Vision Rehabilitation Therapists
|Machine Feeders & Offbearers
|Magnetic Resonance Imaging Technologists
|Maids & Housekeeping Cleaners
|Mail Clerks & Mail Machine Operators
|Maintenance & Repair Workers, General
|Maintenance Workers, Machinery
|Makeup Artists, Theatrical & Performance
|Management Analysts
|Manicurists & Pedicurists
|Manufactured Building & Mobile Home Installers
|Manufacturing Engineering Technologists
|Manufacturing Engineers
|Manufacturing Production Technicians
|Mapping Technicians
|Marine Architects
|Marine Engineers
|Market Research Analysts & Marketing Specialists
|Marketing Managers
|Marking Clerks
|Marriage & Family Therapists
|Massage Therapists
|Materials Engineers
|Materials Scientists
|Mates- Ship, Boat, & Barge
|Mathematical Science Teachers, Postsecondary
|Mathematical Technicians
|Meat, Poultry, & Fish Cutters & Trimmers
|Mechanical Door Repairers
|Mechanical Drafters
|Mechanical Engineering Technicians
|Mechanical Engineering Technologists
|Mechanical Engineers
|Mechatronics Engineers
|Medical & Clinical Laboratory Technicians
|Medical & Clinical Laboratory Technologists
|Medical & Health Services Managers
|Medical Appliance Technicians
|Medical Assistants
|Medical Equipment Preparers
|Medical Equipment Repairers
|Medical Records & Health Information Technicians
|Medical Scientists
|Medical Secretaries
|Medical Transcriptionists
|Meeting, Convention, & Event Planners
|Mental Health & Substance Abuse Social Workers
|Mental Health Counselors
|Merchandise Displayers & Window Trimmers
|Metal-Refining Furnace Operators & Tenders
|Meter Readers, Utilities
|Methane/Landfill Gas Collection System Operators
|Methane/Landfill Gas Generation System Technicians
|Microsystems Engineers
|Middle School Teachers
|Milling & Planing Machine Setters, Operators, & Tenders, Metal & Plastic
|Mine Cutting & Channeling Machine Operators
|Mine Shuttle Car Operators
|Mining & Geological Engineers, Including Mining Safety Engineers
|Mixing & Blending Machine Setters, Operators, & Tenders
|Mobile Heavy Equipment Mechanics
|Model Makers, Metal & Plastic
|Model Makers, Wood
|Molding & Casting Workers
|Molding, Coremaking, & Casting Machine Setters, Operators, & Tenders, Metal & Plastic
|Molecular & Cellular Biologists
|Morticians, Undertakers, & Funeral Directors
|Motion Picture Projectionists
|Motorboat Mechanics & Service Technicians
|Motorboat Operators
|Motorcycle Mechanics
|Multimedia Artists & Animators
|Multiple Machine Tool Setters, Operators, & Tenders, Metal & Plastic
|Municipal Clerks
|Municipal Fire Fighting & Prevention Supervisors
|Municipal Firefighters
|Museum Technicians & Conservators
|Music Composers & Arrangers
|Music Directors
|Music Therapists
|Musical Instrument Repairers & Tuners
|Musicians, Instrumental
|Career name
|Bright Outlook
|Nanosystems Engineers
|Nanotechnology Engineering Technicians
|Nanotechnology Engineering Technologists
|Natural Sciences Managers
|Naturopathic Physicians
|Network & Computer Systems Administrators
|Neurodiagnostic Technologists
|Neuropsychologists & Clinical Neuropsychologists
|New Accounts Clerks
|Non-Destructive Testing Specialists
|Nonfarm Animal Caretakers
|Nuclear Engineers
|Nuclear Equipment Operation Technicians
|Nuclear Medicine Physicians
|Nuclear Medicine Technologists
|Nuclear Monitoring Technicians
|Nuclear Power Reactor Operators
|Nurse Anesthetists
|Nurse Midwives
|Nurse Practitioners
|Nursery & Greenhouse Managers
|Nursery Workers
|Nursing Assistants
|Nursing Instructors & Teachers, Postsecondary
|Obstetricians & Gynecologists
|Occupational Health & Safety Specialists
|Occupational Health & Safety Technicians
|Occupational Therapists
|Occupational Therapy Aides
|Occupational Therapy Assistants
|Office Clerks, General
|Office Machine Operators
|Online Merchants
|Operating Engineers & Other Construction Equipment Operators
|Operations Research Analysts
|Ophthalmic Laboratory Technicians
|Ophthalmic Medical Technicians
|Ophthalmic Medical Technologists
|Opticians, Dispensing
|Oral & Maxillofacial Surgeons
|Order Clerks
|Order Fillers, Wholesale & Retail Sales
|Orthotists & Prosthetists
|Outdoor Power Equipment & Other Small Engine Mechanics
|Packaging & Filling Machine Operators & Tenders
|Packers & Packagers, Hand
|Painters, Construction & Maintenance
|Painters, Transportation Equipment
|Painting, Coating, & Decorating Workers
|Paper Goods Machine Setters, Operators, & Tenders
|Paralegals & Legal Assistants
|Park Naturalists
|Parking Enforcement Workers
|Parking Lot Attendants
|Parts Salespersons
|Patient Representatives
|Patternmakers, Metal & Plastic
|Patternmakers, Wood
|Paving, Surfacing, & Tamping Equipment Operators
|Payroll & Timekeeping Clerks
|Pediatricians, General
|Personal Care Aides
|Personal Financial Advisors
|Pest Control Workers
|Pesticide Handlers, Sprayers, & Applicators, Vegetation
|Petroleum Engineers
|Petroleum Pump System Operators, Refinery Operators, & Gaugers
|Pharmacy Aides
|Pharmacy Technicians
|Philosophy & Religion Teachers, Postsecondary
|Photographic Process Workers & Processing Machine Operators
|Photonics Engineers
|Photonics Technicians
|Physical Medicine & Rehabilitation Physicians
|Physical Therapist Aides
|Physical Therapist Assistants
|Physical Therapists
|Physician Assistants
|Physics Teachers, Postsecondary
|Pile-Driver Operators
|Pilots, Ship
|Pipe Fitters & Steamfitters
|Plasterers & Stucco Masons
|Plating & Coating Machine Setters, Operators, & Tenders, Metal & Plastic
|Poets, Lyricists & Creative Writers
|Police Detectives
|Police Identification & Records Officers
|Police Patrol Officers
|Police, Fire, & Ambulance Dispatchers
|Political Science Teachers, Postsecondary
|Political Scientists
|Postal Service Clerks
|Postal Service Mail Carriers
|Postal Service Mail Sorters, Processors, & Processing Machine Operators
|Postmasters & Mail Superintendents
|Potters, Manufacturing
|Pourers & Casters, Metal
|Power Distributors & Dispatchers
|Power Plant Operators
|Precious Metal Workers
|Precision Agriculture Technicians
|Prepress Technicians & Workers
|Preschool Teachers
|Pressers, Textile, Garment, & Related Materials
|Preventive Medicine Physicians
|Print Binding & Finishing Workers
|Printing Press Operators
|Private Detectives & Investigators
|Probation Officers & Correctional Treatment Specialists
|Procurement Clerks
|Product Safety Engineers
|Production, Planning, & Expediting Clerks
|Program Directors
|Proofreaders & Copy Markers
|Property, Real Estate, & Community Association Managers
|Psychiatric Aides
|Psychiatric Technicians
|Psychology Teachers, Postsecondary
|Public Address System & Other Announcers
|Public Relations & Fundraising Managers
|Public Relations Specialists
|Pump Operators
|Purchasing Agents
|Purchasing Managers
|Quality Control Analysts
|Quality Control Systems Managers
|Radiation Therapists
|Radio & Television Announcers
|Radio Frequency Identification Device Specialists
|Radio Mechanics
|Radio Operators
|Radio, Cellular, & Tower Equipment Installers & Repairers
|Radiologic Technicians
|Radiologic Technologists
|Rail Car Repairers
|Rail Yard Engineers, Dinkey Operators, & Hostlers
|Rail-Track Laying & Maintenance Equipment Operators
|Railroad Brake, Signal, & Switch Operators
|Railroad Conductors & Yardmasters
|Range Managers
|Real Estate Brokers
|Real Estate Sales Agents
|Receptionists & Information Clerks
|Recreation & Fitness Studies Teachers, Postsecondary
|Recreation Workers
|Recreational Therapists
|Recreational Vehicle Service Technicians
|Recycling & Reclamation Workers
|Recycling Coordinators
|Refractory Materials Repairers
|Refrigeration Mechanics & Installers
|Refuse & Recyclable Material Collectors
|Registered Nurses
|Regulatory Affairs Managers
|Regulatory Affairs Specialists
|Rehabilitation Counselors
|Reinforcing Iron & Rebar Workers
|Remote Sensing Scientists & Technologists
|Remote Sensing Technicians
|Reporters & Correspondents
|Reservation & Transportation Ticket Agents & Travel Clerks
|Residential Advisors
|Respiratory Therapists
|Respiratory Therapy Technicians
|Retail Loss Prevention Specialists
|Retail Salespersons
|Risk Management Specialists
|Robotics Engineers
|Robotics Technicians
|Rock Splitters, Quarry
|Rolling Machine Setters, Operators, & Tenders, Metal & Plastic
|Roof Bolters, Mining
|Rotary Drill Operators, Oil & Gas
|Rough Carpenters
|Roustabouts, Oil & Gas
|Career name
|Bright Outlook
|Sailors & Marine Oilers
|Sales Agents, Financial Services
|Sales Agents, Securities & Commodities
|Sales Engineers
|Sales Managers
|Sales Representatives, Wholesale & Manufacturing
|Sales Representatives, Wholesale & Manufacturing, Technical & Scientific Products
|Sawing Machine Setters, Operators, & Tenders, Wood
|School Psychologists
|Search Marketing Strategists
|Secondary School Teachers
|Secretaries & Administrative Assistants
|Securities & Commodities Traders
|Security & Fire Alarm Systems Installers
|Security Guards
|Security Management Specialists
|Security Managers
|Segmental Pavers
|Self-Enrichment Education Teachers
|Semiconductor Processors
|Separating, Filtering, Clarifying, Precipitating, & Still Machine Setters, Operators, & Tenders
|Septic Tank Servicers & Sewer Pipe Cleaners
|Service Unit Operators, Oil, Gas, & Mining
|Set & Exhibit Designers
|Sewers, Hand
|Sewing Machine Operators
|Sheet Metal Workers
|Sheriffs & Deputy Sheriffs
|Ship & Boat Captains
|Ship Engineers
|Shipping, Receiving, & Traffic Clerks
|Shoe & Leather Workers & Repairers
|Shoe Machine Operators & Tenders
|Signal & Track Switch Repairers
|Skincare Specialists
|Slaughterers & Meat Packers
|Slot Supervisors
|Social & Community Service Managers
|Social & Human Service Assistants
|Social Science Research Assistants
|Social Work Teachers, Postsecondary
|Sociology Teachers, Postsecondary
|Software Developers, Applications
|Software Developers, Systems Software
|Software Quality Assurance Engineers & Testers
|Soil & Plant Scientists
|Soil & Water Conservationists
|Solar Energy Installation Managers
|Solar Energy Systems Engineers
|Solar Photovoltaic Installers
|Solar Sales Representatives & Assessors
|Solar Thermal Installers & Technicians
|Solderers & Brazers
|Sound Engineering Technicians
|Spa Managers
|Special Education Teachers, Kindergarten & Elementary School
|Special Education Teachers, Middle School
|Special Education Teachers, Preschool
|Special Education Teachers, Secondary School
|Speech-Language Pathologists
|Speech-Language Pathology Assistants
|Sports Medicine Physicians
|Statement Clerks
|Stationary Engineers & Boiler Operators
|Statistical Assistants
|Stock Clerks, Sales Floor
|Stock Clerks- Stockroom, Warehouse, or Storage Yard
|Stone Cutters & Carvers, Manufacturing
|Storage & Distribution Managers
|Structural Iron & Steel Workers
|Structural Metal Fabricators & Fitters
|Substance Abuse & Behavioral Disorder Counselors
|Subway & Streetcar Operators
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|Survey Researchers
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|Tailors, Dressmakers, & Custom Sewers
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|Welders, Cutters, & Welder Fitters
|Welding, Soldering, & Brazing Machine Setters, Operators, & Tenders
|Wellhead Pumpers
|Wholesale & Retail Buyers
|Wind Energy Engineers
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NH businesses warned of impact of Mass. 'tech tax'By PAUL FEELY
New Hampshire Union Leader
August 20. 2013 10:38PM
The newly enacted Massachusetts "tech tax" — a 6.25 percent sales tax on computer and software technology services — prompted the Business and Industry Association to issue an alert to its membership Tuesday.
"We want to make sure New Hampshire businesses are aware of this new tax and acknowledge that it could possibly impact where they choose to do business and from whom they choose to purchase goods and services," BIA President Jim Roche said in a statement.
Businesses with a physical presence in Massachusetts that are providing Bay State customers with services covered by the tax may be subject to the new tax. A "physical presence" could mean nothing more than a single sales representative with a home office in Massachusetts, according to the BIA's reading of the law.
The tech tax — one of two new Bay State taxes that affect certain New Hampshire businesses — creates the potential to add business costs for local industries that rely heavily on purchases of customized technology and software services from Bay State vendors. It has been called the "most onerous computer and software services tax in the nation" by the Massachusetts Taxpayers Foundation.
Last week, the Mass High Tech Council added its name to a petition effort to repeal the tax by placing a question on the November state election ballot.
"If something similar were enacted here, we would be doing exactly the same thing in terms of taking action against it," said Matt Cookson, executive director of the New Hampshire High Tech Council.
The state sales tax on software services implemented last month in Massachusetts is the highest tax on computer services in the country, according to a study by the Massachusetts Taxpayers Foundation.
While New Mexico, Hawaii and South Dakota also have taxable computer services, none is as high as the 6.25 percent sales tax in Massachusetts. New Mexico's is 5.125 percent, while both Hawaii's and South Dakota's are 4 percent.
Ryan Barton, president of Mainstay Technologies, a firm with offices in Laconia and Manchester that provides IT services to companies, said the tech tax is something firms such as his need to consider before doing business south of the state line.
"We do about 90 percent of our business in New Hampshire, but we are always thinking about ways to grow," Barton said. "That 6.25 percent sales tax eats into a profit margin that already isn't that large. It's enough to make you really stop and think about whether or not it makes more sense to expand into another state that's a little more business-friendly than Massachusetts."
The second tax law change, which takes effect Jan. 1, will mean some New Hampshire service businesses and professionals will pay a Massachusetts income tax for the first time, or see it increase if they already have a Massachusetts client base.
A New Hampshire business whose only office is in New Hampshire and that provides services to Massachusetts customers does not currently attribute its income to Massachusetts and may have never filed a Massachusetts income tax return. Such income was considered generated in New Hampshire.
The new rule ties that income to the state where the customer is located rather than where the business performed the work.
Companies that fall subject to the law will have to pay either the Massachusetts corporate income tax (currently at a rate of 8 percent) or personal income tax (currently at a rate of 5.25 percent ) in addition to the New Hampshire business profits tax and business enterprise tax.

subset: commoncrawl


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Working Capital Management in a Post-Recession Environment: The View from Europe
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Finance executives at European firms express concern over their companies' ability to respond to the challenges of a post-recession world, especially ongoing weakness in sales, competition for both credit and capital, varied rates of recovery in different economies, and an uncertain path towards growth. These concerns translate into a heightened focus on cash management and funding operations. Collections are more difficult, and many respondents--especially from the larger companies in the survey--anticipate the need to negotiate better terms with buyers and suppliers. An opportunity may exist in Europe to increase usage of automated cash-management techniques and trade-financing solutions. Only a minority of respondents indicate that their companies currently use the specific cash-management or trade-financing techniques we asked about. However, most respondents indicate that they either plan to or will consider using many of these techniques.
- The Superstar CFO: After the Crisis
- Transforming the CFO role in financial institutions: Towards better alignment of risk, finance and performance management
- Senior Finance Executives on the Current Financial Turmoil
- No Stone Unturned — Strategies for Cash Management in Hard Times
- Controlling Cost in a Crisis: Sustaining Core Spending Through the Downturn


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• Pan Am: Mondays and Thursdays in April at Café-Bar Europa, 873 St. 6 p.m. 21 and up. www.theturquoise.com/wordpress
Tribute bands are all the rage these days, but perhaps a more interesting option is artists honoring their chosen performer by playing a classic album all the way through. Such is the case with Joni Mitchell specialists Robin Adler and The Mutts, which performs at Dizzy's on April 6. Featuring vocalist Robin Adler, guitarist Dave Blackburn and pianist Barnaby Finch, as well as Peggy Watson on backup vocals and guitar, Danny Campbell on percussion, plus Barry Cahill on backup vocals, saxophone and flute, the combo will perform Mitchell's "For the Roses" album in its entirety, capping the performance with a few tunes from her first two albums. For fans of Mitchell, who rarely, if ever tours, this is the next-best thing to seeing a musical icon, but anyone who enjoys singer-songwriters will love every second of this show.
• A Tribute To Joni Mitchell: Saturday, April 6 at Dizzy's, 4275 Mission Bay Drive. 8 p.m. $20. www.dizzysjazz.com
The best modern pop-rock band in San Diego at the moment just might be Social Club, which appears at the 710 Beach Club on April 6. Comprised of frontman John Levan, keyboardist Thea Tochihara, bassist James Spratley and drummer Jeff Litzman, the band's secret weapon is great songwriting. With shared vocals from Levan and Tochihara, the band has a slew of hook-filled, should-be hit singles like the R&B-tinged "Slow Motion." In a perfect world, radio would be all over this combo. Social Club has a batch of good videos you can check out on YouTube. However, this is a group you should catch live for full effect.
• Social Club: Saturday, April 6 at the 710 Beach Club, 710 Garnet Ave. 9 p.m. 21 and up. www.710bc.com
Classic rock is alive and well in the hands of Serious Guise, which performs at Tio Leo's on April 6. The quartet has an impressive set list, with tunes from AC/DC to ZZ Top, but unlike most cover bands of this type, Serious Guise also includes more modern hits like songs from Kings of Leon, Fountains of Wayne and Creed. Nothing too challenging here, but if you're looking for an excellent jukebox of rock 'n' roll favorites ranging from the 1960s to today, Serious Guise is the perfect choice.
• Serious Guise: Saturday, April 6 at Tio Leo's, 5302 Napa St. 9 p.m. 21 and up. Cover TBD. www.tioleos.com
With a sound that incorporates punk, new wave, garage and rock 'n' roll, The New Kinetics' music just about bursts from the speakers. Appearing at The Griffin on April 9, the sheer manic energy of the group's tunes is exhilarating, with songs like anthemic stop-start rocker "Riffle Raff," as good as anything on the radio today. Live, The New Kinetics are known to include the occasional cover of artists ranging from T. Rex to Chuck Berry, but the band has built a solid following through its excellent originals.
• The New Kinetics: Tuesday, April 9 at The Griffin, 1310 Morena Blvd. 9 p.m. 21 and up. www.thegriffinsd.com


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CHARLESTON, W.Va. — A logging truck collided Friday with a train carrying passengers on a scenic tour amid peak fall foliage season in the West Virginia mountains, killing one person and injuring 24 people Friday, authorities said. Two of the rail cars turned on their sides.
A preliminary toll of more than 60 hurt tallied initially by authorities was subsequently revised downward by a hospital official, Tracy Fath. She told The Associated Press on Friday evening that dozens brought to a hospital by a school bus were subsequently determined to be unhurt — despite an earlier account from an emergency official who said dozens on the bus had lesser injuries.
"We've got 24 people who were treated" in the emergency room, Fath said by telephone from Davis Memorial Hospital in Elkins. She added that of the 24 treated, three were admitted to the hospital, two in serious condition and one in stable condition.
She said she couldn't release details of the injuries or the identities of those hurt.
She said the worst injuries were brought in by ambulance and the 39 others counted by the hospital who were brought on a bus didn't require medical care. "We gave them comfort care, sat them down … made them comfortable," she said of those merely shaken.
The cause of the accident between the truck and the Durbin & Greenbrier Railroad train on an excursion at the height of autumn leaf-watching season in the state's mountainous eastern region wasn't immediately known.
Two rail passenger cars overturned in the accident at 1:30 p.m. Friday along U.S. Route 250 about 160 miles east of Charleston at Cheat Mountain, said emergency services director Shawn Dunbrack of Pocahontas County.
News photographs showed first responders beside the highway aiding the injured, the scenic route threading woods splashed with brilliant red and yellow foliage. Emergency vehicles lined the shoulders of the route.
Randolph County emergency services director Jim Wise said he confirmed one fatality and at least three people badly injured.
Of the two rail cars on their side, he said, "It was a pretty good impact."
"The tracks actually go acros U.S. 250 there, right on top of the mountain," he said, adding he knew of no accident at that site in recent memory.
Wise had said initially that 21 people were taken to a hospital in Elkins by ambulances and dozens of others were transported there by bus with lesser injuries. While he said one person was killed, he didn't know if the fatality was aboard the train or the truck.
Dunbrack said the train involved was operated by the Durbin & Greenbrier Railroad.
The railroad operates several trains in the area, including the Cheat Mountain Salamander that runs Tuesdays through Saturdays in October on a 6.5-hour trip. The railroad said there were three passenger cars Friday on the 88-mile roundtrip that left Elkins on a route taking passengers to elevations of more than 4,000 feet.
The train travels about 25 mph alongside a boulder-strewn river, crossing a bridge barely wider than the train, rumbling through an 1,800-foot tunnel and then passing an abandoned rail bridge.
The overturned passenger cars lay beside the tracks, roped off with yellow crime scene tape as police and others looked on.
"Our thoughts and prayers are with all those involved and the emergency responders working the tragic accident in Randolph County this afternoon," Gov. Earl Ray Tomblin said in a statement.
Tomblin spokeswoman Amy Shuler Goodwin said state Department of Environmental Protection crews were sent to the site to help clean up a large fuel spill. Neither Goodwin nor Wise knew whether the spill came from the truck or the train.
Route 250 over Cheat Mountain was closed indefinitely.
The driver of the logging truck wasn't immediately identified.


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DES MOINES, IA - DES MOINES, Iowa (AP) - Two Mega Millions tickets sold in Maryland and Florida matched all six winning numbers and will split a $400 million jackpot.
The winning numbers in the Tuesday night drawing are: 11, 19, 24, 33 and 51 with a Mega Ball of 7. The jackpot is the sixth-largest lottery prize in U.S. history, with a lump-sum option of $224 million.
The winning ticket in Florida was sold at a Sunoco convenience store in Merritt Island, Florida lottery officials said. In a tweet, Maryland lottery officials said the winning ticket there was sold in Charles County, south of Washington. The specific location of where the winning Maryland ticket was sold was not immediately released.
Mega Millions changed its rules in October to help increase jackpots. The game is played in 43 states, the District of Columbia and the U.S. Virgin Islands.
Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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(1) The world today offers opportunity to all disciples to become world disciples, close to the Master's heart, and to pass rapidly through the earlier stages of discipleship. It offers opportunity to world disciples to begin their approach to the Heart of the Hierarchy, to Christ. It is with this first possibility that you should be concerned, for – as you come closer to your group – you can begin to get that training which will develop in you world usefulness. Are the majority of you too old to achieve this? That is for you to say. The soul knows no age and can use its instrument if it makes itself into a suitable and available instrument. Are you too set and too pre-occupied with yourselves to achieve the detachment needed for world service? That is for you to find out and to prove to yourselves. (5 – 768).
(2) By the time a disciple reaches the age of forty-nine his pathway of life service should be clearly defined. (6 – 742).
(3) We who teach, watch and guide the esoteric development of man, know that unless a certain measure of fusion is established by the time fifty-six years of age is attained, it is seldom established later. After that age, a man may hold to the point achieved and foster his aspiration, but the dynamic submergence of the personality in the will and life of the soul is rare after that time. When reached prior to the age of fifty-six, then subsequent growth and unfoldment on the Path of Discipleship is surely possible. (5 – 596/7).
(5) The sixty-third year of your life, as in the life of all disciples, will be one of crisis and of supreme opportunity. (6 – 636).
See also: (6–501/505, 508, 533).
(1) Agni, the Lord of Fire, rules over all the fire elementals and devas on the three planes of human evolution, the physical, the astral, and the mental, [Page 13] and rules over them not only on this planet, called the Earth, but on the three planes in all parts of the system. (3 – 65).
(2) Agni, the sum-total of the Gods. He is Vishnu and the Sun in His glory; He is the fire of matter and the fire of mind blended and fused; He is the intelligence which throbs in every atom; He is the Mind that actuates the system; He is the fire of substance and the substance of fire; He is the Flame and that which the Flame destroys. (3 – 602).
(3) All potentiality lies in the vitalising, energising power of Agni, and in His ability to stimulate. He is life itself, and the driving force of evolution, of psychic development and of consciousness. (3 – 606).
(4) "Our God is a consuming Fire" refers primarily to Agni, the controlling factor in this age. The devas of the fire will play an increasingly important part in all earth processes. To them is given the work of inaugurating the New Age, the new world and civilisation and the new continent … Agni controls not only the fires of the earth and rules the mental plane, but He is definitely associated with the work of arousing the sacred fire, the kundalini . . . The Lord of Fire will achieve his peculiar work for this cycle by arousing the fire of kundalini in the large numbers of those who are ready. This will be begun in this century, and carried forward actively for the next one thousand years. (4– 390/1).
(1) There are at all times those who are characteristically expressing one or another of all these various stages and states of consciousness. There are but a few on earth today, who are capable of expressing as low a state of relative development, as the Lemurian consciousness. There are a few at the extreme end of the Way, who are expressing divine perfection, and in between these two extremes are all possible grades of development and unfoldment.
Man is therefore, (from the angle of force expression), a mass of conflicting energies, and an active centre of moving forces, with a shift of emphasis constantly going on, and with the aggregation of the numerous streams of energy, presenting a confusing kaleidoscope of active interrelations, inter-penetration, internecine warfare, and interdependence, until such time as the personality forces (symbolic of divine multiplicity), are subdued, or "brought into line" by the dominant soul. That is what we [Page 14]really mean by the use of the word "alignment"'. This alignment results from:
1. The control of the personality by the soul.
2. The downpouring of soul energy, via the mental and emotional bodies, into the brain, thus producing the subjugation of the lower nature, the awakening of the brain consciousness to soul awareness, and a new alignment of the bodies. (15 – 340).
3. The right arrangement, according to ray type, of the energies which are motivating and dynamically arousing the centres into activity. This leads eventually to a direct alignment of the centres upon the spine, so that soul energy can pass up and down through the centres, from the directing centre in the head. Whilst this process of soul control is being perfected, (and the time consumed is, from the angle of the limiting personality consciousness, of vast duration), the ray types of the vehicles steadily emerge, the ray of the personality begins to control the life, and finally the soul ray begins to dominate the personality ray, and subdue its activity.
Eventually, the monadic ray takes control, absorbing into itself the rays of the personality and of the soul (at the third and fifth initiations), and thus duality is finally and definitely overcome, and "only the One Who Is remains." (15 – 341).
(2) For aspirants and disciples, the immediate task ahead is:
1. To bring about the at-one-ment of soul and body, through the medium of alignment.
2. To build the antahkarana, using the six modes or means outlined by me previously, and thus evoke response to the Triad. The thought of Alignment – Invocation – Evocation are the three major ideas for you to hold in mind as we proceed with this study. (18 – 498).
(3) Aspirants and probationary disciples are occupied with a definite process of focussing their consciousness in the soul. This process falls into two parts:
1. An intensification of the personality life, so that it is developed to its highest individualistic powers.
2. A process of moving forward into the light, and of conscious soul contact.
This involves the earlier stage of the alignment process, which is a mode of focussed, concentrated effort, according to the ray and life purpose of the soul. This may take the form of a profound application to some scientific endeavour, or a deep concentration on the spiritual work of the world, or it may be a complete dedication to humanitarian effort; it matters not. I would [Page 15] call your attention to that statement. In every case the motivating power must be betterment; it must be carried forward by extreme effort; but – given right motive and the effort to develop simultaneously a good character and a stable purpose – the aspirant or probationary disciple will eventually find that he has succeeded in establishing a definite soul relation; he will have discovered that the path of contact between soul and brain, via the mind, has been opened, and that he has mastered the first stage in the needed alignment process. (18 – 500/1).
(4) You have been apt to think of alignment in terms of the process whereby the personality is brought into relation with the soul. This is entirely accurate, yet alignment is a term which in reality covers four processes:
1. The alignment of soul and personality, resulting in a conscious relation to the Kingdom of God.
2. The alignment of soul and personality with the Ashram, resulting in a conscious relation with the Master of the Ashram.
3. The alignment of the initiate of higher degree with the Spiritual Triad and the consequent result of a recognition of monadic energy.
4. The alignment of all the centres in the etheric body of the disciple. This results in the ability of these centres to register and transfer energies which enter into the lower mechanism as a consequence of the three-higher alignments--- listed above. (6–152/3).
(1) These ancient mysteries were originally given to humanity by the Hierarchy, and were – in their turn – received by the Hierarchy from the Great White Lodge on Sirius. They contain the clue to the evolutionary process, hidden in numbers and in words; they veil the secret of man's origin and destiny, picturing for him in rite and ritual the long, long path which he must tread. They provide also, when rightly interpreted and correctly presented, the teaching which humanity needs in order to progress from darkness to Light, from the unreal to the Real, and from death to Immortality. . . .
The Mysteries will be restored in other ways also, for they contain much besides that which the Masonic rites can reveal, or that religious rituals and ceremonies can disclose; they contain within their teaching and formulas, the key to the science which will unlock the mystery of electricity … ; [Page 16]though much progress has already been made by science along this line, it is as yet only embryonic in nature, and only when the Hierarchy is present visibly on Earth, and the Mysteries of which the Masters are the Custodians are given openly to man, will the true secret and nature of electrical phenomena be revealed.
The Mysteries are, in reality, the true source of revelation, and it can be only when the mind and the will-to-good are closely blended and conditioning human behaviour, that the extent of the coming revelation will be grasped, for only then can humanity be trusted with these secrets. They concern those capacities which enable the Members of the Hierarchy to work consciously with the energies of the planet and of the solar system, and to control forces within the planet; They will put the ordinary psychic powers (today so stupidly approached and so little understood), in their rightful place, and guide man towards their helpful usage.
The Mysteries will restore colour and music as they essentially are to the world, and do it in such a manner that the creative art of today will be to this new creative art, what a child's building of wooden blocks is to a great cathedral, such as Durham or Milan. The Mysteries, when restored, will make real – in a sense incomprehensible to you at present – the nature of religion, the purpose of science, and the goal of education. These are not what you think today.
The ground is being prepared at this time for this great restoration. The Churches and Masonry are today before the judgment seat of humanity's critical mind, and the word has gone forth from that mass mind, that both of them failed in their divinely assigned tasks. It is realised everywhere that new life must be poured in, and great changes wrought in the awareness and the training of those who work through and in these two media of truth. Those changes have not yet been carried out, for it will take a new vision and a new approach to life experience, and this only the coming generation is capable of giving; they and they alone can bring about the needed alterations and the revitalisation, but it can and will be done.:
"That which is a mystery shall no longer be so, and that which has been veiled will now be revealed; that which has been withdrawn, will emerge in light, and all men shall see, and together they shall rejoice. That time will come when desolation has wrought its beneficent work, when all things have been destroyed, and men, through suffering, have sought to be impressed by that which they had discarded in vain pursuit of that which was near at hand and easy of attainment. Possessed it proved to be an agency of death – yet men sought life, not death."
[Page 17]
So runs the Old Commentary when referring to the present cycle through which mankind is passing. (18 – 330/2) & (8 – 122/5).
(1) The Mysteries are revealed, not primarily by the reception of information anent them and their processes, but by the action of certain processes, carried out within the etheric body of the disciple; these enable him to know that which is hidden; they put him in possession of a mechanism of revelation, and make him aware of certain radiatory and magnetic powers or energies within himself, which constitute channels of activity and modes whereby he may acquire that which it is the privilege of the initiate to own and use. (18 – 337).
(2) The only true mysteries are those points of revelation for which the mechanism is inadequate. (6–511).
(1) Education also should concern itself during the New Age with bridging of this gap between the three aspects of the mind nature: between the soul and the lower mind, thus producing at-one-ment between soul and personality; between the lower mind, the soul, and the higher mind. For this the race is now ready, and for the first time in the career of humanity the bridging work can go forward on a relatively large scale. On this I need not enlarge, for it concerns the technicalities of the Ancient Wisdom, on which I have given you much in my other books. (12 – 5).
(2) Education is therefore the Science of the Antahkarana. This science and this term is the esoteric way of expressing the truth of this bridging necessity. The antahkarana is the bridge the man builds – through meditation, understanding, and the magical creative work of the soul – between the three aspects of his mind nature. Therefore, the primary objectives of the coming education will be:
1. To produce alignment between mind and brain through a correct understanding of the inner constitution of man, particularly of the etheric body and the force centres.
2. To build or construct a bridge between the brain - mind - soul, thus producing an integrated personality which is a steady developing expression of the indwelling soul.
3. To build the bridge between the lower mind, soul, higher mind, so that the illumination of the personality becomes possible. (12 – 6).
(3) "Before a man can tread the Path he must become that Path himself". [Page 18] The antahkarana is the Path symbolically. This is one of the paradoxes of the esoteric science. Step by step, and stage by stage, we construct that Path just as the spider spins its thread. It is
that "way back" which we evolve out of ourselves; it is that Way which we also find and tread. (12 – 7).
(4) Students should train themselves to distinguish between the sutratma and the antahkarana, between the life thread and the thread of consciousness. One thread is the basis of immortality, and the other the basis of continuity. Herein lies a fine distinction for the investigator. . . .
The sutratma is the direct stream of life, unbroken and immutable, which can be regarded symbolically as a direct stream of living energy flowing from the centre to the periphery, and from the source to the outer expression or the phenomenal appearance. It is the life. . . .
The consciousness thread (antahkarana) . . . is the thread which is woven as a result of the appearance of life in form upon the physical plane. Speaking again symbolically, it might be said that the sutratma works from above downward and is the precipitation of life into the outer manifestation. The antahkarana is woven, evolved and created as the result of this primary creation, and works from below upwards, from the without to the within, from the world of exoteric phenomena into the world of subjective realities and of meaning. (12 – 26/27).
(5) (Man) then discovers an aspect of himself of which he had little dreamt in the early stages of his development. He discovers the soul and then passes through the illusion of duality. This is a necessary but not a permanent stage. . . . He seeks to merge himself with the soul, to identify himself, the conscious personality, with that overshadowing soul. It is at this point, technically speaking, that the true building of the antahkarana must be begun. It is the bridge between the personality and the soul. (12 – 29).
(6) The Science of the Antahkarana. This is the new and true science of the mind, which will utilise mental substance for the building of the bridge between personality and the soul, and then between the soul and the spiritual triad. This constitutes active work in substance subtler than the substance of the three worlds of ordinary human evolution. It concerns the substance of the three higher levels of the mental plane. These symbolic bridges, when constructed, will facilitate the stream or flow of consciousness and will produce that continuity of consciousness, or that sense of unimpeded awareness, which will finally end the fear of death, negate all sense of separateness, and make a man responsive in his brain consciousness, to impressions coming to him from the higher spiritual realms or from [Page 19] the Mind of God. Thus he will be more easily initiated into the purposes and plans of the Creator. (12 – 95/6).
(7) The building of the second half of the antahkarana (that which bridges the gap in consciousness between the soul and the spiritual triad) is called the science of vision, because just as the first half of the bridge is built through the use of mental substance, so the second half is built through the use of light substance. (12 – 96).
(8) The Science of the Antahkarana is connected with the entire problem of energy, but peculiarly with the energy handled by the individual, and with the forces by which the individual relates himself to other individuals or groups. (12 – 143).
(9) The Science of the Antahkarana is the science of the triple thread which exists from the very beginning of time, and links individual man with his monadic source. The recognition of this thread and its use, consciously, as the Path and the means of ever expanding contacts, comes relatively late in the evolutionary process. The goal of all aspirants and disciples is to become aware of this stream of energy in its various diversifications, and consciously to employ these energies in two ways: interiorly in self-unfold-ment, and in the service of the plan for humanity. (12 – 146).
(10) The Science of the Antahkarana deals, therefore, with the entire incoming system of energy, with the process of usage and transformation and fusion. It deals also with the outgoing energies and their relationship to the environment, and is the basis of the science of the force centres. (12 – 147).
(11) The antahkarana, therefore, is the thread of consciousness, of intelligence, and the responsive agent in all sentient reactions. (12 – 148).
See also: (6 – 193/4, 408), (18 – 441/501).
(1) As the aspirant progresses, he not only balances the pairs of opposites, but the secret of his brother's heart becomes revealed to him. He becomes an acknowledged force in the world, and is recognised as one who can be depended on to serve. Men turn to him for assistance and help along his recognised line, and he begins to sound forth his note so as to be heard not only in human but in deva ranks as well. This he does, at this stage, through the pen in literature, through the spoken word in lecturing and teaching, Page 20] through music, painting and art. He reaches the hearts of men in some way or another, and becomes a helper and server of his race. (3 – 865/6).
(2) See therefore how the life of all aspirants, if progressing with the desired rapidity, is one of constant movement, constant changes and differentiations, and continuous building and breaking, planning and seeing those plans disrupted. It is a life of ceaseless suffering, of frequent clashing with the environing circumstances, of numerous friendships made and transferred, of mutation ceaseless and consequent agony. Ideals are transcended only to be found to be stations on the road to higher; visions are seen, only to be replaced by others; dreams are dreamt only to be realised and discarded; friends are made, to be loved and left behind, and to follow later and more slowly the footsteps of the striving aspirant. (4 – 264).
(3) No aspirant, no matter how sincere and devoted, is free from faults. Were he free, he would be an adept. All aspirants are still selfish, still prone to temper and to irritability, still subject to depression and even at times to hatred. Oft that temper and hatred may be aroused by what we call just causes. Injustice on the part of others, cruelty to human beings and to animals, and the hatreds and viciousness of their fellow men do arouse in them corresponding reactions, and cause them much suffering and delay. One thing must ever be remembered. If an aspirant evokes hatred in an associate, if he arouses him to temper, and if he meets with dislike and antagonism, it is because he himself is not entirely harmless; there are still in him the seeds of trouble, for it is a law in nature that we get what we give, and produce reactions in line with our activity, be it physical, emotional or mental. (4 – 483).
(4) All aspirants know, and down the ages have been taught, that a clean mind and a pure heart, love of truth, and a life of service and unselfishness, are prime requisites, and where they are lacking, naught avails and none of the great secrets can be imparted. (4 – 543).
(5) The immediate goal for all aspiring disciples at this time, can be seen to be as follows:
1. An achievement of clarity of thought as to their own personal and immediate problems, and primarily the problem as to their objective in service. This is to be done through meditation.
2. The development of sensitivity to the new impulses which are flooding the world at this time. This is to be brought about by loving all men more, and through love and understanding, contacting them with greater facility. Love reveals.
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3. The rendering of service with complete impersonality. This is done by eliminating personal ambition and love of power.
4. The refusal to pay attention to public opinion or to failure. This is done by the application of strict attention to the voice of the soul, and by an endeavour to dwell ever in the secret place of the Most High. (4 – 635/6).
(6) Not one earnest student goes totally unrecognised. In the press of the work and in the burden and toil of the day's labours, it is an encouragement to know that there are those who watch, and that every loving deed, every aspiring thought, and every unselfish reaction, is noted and known. Bear in mind, however, that it comes to the recognition of the Helpers through the increased vibration of the aspirant, and not through a specific knowledge of the deed accomplished, or the thought sent out. Those who teach are occupied with principles of truth, with vibratory rates, and with the quality of the light to be seen. They are not aware of, nor have they the time to consider, specific deeds, words and conditions, and the sooner students grasp this, and put out of their minds any hope of contacting a phenomenal individual, whom they call a Master, with so much leisure, of such developed powers that he can occupy himself with their trivial affairs in time and space, the more rapidly will they progress.
Where, however, there is steady growth, an application to occult principles, so that definite changes are produced in the bodies used, and an increasing radiatory light, it is known and recorded, and the aspirant is rewarded by increased opportunity to serve his fellowmen. (4 – 638).
(7) This fivefold experience in any individual life, takes place in the following order in the life of the average intelligent aspirant, who responds to, and takes advantage of the civilisation and education of the present time.
1. Appropriation of the physical sheath. This takes place between the fourth and seventh year, when the soul, hitherto overshadowing, takes possession of the physical vehicle.
2. A crisis during adolescence, wherein the soul appropriates the astral vehicle. This crisis is not recognised by the general public, and is only dimly sensed, from its evidenced temporary abnormalities, by the average psychologist. They do not recognise the cause, but only the effects.
3. A similar crisis between the twenty-first and twenty-fifth years, wherein the mind vehicle is appropriated. The man should then begin to respond to egoic influences, and in case of the advanced man, he frequently does.
4. A crisis between the thirty-fifth and forty-second years, wherein conscious [Page 22] contact with the soul is established; the threefold personality then begins to respond, as a unit, to soul impulse.
5. For the remaining years of life, there should be an increasingly strong relationship between the soul and its vehicles, leading to another crisis between the fifty-sixth or the sixty-third years. According to that crisis will depend the future usefulness of the person, and whether the ego continues to use the vehicles on into old age, or whether there is a gradual withdrawal of the indwelling entity.
There are many corresponding cycles of crisis in the life history of any soul down through the ages, but these major five crises can be traced with clarity from the standpoint of higher vision. (15 – 53).
(8) Psychic sensitivity, mystical duality, and dominating power – these are the three major problems of the aspirant, and should be studied and understood. They affect the three major centres – the head, the heart, and the centre between the eyebrows – in the disciple, for psychic sensitivity is related to the heart, mystical duality to the ajna centre, and the problem of power to the highest head centre.
In the aspirant or advanced human being, they affect the throat, the solar plexus, and the sacral centre, but as they are definitely due to an expansion of consciousness, they have little registered or noticeable effect upon the unevolved man, or upon the average man who is preoccupied with physical plane life, and emotional reactions. He is not passing through the stimulating but disrupting processes of re-orientation, of recognising duality, and of fusion of the personality. As we have earlier seen, the processes of integration bring their own problems. (15 – 614).
(9) Your major need is for an intensification of your inner spiritual aspiration. You need to work more definitely from what might be called a point of tension. Study what is said about tension and intensity. It is intensity of purpose which will change you from the plodding, fairly satisfactory aspirant, into the disciple whose heart and mind are aflame. Perhaps, however, you prefer to go forward steadily, with no group effort, making your work for me and for the group, an ordered part of the daily life, which you can adjust pretty much as you like, and in which the life of the spirit receives its reasonable share, in which the service aspect is not neglected, and your life presentation is neatly balanced and carried forward, without much real strain. When this is the case, it may be your personality choice, or your soul decision for a specific life, but it means that you are not the disciple, with everything subordinated to the life of discipleship.
I would here like to point out two things. First: if you can so change [Page 23] your tension, that you are driven by the life of the spirit, it will entail a galvanic upheaval in your inner life. For this, are you prepared? Secondly: it will not produce any outer change in your environing relationships. Your outer obligations and interests must continue to be met, but I am talking in terms of inner orientations, dynamic inner decisions, and an interior organising for service and sacrifice. Perhaps you prefer the slow and easier way? If that is so, it is entirely your own affair, and you are still on your way. You are still a constructive and useful person. I am simply here facing you with one of the crises which come in the life of all disciples, wherein choices have to be made, that are determining for a cycle, but for a cycle only. It is pre-eminently a question of speed. This means eliminating the nonessentials and concentrating on the essentials – the inner essentials as they concern the soul and its relation to the personality, and the outer ones, as they concern you and your environment. (18 – 496), (5 – 538).
(10) Your major task, as aspirants, is to cultivate the higher sensitivity; to render yourselves so pure and selfless, that your mind remains undisturbed by the happenings in the three worlds; to seek that attentive spiritual sense which will enable you to be impressed, and then to interpret correctly the impressions received. (18 – 549).
(11) The goal of the majority of aspirants is not to limit their consciousness by a concentration on minutiae, such as the permanent atoms and the details connected with the individual form nature. The objective of each aspirant is to expand his consciousness to include that which lies beyond himself, to attain to the more elevated states of consciousness in the life of the group and of humanity, and to integrate himself consciously into the Hierarchy, eventually into Shamballa, and occultly to "know" God in His many phases of all-inclusive extension and perfection. (5 – 766).


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During the recent Cooperation in International Water in Africa (CIWA) annual meetings with the Nile Basin Initiative (NBI) and partners of the Nile Basin Trust Fund there was continued support for advancing transboundary investments around the Nile.
Before the CIWA meetings, we visited the site for the Rusumo Falls Hydroelectric Project, a joint undertaking and collaboration between Burundi, Rwanda and Tanzania. This project, with construction expected to be complete by 2016, represents a major milestone for transboundary cooperation for the Nile and the participating countries. It is a significant achievement that certainly has not been without its challenges as the Rusumo Falls were initially identified, as early as the 1970s for potential hydropower generation. A number of barriers such as civil conflict, a lack of financial resources and, more important, of an effective mechanism for coordination hindered its progress and realization. Rusumo Falls, a US$470 million project, is expected to generate 80 megawatts of hydroelectric power. This represents a huge and sorely needed boost of power supply in the three countries, doubling electricity access rates in Burundi for 520,000 people, for roughly 467,000 people in Rwanda, and 159,000 people in Tanzania. Many of the communities in the Rusumo area greatly anticipate and look forward to the increases in electricity access as well as increased availability of water for other productive purposes.
With increased demand for engagement, our plans are to replicate the Rusumo Falls case. CIWA's program provides support for cooperative water resources management and development in a transboundary context, including basins, aquifers, lakes—or generically, "basins."
This year, CIWA influenced a number of notable outcomes, including an agreement between Botswana, Lesotho, and South Africa to cooperate on water resources development, which materialized through a Memorandum of Understanding. CIWA also advanced key partnerships with two Regional Economic Communities, the Southern Africa Development Community and the Economic Community of West African States. CIWA engagements complement ongoing World Bank and/or partner programs or continue to build on existing work. CIWA's commitment to developing shared solutions based on trust and which emphasize project excellence, technical feasibility, knowledge and environmental and social sustainability remains a key focus.
As we look forward, in support of Africa's increasing growth and evolving opportunities, we are grateful to our African partners and donors whose contributions, in support of sustainable, climate-resilient growth, help to accelerate the development and management of international waters in Africa. As CIWA moves into its third year, we are excited about potential new engagements in West Africa and the Sahel region where our focus will be on enhancing and facilitating more productive water use as well as increasing cooperation and climate-resilient growth around crucial transboundary initiatives currently under development in the region.
Dear Gustavo,
Dear Gustavo,
This is really interesting. I am, as I guess you realize, interested to be kept informed about CIWA and your progresses!
All the best,
Dear Gustavo,
Dear Gustavo,
My name is Richard Meissner and I am a Senior Researcher at the Council for Scientific and Industrial Research (CSIR) in Pretoria, South Africa. For the past 20 years I have doing research on water governance and politics, focusing on primarily on transboundary rivers. Could you please keep me posted on new developments in the CIWA program.
Kind regards,
Richard Meissner


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ICD-10 Diagnosis Code O36.8229
Fetal anemia and thrombocytopenia, second trimester, oth
Diagnosis Code O36.8229
Short Description: Fetal anemia and thrombocytopenia, second trimester, oth
Long Description: Fetal anemia and thrombocytopenia, second trimester, other fetus
This is the 2018 version of the ICD-10-CM diagnosis code O36.8229
Valid for Submission
The code O36.8229 is valid for submission for HIPAA-covered transactions.
Code Classification
Pregnancy, childbirth and the puerperium (O00–O99)
Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
- Maternal care for other fetal problems (O36)
- Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
Information for Medical Professionals
Code Edits
The following edits are applicable to this code:
Maternity diagnoses Maternity diagnoses
Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
Diagnoses for females only Diagnoses for females only
Diagnoses for females only.
Convert to ICD-9 General Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- 678.01 - Fetal hematologic-deliv (approximate) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- 678.03 - Fetal hematologic-ante (approximate) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
Information for Patients
Also called: Iron poor blood
If you have anemia, your blood does not carry enough oxygen to the rest of your body. The most common cause of anemia is not having enough iron. Your body needs iron to make hemoglobin. Hemoglobin is an iron-rich protein that gives the red color to blood. It carries oxygen from the lungs to the rest of the body.
Anemia has three main causes: blood loss, lack of red blood cell production, and high rates of red blood cell destruction.
Conditions that may lead to anemia include
- Heavy periods
- Pregnancy
- Ulcers
- Colon polyps or colon cancer
- Inherited disorders
- A diet that does not have enough iron, folic acid or vitamin B12
- Blood disorders such as sickle cell anemia and thalassemia, or cancer
- Aplastic anemia, a condition that can be inherited or acquired
- G6PD deficiency, a metabolic disorder
Anemia can make you feel tired, cold, dizzy, and irritable. You may be short of breath or have a headache.
Your doctor will diagnose anemia with a physical exam and blood tests. Treatment depends on the kind of anemia you have.
NIH: National Heart, Lung, and Blood Institute
- Anemia (Medical Encyclopedia)
- Anemia - B12 deficiency (Medical Encyclopedia)
- Anemia caused by low iron -- infants and toddlers (Medical Encyclopedia)
- Anemia of chronic disease (Medical Encyclopedia)
- Anemia of Inflammation and Chronic Disease - NIH
- Febrile/cold agglutinins (Medical Encyclopedia)
- Ferritin blood test (Medical Encyclopedia)
- Hemolytic anemia (Medical Encyclopedia)
- Iron deficiency anemia (Medical Encyclopedia)
- Managing Chemotherapy Side Effects: Anemia - NIH - Easy-to-Read (National Cancer Institute)
- Pernicious anemia (Medical Encyclopedia)
- Vitamin B12 level (Medical Encyclopedia)
[Read More]
Fetal Health and Development
A normal pregnancy lasts nine months. Each three-month period of pregnancy is called a trimester. During each trimester, the fetus grows and develops. There are specific prenatal tests to monitor both the mother's health and fetal health during each trimester.
With modern technology, health professionals can
- Detect birth defects
- Identify problems that may affect childbirth
- Correct some kinds of fetal problems before the baby is born
- Fetal development (Medical Encyclopedia)
- Intrauterine growth restriction (Medical Encyclopedia)
[Read More]
Platelet Disorders
Also called: Thrombocyte disorders
Platelets are little pieces of blood cells. Platelets help wounds heal and prevent bleeding by forming blood clots. Your bone marrow makes platelets. Problems can result from having too few or too many platelets, or from platelets that do not work properly.
If your blood has a low number of platelets, it is called thrombocytopenia. This can put you at risk for mild to serious bleeding. If your blood has too many platelets, you may have a higher risk of blood clots. With other platelet disorders, the platelets do not work as they should. For example, in von Willebrand Disease, the platelets cannot stick together or cannot attach to blood vessel walls. This can cause excessive bleeding.
Treatment of platelet disorders depends on the cause.
NIH: National Heart, Lung, and Blood Institute
- Bleeding time (Medical Encyclopedia)
- Congenital platelet function defects (Medical Encyclopedia)
- Glanzmann disease (Medical Encyclopedia)
- Idiopathic thrombocytopenic purpura (ITP) (Medical Encyclopedia)
- Partial thromboplastin time (PTT) (Medical Encyclopedia)
- Platelet aggregation test (Medical Encyclopedia)
- Primary thrombocythemia (Medical Encyclopedia)
- Purpura (Medical Encyclopedia)
- Thrombocytopenia (Medical Encyclopedia)
- Thromobocytopenia - drug-induced (Medical Encyclopedia)
[Read More]


text:
Reviewed By Joe T (Westerville, OH) Reviewed for a 2000 Jeep Cherokee —3/24/2016 10:28 AM
This was replacement muffler for catback system bought 4 years ago. The inlet pipe of muffler rusted out after so required replacement. Muffler is well built and has good throaty sound at idle and under load but is more mellow at cruise.


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Her Turn
"We're fighting about the holidays — again," said Kim, 36, a soft-spoken brunette who runs a children's music school. "I sound like the Grinch, but I hate this time of year. I'm irritable and depressed, and I feel so much pressure to do it all 'right.' I worry that people are judging me: Does the table look festive enough? Did I use the correct silverware? It's all so overwhelming."
"The problem is, my husband rejoices in Christmas and loves nothing more than having his large family together — and all staying under our roof, " says Kim. "For his sake, I want to be the perfect hostess, smiling as I prepare a wonderful feast, graciously chatting with our guests. But the reality is, all I want to do is crawl into bed. You'd think that after 10 years, Steve would understand. Why does he insist that we celebrate as one big happy family when we're anything but?
"My relationship with Steve's kids from his first marriage isn't great. I get along well enough with Paula, 23, who lives out of town. But Justine, 26, lives nearby, and she's disliked me from day one. Although I had nothing to do with Steve's divorce, our wedding shattered her dream that her parents would reconcile. We're cordial, but it's tense. We see her and her husband, Eric, once a week, even more often during the holidays. Last year, Eric marched into my kitchen and proceeded to tell me I must 'tent' the turkey with foil, or it wouldn't brown properly. His know-it-all attitude really gets under my skin.
"I don't have the ability to hold my own with Eric — he's so in-your-face. Just once, it would be nice if Steve stood up for me. I think he's too afraid of alienating his daughter. For instance, if I make a joke at the dinner table, Eric will reply with a condescending, sarcastic comment, like, 'Oh, you think that's funny?' Steve never says a thing.
"I also told Steve that this year, I don't want a tree. Steve is great at decorating, but I'm always left to do all the cleanup. I also told him that I refuse to cook for everyone. I don't want the pressure, and I don't want all those cookies or pies in the house. The fact is, when I was 16, I became bulimic. After four years, thanks to a terrific therapist, I was able to get my illness under control, but weight continues to be a sensitive subject for me. Steve knows about the bulimia, but he doesn't understand how stressful it is for me to prepare and serve these elaborate meals. I don't know why I never said anything before — maybe I didn't want to ruin the festivities for him — but this year, I'm too sad to pretend.
"Steve was angry when I announced I wouldn't be cooking. When he gets mad he never yells, he just gives me the silent treatment. I often can't find the words to explain how I feel either, so I shut down, too.
"The fact that I'm often exhausted doesn't help. I work seven days a week as a music teacher, which I love. Music has always been my lifeline. When I'm performing, I'm a different person. But my long hours deplete my sex drive. I know Steve feels rejected. To get myself in the mood, I have a glass of wine. But if I do, he says that my interest in him isn't 'real.' No matter how much I tell him that's not the case, he never understands.
Their Background
"I met Steve when I answered his newspaper ad for a musician in his band. I was 23; he was 33. I played with his group for four years. At the time, Steve was divorced. Our relationship developed easily; three years later, we were married.
"Steve says he never would have guessed that my childhood was like a bad TV drama: My father died when I was 10; my mother used to smack me with a hairbrush for the slightest offense, and as the oldest of three girls, I got the brunt of her anger. To avoid being hit, I'd hide in my room. I had few friends and was never good in social situations. At 18, I left home, and put myself through community college. Except for one of my sisters, I no longer speak to any of my family. When I met Steve, I felt that my life really began.
"But now, I feel like Steve's roommate, not his wife. It's ridiculous to quarrel about Christmas trees, but even when it's not Christmas, I feel so lonely. I fell in love with Steve because he made me feel adored and appreciated; I forgot to dislike myself for a while. Now I'm scared he doesn't care anymore."
His Turn
"It's not that I don't care about Kim. It's that we don't have a marriage anymore," said Steve, 46, a postal worker who moonlights as a guitarist in a band. "Kim has become increasingly distant and I don't know why," says Steve. "We never make love. She's either too tired or not in the mood — unless she has a glass of wine. I hate that; she can't feel attracted to me unless she's a little tipsy? Although I'm happy that she's happy with her career, the fact remains that we spend very little time together.
"The Kim I used to know was smiling and carefree. I was surprised when she told me about her family and weight issues, because to look at her, you'd never imagine she'd had it so rough as a kid. I noticed early on, though, that Kim was reluctant to have company over. I love having people over, even if they drop by without calling. And I love everything about the holidays; every tradition carries tremendous meaning for me. As a kid, my mother would spend weeks cooking and decorating the house to the rafters. One of my favorite times was picking out a tree with my father and brothers. I love having meals surrounded by the people I love. Now Kim tells me she doesn't even want a tree, doesn't want to cook and doesn't want people over. She's ruining the holidays for me!
"I was the youngest of four. My mother, a homemaker, and my father, a postal clerk, each had eight siblings, so to say we had large holiday celebrations is an understatement. People were always coming in and out of the house. That's why I don't mind if my cousins and their kids sleep over. But Kim hates every minute of it.
"I know my son-in-law is difficult. He's like the bully of the playground who picks on the one kid he knows he can dominate. I've spoken to Justine, and she assures me that Eric is a good man and a good husband. Kim is just supersensitive to things that most people would ignore. Yes, he's sarcastic. Yes, he's condescending. So what? It's better to let his comments slide than make a huge issue of them. I don't think it's asking too much for her to grin and bear it, especially during the holidays.
"I was flabbergasted when she announced in this dictatorial voice that this year she didn't want a tree or holiday desserts. This is supposed to be a family time — I don't want to be decking the halls by myself. If it's a question of cleaning up, I'll do it all! But while I know the eating disorder was an ordeal, it's in the past. I think she's unreasonable to deprive everyone else of holiday goodies.
"You know, I'm patient, but I'm not a saint. The holidays make her miserable, but now they're making me miserable, too. It's as if Kim's on another planet, and I can't reach her. Enough already. Why can't she be happy?"
The Counselor's Turn
"Quarrels over seemingly mundane issues often mask more serious, unexplored problems, and this was the case for Kim and Steve," said the counselor. "Neither realized that the holidays dredged up profound issues of self-esteem and confidence that prevented Kim from communicating and being close to her husband. Yet the more she anticipated holiday stress, the more anxious and distant she became. As she pulled away, Steve was left feeling rejected. My goal was to help Kim connect to those childhood emotions so she could move past them — and to show Steve how he could help her to do that.
"Kim's insecurities were exacerbated any time she felt judged, and in the swirl of holiday activities, she constantly felt she wasn't measuring up. To protect herself, she 'checked out,' by leaving the room or losing herself in her music, just as she had done as a little girl. Her bout with bulimia had served a similar purpose: By eating, Kim numbed herself to her true feelings. By purging, she gained some sense of control over her anxieties, albeit a false, destructive one.
"When they first met, Kim had been away from her family for several years. During this time, she not only had boosted her confidence by getting her bulimia under control, but she had also been able to repress many of her feelings of worthlessness, which was why Steve was so baffled by her recent behavior. However, it's not uncommon for negative emotions to bubble to the surface once an individual is involved in a happy relationship. Paradoxically, the good relationship becomes a safe place to release pent-up feelings that haven't been effectively sorted out.
"But Kim had never learned to express her feelings and really understand what she was feeling when she was feeling it. One exercise that helped Kim was writing 'feeling letters' to important people in her past. In a feeling letter — which is meant for your eyes only — you express your anger, sadness, fear, or regret. Then, you write a 'response letter' to yourself, detailing the apology you would like to hear from the person who hurt you. This process frees you to think differently about yourself. Writing a letter to her mother was a turning point for Kim. Over the next few weeks, Kim's negative feelings about herself slowly dissipated.
"We also worked on ways Kim could express her emotions better. Instead of silently disappearing, or announcing, 'I won't make the Christmas cookies,' I suggested that she learn to say, 'I wish some of the baking and cooking could be done by other people.' This simple change states her point and opens the way for problem solving.
"Although Steve had a happy childhood, his divorce left him feeling that he had let his children down. Holidays reminded him of that failure, and he placed an inordinate importance on ritual and ceremony. Unwittingly, he put pressure on his wife to create storybook memories for his family. As understanding as Steve was, he tended to minimize Kim's feelings and believe that the way he felt was the way she should feel. In counseling, he admitted he hated confrontation with his kids because he couldn't bear for them to be mad at him.
"Steve was trying to be a good husband, but he wasn't listening in the way that she needed him to. 'Listening is an art,' I explained. 'It takes practice. When you tell Kim, "You're making too big a deal about Eric's comment," or "You shouldn't feel that everyone's judging the way you set the table for Christmas dinner," you undercut her. They may not be your feelings; they may not make sense to you, but you have to respect them.' What's more, I suggested that he speak not only to Justine, but also to Eric. 'A person like that may not change his behavior, but it's important for Kim to know that you tried.'
"Steve went on to have several conversations with Justine and Eric about treating Kim with kindness and respect, and now vows to stand up and defend her anytime Eric makes a snide comment. He has also begun to visit with his daughter while Kim is at work, so that her time with Eric is limited.
"Next, we discussed strategies for handling holiday arguments. After making a list of hot-button issues (such as Kim's cooking every holiday dish and relatives staying at their house for long periods of time), they focused on those that meant the most to each of them, as well as those on which they could be flexible (Steve felt strongly about a tree, less so about desserts). Finally, they inched toward compromises that honored each of their perspectives.
"For instance: They will start a new tradition by asking guests to bring their favorite desserts, cookies, or muffins (and take home any leftovers), so Kim and Steve are responsible only for the main courses and side dishes. They've agreed that out-of-town guests can stay overnight. Everyone else will be asked to drive home. And she agreed to a tree if Steve kept his promise to help clean up. He did.
"'I'm still hoping that Kim will eventually find a way to spend more time with my family,' said Steve. 'But for now, I understand how she feels and I'm hoping in the end this will bring us closer.'
"Now that he's aware of the reasons for her withdrawal, Steve remembers to reassure his wife that everything doesn't have to be perfect, especially around the holidays when the pressure is the greatest.
"We also discussed how many busy people find the time to plan for intimate moments, and that Kim's glass of wine was one way she could segue between her job and her home life. We then brainstormed other ways they could have fun together, and they've instituted a weekly date night, such as going to concerts, the theater, and the movies. They have also decided to renovate their master bathroom and install a Jacuzzi, something they both wanted but never got around to doing.
"'Therapy helped us find ways to resolve many of our issues, not just the holiday problems, before they become insurmountable,' Kim noted. 'We worked hard,' added Steve. 'Now we're not just occupying the same house. We're actually connecting.'"
This case is based on interviews and information from the files of Joyce Dolberg Rowe, LMHC, a psychotherapist in Hull and Quincy, Massachusetts. The story told here is true, although names and other details have been changed to conceal identities.
Originally published in Ladies' Home Journal magazine, December 2003.


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Evelyn Lozada Celebrates New PETA Ad and Birthday Bash In L.A.
Fresh off the debut of her sexy nude ad for PETA, "Basketball Wives" star Evelyn Lozada celebrated her 37th birthday at the Supper Club in L.A.
VIBE was on-hand for the red carpet where the birthday girl flaunted her assets in a lacy number. Peep the exclusive flicks by hitting the arrow above.
Photo Credit: Dwayne Jenkins/ VIBE