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Abnormal Psychology 6Th Edition Nolen Hoeksema Solutions Manual Full Chapter PDF
Abnormal Psychology 6Th Edition Nolen Hoeksema Solutions Manual Full Chapter PDF
TEACHING OBJECTIVES
After reading and studying this chapter and participating in lecture and discussion,
students should be able to:
2. Discuss the genetic and neurological contributors to ADHD, and the other
psychopathological conditions associated with ADHD.
7. Discuss and distinguish among the numerous diseases, maternal behaviors, and
aspects of pregnancy and birth that can lead to Intellectual Disability.
12. Discuss the drugs used to treat the symptoms of autism, and the behavioral
methods used to treat autistic children.
13. Explain why the cognitive disorders are no longer known as “organic brain
disorders.”
14. Identify when a set of symptoms should be diagnosed as a cognitive disorder, and
when it should not be.
17. Identify and describe the brain changes that occur in Alzheimer’s disease, and the
conditions thought to cause them.
23. Identify the symptoms of delirium, their typical progression, and the conditions that
make a diagnosis likely.
CHAPTER OUTLINE
I. Attention-Deficit/Hyperactivity Disorder
1. Types of ADHD
2. Related features/concerns
a. Poor academic performance
b. Social skills deficits
c. Difficulties with emotion regulation
d. Learning disability
3. Epidemiological Studies
a. Gender differences
b. Cross-cultural differences
c. Course
A. Biological Factors
1. Immaturity hypothesis
2. Concordance rates with siblings
B. Psychological and Social Factors
C. Treatments for ADHD
1. Psychostimulants and their controversy
2. Other Medications
3. Behavior Therapy and Token Economies
4. Long-term outcomes
II. Autism Spectrum Disorder
1. Deficits in Social Interactions
2. Deficits in Communication
a. Echolalia
A. DSM 5 – Incorporates Asperger’s Disorder and other Pervasive
Developmental Disorders into ASD
B. Contributors to Autism Spectrum Disorder
1. Biological Factors
a. Genetics
b. Brain Abnormalities
C. Treatments for Autism
1. Drug Therapies
2. Social Skills Training
III. Intellectual Disability
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A. Biological Causes of Intellectual Disability
1. Genetic Factors
2. Brain Damage During Gestation and Early Life
a. Fetal Alcohol Syndrome
3. The First Years of Life
B. Sociocultural Factors
C. Treatments for Intellectual Disability
1. Drug Therapy
2. Social Programs
a. Early Intervention
b. Mainstreaming
c. Group Homes
d. Institutionalization
IV. Learning, Communication, and Motor Disorders
A. Specific Learning Disorder
B. Communication Disorders
a. Language Disorder
b. Speech Sound Disorder
c. Childhood Onset Fluency Disorder
d. Social Communication Disorder
C. Causes and Treatment of Learning and Communication Disorders
D. Motor Disorders
a. Tourette’s
V. Major and Mild Neurocognitive Disorders
A. Symptoms of Major Neurocognitive Disorder (Dementia)
1. Aphasia
2. Echolalia
3. Palialia
4. Apraxia
5. Agnosia
6. Loss of Executive function
B. Types of Major and Minor Neurocognitive Disorder
1. Neurocognitive Disorder Due to Alzheimer’s Disease
a. Brain Abnormalities in Alzheimer’s Disease
b. Causes of Alzheimer’s Disease
2. Vascular Neurocognitive Disorder
3. Neurocognitive Disorders Associated with Other Medical Condition
1. a. HIV
2. b. Huntington’s
3. c. Traumatic Head Injury
C. The Impact of Gender, Culture, and Education on Neurocognitive Disorder
1. Gender differences
2. Racial differences
3. SES differences
4. Crosscultural differences
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D. Treatment for and Prevention of Neurocognitive Disorder
1. Medications for primary symptoms
2. Medications for secondary symptoms to address behavior problems
3. Behavior therapy
4. Prevention
a. Exercise
b. Mental activity
c. Behavioral Health Factors
VI. Delirium
A. Causes of Delirium
B. Treatments for Delirium
VII.. Chapter Integration
KEY TERMS
Neurodevelopmental disorders stereotypic movement disorder
Neurocognitive disorders developmental coordination disorder
attention-deficit/hyperactivity disorder major neurocognitive disorder
(ADHD) dementia
autism spectrum disorder minor neurocognitive disorder
autism aphasia
echolalia palilalia
pervasive developmental disorders apraxia
Intellectual Disability agnosia
fetal alcohol syndrome (FAS) executive functions
specific learning disorder Alzheimer’s disease
communication disorder neurofibrillary tangles
language disorder plaques
speech sound disorder beta-amyloid
childhood-onset fluency disorder vascular neurocognitive disorder
social communication disorder cerebrovascular disease
motor disorder stroke
Tourette’s disorder traumatic brain injury
persistent motor or vocal tic disorder delirium
(CMVTD)
KEY CONCEPTS
• ADHD is characterized by inattentiveness, impulsivity, and hyperactivity and is
more common in boys than in girls. Children with ADHD do poorly in school and
in peer relationships are at increased risk for developing conduct disorder.
• Biological factors that have been implicated in the development of ADHD include
genetics, exposure to toxins prenatally and early in childhood, and abnormalities
in neurological functioning. In addition, many children with ADHD come from
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families in which there are many disruptions, although it is not clear if this is a
cause or just a correlate of ADHD.
• Treatments for ADHD usually involve stimulant drugs and behavior therapy
designed to decrease children’s impulsivity and hyperactivity and to help them
control aggression.
• Disorders of cognitive, motor, and communication skills involve deficits and
delays in the development of fundamental skills.
• Learning disorders include reading disorder (an inability to read, also known as
dyslexia), mathematics disorder (an inability to learn math), and disorder of
written expression (an inability to write).
• Developmental coordination disorder involves deficits in fundamental motor skills.
• Communication disorders include expressive language disorder (an inability to
express oneself through language), mixed receptive-expressive language
disorder (an inability to express oneself through language or to understand the
language of others), phonological disorder (the use of speech sounds
inappropriate for the child’s age and dialect), and stuttering (deficits in word
fluency).
• Some of these disorders, particularly reading disorder and stuttering, may have
genetic roots. Many other factors have been implicated in these disorders, but
they are not well understood.
• Treatment usually focuses on building skills in problem areas through specialized
training, as well as the use of computerized exercises.
• Intellectual Disability is defined as subaverage intellectual functioning, indexed by
an IQ score below 70 and deficits in adaptive behavioral functioning. There are
four levels of Intellectual Disability, ranging from mild to profound.
• A number of biological factors are implicated in Intellectual Disability, including
metabolic disorders; chromosomal disorders; prenatal exposure to rubella,
herpes, syphilis, or drugs (especially alcohol, as in Fetal Alcohol Syndrome);
premature delivery; and head traumas.
• There is some evidence that intensive and comprehensive educational
interventions, administered early in an affected child’s life, can help to decrease
the level of Intellectual Disability.
• Controversy exists over whether children with Intellectual Disability should be put
into special education classrooms or mainstreamed into normal classrooms.
• The pervasive developmental disorders are characterized by severe and lasting
impairment in several areas of development, such as social interaction,
communication with others, everyday behaviors, interests, and activities. They
include Asperger’s disorder, Rett’s disorder, childhood disintegrative disorder,
and autism.
• Autism is characterized by significant interpersonal, communication, and
behavioral deficits. Many children with autism score in the range for Intellectual
Disability on IQ tests. Outcomes of autism vary widely, although the majority of
people with autism must have continual care, even as adults.
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• Possible biological causes of autism include a genetic predisposition to cognitive
impairment, central nervous system damage, prenatal complications, and
neurotransmitter imbalances.
• Drugs can reduce some behaviors in autism but do not eliminate the core of the
disorder. Behavior therapy is used to reduce inappropriate and self-injurious
behaviors and to encourage prosocial behaviors.
• Dementia is typically a permanent deterioration in cognitive functioning, often
accompanied by emotional changes. The most common type of dementia is due
to Alzheimer’s disease. Recent theories of Alzheimer’s disease focus on three
different genes that might contribute to the buildup of amyloid protein in the
brains of Alzheimer’s patients.
• Dementia can also be caused by cerebrovascular disorder; head injury; and
progressive disorders such as Parkinson’s disease, HIV disease, Huntington’s
disease, Pick’s disease, and Creutzfeldt-Jacob disease. Chronic drug abuse and
the nutritional deficiencies that often accompany it can lead to dementia.
• Drugs help to reduce the cognitive symptoms of dementia and accompanying
depression, anxiety, and psychotic symptoms in some patients.
• Delirium is characterized by disorientation, recent memory loss, and clouding of
consciousness. Delirium is typically a signal of a serious medical condition, such
as stoke, congestive heart failure, an infectious disease, high fever, or drug
intoxication or withdrawal.
• Treating delirium involves treating the underlying condition leading to the delirium
and keeping the patient safe until the symptoms subside.
CONCEPT REVIEWS
Disorders of Childhood
ADHD
Contributors to Autism Spectrum Disorder
Factors Associated with Intellectual Disability
Treatments for Intellectual Disability
Learning Disabilities
Disorders of Cognitive, Motor, and Communication Skills
Alzheimer’s
Types of Dementia
LECTURE SUGGESTIONS
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The text presents the childhood disorders described in DSM-IV. This does not mean,
however, that children do not experience the adult disorders, nor does it mean that the
disorders discussed in this chapter are exclusive to children. DSM-IV clearly states (on
p. 37) that providing a separate section for disorders that are usually first diagnosed in
childhood is only for convenience and does not mean that there is a clear distinction
between child and adult disorders. Thus, children can experience most of the disorders
described in the DSM-IV; however, some of the childhood disorders are age specific or
require certain behaviors to have occurred in childhood while the disorder is not
diagnosed until the individual is at least 18 years of age (e.g., antisocial personality
disorder). Further, some disorders seen in children, as well as adults, may have
somewhat different diagnostic criteria, such as depression. DSM-IV notes that “certain
symptoms such as somatic complaints, irritability, and social withdrawal are particularly
common in children, whereas psychomotor retardation, hypersomnia, and delusions are
less common in prepuberty than in adolescence and adulthood.” Also, the symptoms of
childhood schizophrenia are very similar to autism; one of the differential diagnoses,
however, is that with schizophrenia there was a normal period of development between
the time of birth and the onset of the disorder.
Children with learning disorders often show specific learning styles; that is, they may
perform better in school when they can learn new material by applying it through a
hands-on activity, by drawing a chart as a visual aid, or by manipulating material rather
than just hearing or reading about it. Discuss whether there are different learning styles
among students, too, such as visual, auditory, or kinesthetic. Have students identify how
they usually learn new material best. What type of learning style is encouraged in
college where most of the information is conveyed through textbooks and lectures,
requiring students to learn through reading and listening? Are those the ways they learn
best? Have students discuss alternative methods of learning and teaching that might be
beneficial to those students more visually or kinesthetically oriented.
Keith A. Johnson, M. D. and J. Alex Becker have developed The Whole Brain Atlas, a
compendium of over 13,000 brain images of normal brains and over 30 clinical cases
using CT (computerized tomography), MRI (magnetic resonance imaging), and
SPECT/PET (single photon/positron emission computed tomography). Normal brain
images, including structural and functional images of normal aging, are compared and
contrasted to clinical cases. Of particular relevance to this chapter are clinical images of
cerebrovascular disease, Alzheimer’s disease, AIDS dementia, and Creutzfeldt-Jakob
disease. The database is available via the Web at:
http://www.med.harvard.edu/AANLIB/home.html
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Nicotine and Cognitive Functioning in Patients with Alzheimer’s Disease
In the DSM-5, the PDD category has been dropped, and there is only one autism
spectrum disorder. These changes were made due to evidence that the distinctions
between the different PDDs, especially autism and Asperger’s disorder, were difficult to
make reliably and that the PDDs seemed to share common etiologies. Because the
disorder presents differently depending on symptom severity, developmental level (e.g.,
IQ), and age, DSM-5 uses the term “spectrum” to capture the range of related but varied
presentations.
The impact of the changes in the treatment of autism spectrum disorders in the DSM-5
is a matter of some debate and concern. Several initial studies that reanalyzed data
on children diagnosed under the DSM-IV-TR criteria found that DSM-5 criteria for
autism spectrum disorder captured only about 50 to 60 percent of children who
previously would have been diagnosed with autism, Asperger’s disorder, or PDD-NOS.
These studies indicated that the children most likely not to fit the DSM-5 criteria for
autism spectrum disorder are those who have higher IQs and who lack deficits in verbal
communications. Only about one-quarter of individuals previously diagnosed with
Asperger’s syndrome or PDD-NOS meet the criteria for autism spectrum disorder based
on the DSM-5 criteria.
These findings raised concerns about the effects of these changes on access to
services for individuals who have previously been diagnosed with autistic disorders
other than classic, low-functioning autism. The most recent and largest study of this
kind, however, found that DSM-5 criteria identified 91 percent of children with
established DSM-IV PDD diagnoses
CLASSROOM ACTIVITIES
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Materials Needed: Copies of the chart in Handout 10.1.
Procedure: Explain to the class that children with ADHD often respond positively to
behavioral techniques designed to help them be less forgetful, less impulsive, and less
distracted by the many unimportant stimuli around them. Clear expectations for
appropriate behaviors and frequent reinforcement for expected behaviors have been
found useful in helping children with ADHD change. A daily behavioral chart that clearly
describes the behaviors expected of the child on a daily basis is a useful tool, because it
makes it clear to the child what is expected of him or her and provides immediate
consequences (positive or negative), depending on how well the expected behavior has
been performed. However, designing clear, specific, and easy-to-use behavior charts is
not as easy as it may sound, as students will discover in this activity.
Have students work in small groups (two or three students per group are best). Give
each group a copy of the behavior chart in Handout 10.1, and ask them to think of
specific behaviors that may be problematic for a child with ADHD (e.g., forgetfulness,
restlessness). Then ask students to write clear and specific behaviors they would want
the child to show every day (e.g., remembering to bring textbooks home from school so
they can do their homework; sitting in their chair throughout dinner, etc.). Remind
students to be very specific and positive when describing the behavior they want to see,
that is, statements such as “don’t get out of your chair” should be avoided because they
describe what the child is not supposed to do, but not what he or she is supposed to do.
Students should also decide on specific rewards and punishments that can be given
easily every day depending on the child’s total point value at the end of the day (e.g.,
TV time could be a privilege, rather than a right, that can be granted or taken away,
depending on the child’s point value). Finally, have students share with the rest of the
class some of the target behaviors, reinforcements, and punishments they thought of.
Description: Students think of possible factors that may influence the cognitive
disorders using a bio-psycho-social model.
Time Needed: Approximately 15 minutes for group work and another 20 to 30 minutes
for discussion.
Procedure: The textbook mentions that education and cognitive activity throughout life
may protect against or forestall the development of dementia in people prone to the
disorder. These findings underscore the important interactional effects between
psychosocial factors and biology in the development of the disorders discussed in this
chapter. Assign students to small groups, and instruct them to come up with a list of
possible psychological and social factors that can significantly influence the
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manifestation, severity, and course of the cognitive disorders discussed in the chapter,
all of which are caused by medical diseases or substance intoxication or withdrawal.
Description: Students are presented with common myths about Alzheimer’s disease
and are given correct information to dispel the myths.
Materials Needed: The instructor needs a copy of Handout 11.1; additional copies of
this handout can be distributed to each student after this activity for future reference.
Procedure: Without telling students that these are myths, read each myth listed in
Handout 11.2 to the class, and have them indicate in their notebooks whether they think
the statement is true or false. After reading all eight myths, go through each one and
ask students whether they answered true or false, and why. Then give them the correct
information that is also listed in the handout. Discuss why there seems to be a high level
of misinformation about Alzheimer’s disease.
Some students, even though they are now in college (and are fairly successful),
probably had problems with learning disorders or speech disorders early in life. Have
students share their stories, or the stories of friends or siblings, and explain how they
overcame their problems. What types of treatment did they receive? What helped them
the most? Are they still affected in some way today by their early learning difficulties?
PROJECT SUGGESTIONS
Have students visit an integrated classroom at a public or private school where mentally
retarded children are learning together with normal IQ children. Students should prepare
questions for the classroom teacher ahead of time and interview the teacher about her
or his perspective on mainstreaming. What does the teacher view as an advantage?
What are some problems of mainstreaming? How does the teacher deal with those
problems? Students can prepare a brief paper or class presentation based on their
interview results and should also discuss their standpoint on the issue of mainstreaming
based on their impressions of the integrated classroom and additional research on this
topic.
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Learning Styles in Special Education Classrooms
Ask students to visit a special education classroom where children with learning
disorders are taught separately from children who do not show learning disorders.
Students are to observe the different learning styles that the children show. For
example, do children with reading disorders learn better by using visual cues or by
listening to others? More importantly, how does the teacher try to accommodate each
child’s learning style? How does the teacher work on specific skills with each child?
How effective is that skill training? Have students prepare a brief report about the
knowledge they gained about learning styles and interventions for learning disorders.
Students are asked to choose and read one of the many parenting books available on
how to deal with childhood problems, such as learning disorders, ADHD, autism,
aggression, and so on. What explanations are given to parents as to why their child may
have a particular problem? How do those explanations compare to the explanations
reviewed in the textbook? Students then analyze how psychological and social
principles discussed in the textbook (such as cognitive-behavioral interventions,
classroom strategies, etc.) are incorporated into the parenting book. Are there other
strategies suggested to parents that are not mentioned in the textbook (such as parental
support groups, nutrition advice, etc.)? If so, what are they, and what do students think
of their effectiveness for helping the child with his or her problem?
Alternatively, students could read articles in popular parenting magazines about specific
childhood problems (such as ADHD or learning disorders) and apply the same critical
thinking questions.
McGraw Hill also has an extensive database of video clips available in the McGraw-
Hill's Visual Assets Database for Life-Span Development (VAD 2.0)
(http://www.mhhe.com/vad). This is an online database of videos for use in the
© 2014 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any
manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
developmental psychology classroom created specifically for instructors. You can
customize classroom presentations by downloading the videos to your computer and
showing the videos on their own or inserting them into your course cartridge or
PowerPoint presentations. All of the videos are available with or without captions.
McGraw-Hill also offers other video and multimedia materials, ask your local
representative about the best products to meet your teaching needs.
The Faces Interactive Module contains an interview with an individual diagnosed with
Attention Deficit Disorder.
VIDEOS
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manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Bill (1981) and Bill: On His Own (1983) are sensitive movies about a mentally retarded
man who pursues an independent life after having spent years in an institution. This
movie helps people understand the challenges that mentally retarded individuals face.
Forrest Gump (1994) Tom Hanks is an endearing character who demonstrates that
Intellectual Disability (or a physical disability) does not have to keep a person from
being successful in life, when success is defined as being true to oneself, persevering
through adversity, and helping others. It illustrates some of the prejudice and cruelty
experienced by mentally retarded children and uses irony to show that what some may
label a “handicap” can be turned into a strength, or even “genius,” depending on one’s
viewpoint.
Rain Man (1988) is a movie about an autistic savant (Dustin Hoffman) and the
development of the relationship between him and his brother (Tom Cruise) who has to
learn to deal with Hoffman’s limitations and uniqueness. When students want to watch
this film, point out how films like this can easily give the public the wrong impression
about autism, because only very few autistic individuals show exceptional abilities in
some areas.
The Other Sister (1999) is about 24-year-old Carla Tate (Juliette Lewis), a mentally
challenged young woman who has spent several years at a private boarding school and
now comes home to her wealthy parents who are not prepared to deal with her and
have difficulty viewing Carla as an adult. Carla meets a mentally challenged young man
(Giovanni Ribisi) in a class. Together, they try to face a world of challenges and
prejudice.
What’s Eating Gilbert Grape? (1993) tells the story of Gilbert Grape (Johnny Depp)
who lives in a boring small town and has to take care of his retarded brother (Leonard
DiCaprio).
Coping With Attention Deficit Disorder in Children examines the causes, symptoms,
proper evaluation and diagnosis, approaches to treatment, and expert advice on coping
with the emotional impact on those with ADD and ADHD and their families. (Films for
the Humanities and Sciences, #BVL5794, 24 min., 1995)
Hyper-lives: ADHD Stories presents three families making different choices in the
treatment of ADHD. A number of experts also talk about treatments. (Films for the
Humanities and Sciences, BVL31366, 48 min, 2002)
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treasonable practices during this wicked and unnaturall rebellion,
Could not but in Justice to Mr. Grant’s Character Certifie of him as
follows. First, That he was born in the Bounds of this Presbytery of
Honest parents who professed the Protestant Religion according to
the Principles of the Established Church of Scotland and he had his
Education in this way. 2dly That as Mr. Grant very early in his
younger years thought of applying himself to the Work of the Ministry
he attended the Colleges of Philosophy and Divinity and brought
from the several Professors sufficient Testimonials of his diligence
and progress in his studies as well as of his morall Character so that
this Presbytery had Encouragement to enter him upon Trials and
upon finding him qualified Did Licence him to preach of the Gospel of
Jesus Christ. 3dly That, after he was licenced he continued in the
Bounds of this Presbytery for the space of some years and both in
his publick Discourses and private Conversation discovered the
firmest attachment to His Majesty King George his Person and
Government. And had the same Principles and views with respect to
Government that all the Members of this Judicatory have particularly
That the Security of our Religion and Liberty is inseperably
connected with the stability of our Most Gracious Sovereign King
George his Throne and the Succession of his Royall Line. And since
Mr. Grant removed from our Bounds and was ordained Minister at
Urquhart in the neighbouring Presbytery of Abertarph, which will be
about six years agoe he has continued in the strictest friendship and
most intimate Correspondence with the most of our Members and
still they found that neither his Principles nor practices were anyways
Derogatory from what he had early imbibed, publickly owned, and all
along practised while among them. And from the Report of some of
our Members who have been in the Parish of Urquhart since Mr.
Grant was carryed of It is notour and well known there that several
Attacks were made on Mr. Grants Life during the Rebellion for his
Attachment to the Government and his continuing in his duty to pray
for His Majesty King George and the Royall Family.
At one time a Man who had the Rank of an Officer in the
Rebellious Mob threatned on a Sabbath Day immediately after
Divine Worship to seize him, carry him to a Loch in the
neighbourhood, and Drown him there, and gott about thirty or fourty
of the same Gang to Join in the Undertaking. At anoyr time two
Ruffians broke into a Company where Mr. Grant was, attacked him
with drawn Durks untill hindered by those who were present. Again
on a Sabbath day immediatly as he came out from Sermon some of
the Rebells Wives and others fell upon him, tore his Cloaths and
abused him so that with great Difficulty he was rescued from them
and gott into his own house. Another party of the same wicked Crew
threatned publickly to burn his House and Family, when they got
their opportunity. Therefore from our Knowledge of Mr. Grant’s
Principles, our through Acquaintance of him, together with the
Notouriety of thes facts with respect to his Usage by the Rebells, we
cannot but hope that he is entirely innocent of any charge of
Dissloyalty can be brought agst. him, and we are apt to presume that
some invidious person or persons have given in an Information
against him which tho’ false in fact may either kill him by
Confinement as he is of a tender Constitution or ruin his
circumstances by the Expense of such a Process, by either of qch
they will sufficientlie gratifie yr malicious views. And we are fully
satisfied that if there is the least of misconduct chargeable on Mr.
Grant it must have been entirely owing to Inadvertency and oversight
and not the effect of Principle or Design. Given Day and Date above
in name in presence and by appointment of the Presbytery of
Abernethy, and signed by
Pat Grant, Modr.