A treatment service may be evaluated in terms of patient outcome, but not individual courses of treatment or, indeed, individual therapists except in those unusual instances where there is high patient throughput as in certain treatment trials and implementation initiatives.
DSM-5 states cautiously that "Personality disorder categories may be applied with children or adolescents in those relatively unusual instances in which the individual's particular maladaptive personality traits appear to be pervasive, persistent, and unlikely to be limited to a particular developmental stage or another mental disorder".
In an unusual instance in the fashion world of basic human solidarity, the continued applause for the absent Ms. Missoni at her show's conclusion signaled a group agreement to keep that hope alive.
(d) Notwithstanding the time limitations included in paragraph (b) of this section, an applicant may obtain a special waiver of these time limitations in emergency or unusual instances, provided that a specific confirmation is received from the Administrator or his delegate advising the registrant to proceed pursuant to the special waiver.
(c) Notwithstanding the time limitations included in paragraph (a) of this section, a registrant may obtain a special waiver of these time limitations in emergency or unusual instances; provided that a specific confirmation is received from the Administrator or his delegate advising the registrant to proceed pursuant to the special waiver.
But surgeons did find two unusual instances in which a sympathectomy helped: it stopped intractable chest pain in patients with advanced, inoperable heart disease, and it put an end to hand and facial sweating in patients with hyperhidrosis — uncontrollable sweating.
And in an unusual instance of just desserts, the ingénue of the year is appearing in what promises to be the comedy of the year, David Lindsay-Abaire's haunting and hilarious new play.
In an unusual instance of self-criticism, a well-known Hamas official has deplored the collapse of Gazan life into chaos and has said that much of the blame belongs to Palestinians themselves.
In an unusual instance of a secretary general's singling out an individual envoy for critical comment, Mr. Annan said he was seeking a meeting with Mr. Bolton to make his point in person.
The deal will see the bank use Zopa's platform to find suitable borrowers, in an unusual instance of a bank outsourcing its credit decisions to a third party.
In an unusual instance of an established cultural organization taking an upstart arts group under its wing, the New Museum of Contemporary Art in SoHo is forging a partnership with Rhizome.org, an Internet site where digital artists can exhibit their online projects and crow about their status as art-world outsiders.
