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Paha Oot (You're No Good) _BEST_

Most of the studies focus on comparing outcomes for the adjustment of couples with and without children. Living in the city, having a profession, having a good income, and having more years of marriage are predictors of marital adjustment in primary infertile women [196]. There was no significant difference between infertility and control groups in terms of sexual function. Still, women and men in the infertility group had more problems in terms of dyadic adjustment than the control group [197]. In another study, according to the variable of having children, there was no difference between couples in terms of marital adjustment and dyadic adjustment, as well as sexual satisfaction in women and men did not differ based on this variable [198]. On the contrary, another study showed that women affected by infertility have worse dyadic adjustment than men [199]. Although women in the infertility group reported a higher decrease in marital adjustment than infertile men, this was not different from the control group [200]. In another study, there was no difference between families with children and childless families in terms of depression, but marital satisfaction was higher in childless couples [201].

Paha oot (You're No Good)

"Bear Butte isn't just a butte where people come to pray or get married. It represents something deeper than that. It represents a philosophy that guides behavior: be good to others and good to ourselves; respect everything."

This ancient ceremony, also known as "Welcoming Back the Thunder Beings," celebrates the arrival of a new Oceti Sakowin Oyate growing season. Participants pray that the Thunder Beings will bring good weather and that younger generations will carry on the tradition.

During my residency, I have felt immense support from my faculty and coworkers, not only in words but also actions. Faculty have frequently checked in with me, brought microaggression issues to hospital administrators, and offered to accompany me on my nightly walks when I felt unsafe. The following is not meant to be viewed as an attack or to discredit anyone's good intentions. My hope is to provide insight into my experience with racism since many of my colleagues have not experienced it.

Another tactic that might feel strange at first, but can help to approach your mean inner voice with kindness, is talking to yourself as you would a friend. When negative thoughts intrude ask yourself, "Are you ok? What's wrong? Why are you so angry? Are you feeling hurt?" The idea is to good-naturedly interrupt yourself whenever you start to trash talk yourself. It's kind of like The Golden Rule: "Do unto others as you would have them do unto you," except it involves treating yourself with the same kindness and compassion that you treat the people you love. 041b061a72

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