Benefits of Animal-Assisted Therapy for Autism

Unlocking Potential: How Animals Support Autistic Development

By Milestone Achievements Staff
May 30, 2025

Introduction to Animal-Assisted Therapy and Autism

Animal-assisted therapy (AAT) utilizes trained animals as part of structured therapeutic interventions to support individuals with autism spectrum disorder (ASD). This approach leverages the human-animal bond to foster emotional, social, and physical development, providing a non-judgmental and engaging presence that can enhance traditional therapies. While AAT is not a primary treatment, it is increasingly recognized as a valuable supplement that can improve stress management, social skills, and emotional regulation in autistic individuals.

The Therapeutic Role of Animals in Autism Interventions

Harnessing the Power of Animals in Autism Support: Benefits and Models

What are the benefits of animal-assisted therapy in general?

Animal-assisted therapy (AAT) offers a wide array of benefits for individuals with autism, encompassing physical, emotional, and social improvements. Physically, interacting with animals can reduce blood pressure and cortisol levels, lowering stress and promoting calmness. Emotionally, animals serve as nonjudgmental companions, fostering feelings of acceptance, self-confidence, and reducing loneliness. Many participants report enhanced emotional well-being and decreased anxiety.

In terms of social engagement, animals provide a positive external focus that encourages attention and interaction. For children with autism, animals often act as social catalysts, increasing smiles, eye contact, verbal communication, and social gestures. These interactions can boost self-esteem and help children feel more comfortable in social settings.

Furthermore, animal-assisted therapy can facilitate sensory experiences through touch and environmental interaction, which may lead to behavioral regulation and a reduction in meltdowns and hyperactivity. Petting animals releases mood-enhancing hormones like serotonin and oxytocin, contributing to relaxation and emotional stability.

Research indicates that AAT can contribute to the development of empathy, language skills, and social motivation. For example, children engaging with therapy dogs or guinea pigs often show improvements in social behavior and emotional regulation. Additionally, some studies highlight that animal-assisted activities can improve core ASD symptoms such as irritability and hyperactivity.

Despite these promising outcomes, it is important to recognize that the evidence is still growing, and more rigorous research is needed to confirm and understand the mechanisms behind these benefits. Proper assessment and individualized matching of animals to children are critical to ensure safety and maximize positive effects.

How do therapeutic models involving animals work?

Animal-assisted interventions can adopt various models based on individual needs and case complexity. The most common models include triangle, diamond, and star configurations, which specify different roles and interactions among therapists, clients, and animals.

  • The triangle model involves the therapist, child, and animal working together, fostering trust and emotional connection.
  • The diamond model expands this interaction to include family members or caregivers, promoting social support beyond therapy sessions.
  • The star model incorporates multiple animals, each providing different sensory or emotional stimuli tailored to the child's needs.

These models facilitate different therapeutic objectives, such as improving communication, emotional regulation, or motor skills through structured activities involving animals. They are typically embedded within therapeutic frameworks managed by psychologists, occupational therapists, or speech therapists.

Importantly, groundwork like thorough assessment and individualized planning are essential to address potential limitations. For example, some children might find certain animals overwhelming or triggering, and strategies are implemented to mitigate such risks.

What mechanisms of action are involved, including biological, psychological, and social factors?

The benefits of animal-assisted therapy are mediated through complex biological, psychological, and social mechanisms.

Biological factors include physiological responses such as the release of oxytocin, often called the "bonding hormone," which has calming effects and reduces stress hormones like cortisol. When children interact with animals, their bodies may produce increased oxytocin levels, leading to feelings of relaxation and social bonding.

Psychological factors involve emotional regulation, confidence, and the development of empathy. Animals provide a safe, nonjudgmental presence that encourages children to express themselves, explore social cues, and practice communication. This supportive environment helps reduce anxiety and behavioral issues.

Social factors encompass improved social motivation and engagement. Animals effectively serve as social catalysts, prompting children to initiate interactions and maintain attention during therapy. They also model gentle interactions, helping children learn social norms.

Furthermore, physical activity involved in interactions—like petting or riding—can enhance motor skills and sensory processing. The multisensory experiences stimulated by animals may produce lasting neural adaptations, fostering better integration of sensory information.

What types of animals are commonly used in therapy?

Different animals are selected based on their temperament, ease of care, and suitability for specific therapeutic goals. The most common include:

Animal Type Typical Uses Benefits & Considerations
Dogs Widely used in therapy programs; support social communication and emotional regulation. Easy to train, highly social, provide comfort through physical contact. Suitable for children who can interact non-verbally; training and temperament are important.
Cats Suitable for children preferring quieter companions; can promote calmness and independence. Usually independent, require minimal handling, ideal for children who appreciate calm environments.
Guinea Pigs Gentle, low maintenance small animals; used to calm children and promote social skills. Friendly, non-intimidating, helpful in reducing physiological arousal; stress-reducing effects observed.
Horses (Equines) Used in hippotherapy and therapeutic horseback riding to improve balance, coordination, and speech. Engage sensory, neuromuscular, and brain systems; promote motor development and emotional regulation.
Small mammals like rats or ferrets Increasingly studied; support social interactions and emotional bonding. Highly intelligent, social animals that enjoy human interaction, fostering communication skills.

Selecting the appropriate animal depends on individual client needs, animal temperament, and safety considerations. Ensuring the animals' welfare and training is vital to maximize benefits and minimize risks.

Additional insights on animal-assisted therapies for autism

Animal-assisted therapies are increasingly supported by scientific research, though the field still faces challenges related to study designs and standardization. Benefits such as improved social engagement, reduced anxiety, and behavioral regulation appear promising. Some high-quality studies highlight gains in social responsiveness and language skills, especially when animals are integrated into broader therapeutic plans. However, limitations include small sample sizes, variability in intervention protocols, and difficulties with blinding.

The neurobiological effects, such as increased oxytocin release and decreased cortisol, help explain some of the emotional and behavioral improvements observed. Animal presence can act as a gateway to fostering empathy and positive social behaviors.

In conclusion, animal-assisted therapy and interventions involving various animals serve as valuable complementary options in managing autism symptoms. Their success depends on individualized approaches, thorough assessment, and ongoing research to better understand and harness their full potential.

Physical, Sensory, and Emotional Benefits of AAT

Physical, Sensory, and Emotional Gains from Animal-Assisted Therapy

What are the benefits of animal-assisted therapy for individuals with autism?

Animal-assisted therapy (AAT) provides a wide range of support for people on the autism spectrum. One of the most immediate benefits is the creation of a safe and trusting environment. Animals such as dogs, cats, guinea pigs, and horses act as companions and nonjudgmental friends, encouraging individuals to open up and participate in therapy.

In terms of physical benefits, AAT often offers a calming influence. For example, petting an animal can lower blood pressure and decrease levels of stress hormones like cortisol. It also helps children and adults feel more secure and comfortable during sessions, which can lead to increased participation and attention.

Sensory stimulation is another important aspect of AAT. Engaging with animals involves multisensory experiences—touch through stroking fur or feathers, environmental cues from the animals' presence, and social interactions through shared activities. These multisensory inputs can help reduce hyperactivity, meltdowns, and sensory overload by providing structured yet soothing stimuli.

The emotional gains from AAT are significant. Interacting with animals fosters feelings of acceptance, self-confidence, and emotional well-being. Many individuals report greater self-esteem and an increased capacity for emotional regulation after sessions involving animals. Animals are perceived as nonjudgmental and supportive, which can be especially beneficial for children with autism who face challenges like social anxiety or bullying.

Research supports these observations. For instance, children with autism who engage with therapy dogs or guinea pigs show increases in social behaviors such as smiling, eye contact, and verbal interaction. Biological effects, such as the release of oxytocin—a hormone associated with bonding and calming—further contribute to reduced anxiety and improved mood.

AAT is tailored to each individual, often using different configuration models like triangle, diamond, or star setups depending on needs and case complexity. This personalized approach maximizes therapeutic outcomes, blending physical, sensory, and emotional dimensions.

While AAT has promising benefits, it is essential to consider potential limitations. Some animals may trigger autistic traits or cause agitation, but these risks can be mitigated through careful assessment and planning. Overall, integrating animals into therapy offers a holistic method that supports multiple facets of development and well-being.

In summary, animal-assisted therapy enhances physical safety and comfort, provides enriching sensory experiences, and nurtures emotional health—making it a valuable adjunctive tool in autism interventions.

Biological and Psychological Mechanisms of AAT

How Animals Impact the Brain and Emotions: Underlying Mechanisms of AAT

How do animals help autistic people in general?

Animals play a vital role in supporting autistic individuals by providing a calming presence and fostering emotional stability. Pets such as dogs, cats, and guinea pigs offer companionship that reduces feelings of loneliness and stress. Their non-judgmental nature helps individuals feel accepted, which can ease social anxiety and promote more open interaction.

Interacting with animals helps develop social and emotional skills. Animals often serve as social facilitators, encouraging communication and interaction that might be challenging in human-only settings. For example, children with autism may communicate more effectively and engage more frequently when animals are involved.

Furthermore, animals teach empathy, responsibility, and caregiving behaviors, which contribute to emotional growth. These experiences strengthen self-esteem and foster independence.

Animal-assisted therapy (AAT) harnesses these benefits through structured activities that promote trust, emotional well-being, and social engagement. Overall, animals significantly improve mental health and social functioning, contributing to a better quality of life for autistic individuals.

What scientific research supports the use of animal-assisted therapy for autism?

Research on animal-assisted therapy (AAT) for autism shows promising results across diverse outcomes. Multiple systematic reviews and recent high-quality studies highlight its potential to foster social interaction, improve communication skills, and reduce anxiety.

Studies involving horses, dogs, and other animals demonstrate increases in social behaviors, emotional regulation, and reductions in physiological stress indicators like cortisol levels. For instance, interactions with therapy dogs lead to more eye contact, smiling, and gestures in children with autism. Similarly, equine-assisted activities have been linked to improvements in sensory processing and social cognition.

Although the evidence is encouraging, many studies face limitations like small sample sizes, lack of uniform methodologies, and potential biases. Despite these challenges, the theoretical basis for AAT is supported by the Biophilia Hypothesis, which suggests humans have an innate affinity for other living beings. This connection can be leveraged to support emotional and social development.

In sum, current research supports AAT as a beneficial supplement to traditional therapies, with evidence pointing to improvements in social behaviors, emotional regulation, and stress reduction. More rigorous and standardized research is needed to confirm its efficacy definitively.

How do biological effects like oxytocin release and cortisol reduction influence therapy outcomes?

Biological markers such as oxytocin and cortisol play significant roles in how animals impact autistic individuals during therapy sessions. Oxytocin, often called the "love hormone," is released during positive human-animal interactions. Elevated oxytocin levels promote feelings of calmness, bonding, and trust, which can make individuals more receptive to therapy.

Conversely, cortisol is a hormone associated with stress. Animal-assisted interactions have been shown to decrease cortisol levels in autistic individuals, signifying reduced stress and anxiety. For example, engaging with therapy dogs or horses can lower cortisol, contributing to a more relaxed state conducive to learning and social engagement.

The interplay between oxytocin and cortisol helps facilitate a positive feedback loop: animals induce cortisol reduction and oxytocin increase, which together enhance emotional regulation, diminish hyperactivity, and promote social behaviors.

How do animals influence emotional regulation?

Animals serve as emotional anchors in therapy. Their calming presence helps regulate strong emotional responses such as anxiety, agitation, or meltdowns. For instance, children who interact with therapy dogs often smile more, show less irritability, and display improved mood.

Specific strategies, such as dogs applying weighted pressure or licking to comfort distressed children, physically help reduce agitation. Animals provide predictable, gentle responses that teach individuals to manage their emotions better.

Moreover, interaction with animals fosters a sense of stability and routine, critical for emotional regulation. This can translate into improved self-confidence, acceptance of oneself, and decreased lonely feelings.

What role does multisensory stimulation play in AAT?

Multisensory stimulation is a fundamental aspect of animal-assisted interventions. Animals stimulate multiple senses simultaneously through touch, sight, sound, and environment. Petting a dog, for example, activates tactile senses and promotes relaxation through serotonin and prolactin release.

This multisensory engagement can help reduce hyperactivity and meltdowns by providing calming sensory input. For children with sensory processing differences, animals offer gentle, controllable stimulation that supports sensory integration.

In therapies such as hippotherapy (horse riding), the sensory input from the horse's movement engages neuromuscular and brain systems, improving coordination and strength. This sensory integration fosters better focus, emotional calmness, and motor control.

Biological Factors Effects How They Influence Therapy
Oxytocin Calming, bonding Enhances trust and social engagement
Cortisol Stress hormone Lowering cortisol reduces anxiety and hyperactivity

In conclusion, animals influence autistic individuals biologically and psychologically by triggering positive hormonal responses, enabling better emotional regulation, and providing rich multisensory experiences. These mechanisms support behavioral improvements and emotional stability, making animal-assisted therapy a valuable tool in supporting autism management.

Animal-Assisted Activities and Specific Animal Types in Autism Support

Choosing the Right Animal: Types and Benefits in Autism Support

Are cats or other animals beneficial for autism?

Animals such as cats and dogs are commonly included in therapy programs for children with autism, offering emotional, sensory, and social benefits. Cats, in particular, provide a calming presence due to their soft fur, gentle purring, and independent nature. These qualities help create a stable environment, reducing anxiety and promoting relaxation.

Interacting with cats can improve social skills, encourage empathy, and promote emotional regulation. The gentle touch and quiet companionship offered by cats can help children develop a sense of responsibility and confidence. Scientific research supports this, indicating that contact with cats releases oxytocin—a hormone linked to bonding and calmness—and decreases cortisol levels, a marker of stress.

Similarly, dogs are versatile therapy animals, trained to assist with emotional and physical regulation. Rutinely, dogs can be trained to apply weighted pressure during meltdowns, lick to provide comfort, and even help prevent self-harm. Their ability to create strong bonds, especially with non-verbal children, makes them invaluable in autism support.

What are the advantages of pet therapy for children with autism?

Pet therapy presents many benefits tailored to the needs of children with autism. It notably helps in reducing stress and anxiety—interactions with animals like guinea pigs, for example, have been shown to significantly lower physiological markers such as skin conductance, indicating relaxed states. These calming effects can extend beyond individual sessions, contributing to overall emotional stability.

Additionally, pet therapy fosters the development of social skills and communication. Animals act as positive external focus points and nonjudgmental companions, which support children’s efforts to engage more confidently in social interactions. For example, children responded with more smiling, gestures, and eye contact when interacting with therapy dogs compared to toys.

Engaging with pets can also teach responsibility and routine, vital skills for children with autism. Caring for animals like guinea pigs or rats requires consistent feeding and handling, promoting self-esteem. Hobbies like horseback riding or equine-assisted activities further develop motor skills, coordination, and sensory processing.

Beyond the individual, pet therapy can strengthen family bonds and improve family functioning by reducing stress within the home environment. Overall, animals serve as supportive partners in therapy, complementing traditional interventions and addressing sensory, emotional, and social facets of autism.

Specific benefits associated with each animal type

Animal Type Benefits Examples of Use Additional Notes
Dogs Emotional regulation, social engagement, calming effects Therapy dogs applying weighted pressure, licking for comfort, promoting eye contact Suitable for children who communicate non-verbally, creating strong bonds
Cats Stress reduction, emotional regulation, stability Soft fur, purring, routine companion role Provide a calming presence, lessen anxiety through sensory stimulation
Guinea Pigs Social behavior, relaxation, social skills Small group interactions, quiet companionship Gentle, low-maintenance, making them ideal for calmer environments
Rats Social interaction, cognitive engagement Handling, play sessions Enjoys human interaction, best kept in pairs for well-being
Horses (Equines) Sensory integration, motor skills, social cognition Therapeutic horseback riding, equine-assisted therapy Engages neuromuscular systems, improves balance and coordination

Examples of interventions involving different animals

Various programs incorporate animals into therapy sessions tailored for autistic children. For instance, therapy sessions with guinea pigs have been shown to increase smiling and social behaviors, with children experiencing a 43% decrease in physiological arousal, measured by skin conductance. Interaction with therapy dogs often results in increased positive facial expressions, gestures, and eye contact.

Hippotherapy, or therapeutic horseback riding, uses horses to stimulate sensory and neuromuscular systems, improving strength, coordination, and language skills. These equine-assisted activities sometimes produce lasting improvements in social functioning, sensory processing, and executive functioning.

In addition, service dogs are trained to assist with daily routines, promote safety, and support calmness during stressful moments. Such interventions not only benefit the children directly but also improve routines and emotional stability within the family context.

Animal-assisted activities are often part of comprehensive treatment plans, used alongside speech therapy, occupational therapy, and behavioral interventions. They offer multisensory engagement, emotional comfort, and motivation, reinforcing traditional treatments and addressing core areas affected in autism.

Final perspective

The growing body of research underscores the importance of selecting appropriate animals and interventions tailored to each child's preferences and needs. Proper matching, careful assessment, and ongoing monitoring ensure safe, effective, and meaningful animal-assisted therapy experiences for children with autism.

While challenges such as ensuring animal welfare and managing individual sensitivities exist, the benefits—ranging from improved social behaviors to emotional resilience—highlight the valuable role animals play in autism support strategies. As research advances, standardizing protocols and expanding evidence will help maximize these therapeutic benefits for more children and families.

The Limitations and Challenges of Animal-Assisted Therapy

Navigating Challenges in Animal-Assisted Therapy: Ensuring Safety and Effectiveness

What scientific research supports the use of animal-assisted therapy for autism?

Scientific studies have increasingly documented the benefits of animal-assisted therapy (AAT) for individuals with autism spectrum disorder (ASD). Research indicates that interactions with animals can promote social engagement, emotional regulation, and decrease feelings of anxiety.

Systematic reviews from 2012 to 2015, along with newer studies, highlight that children with ASD often show increased social behaviors, improved communication skills, and a reduction in physiological stress markers such as cortisol levels. For example, involvement with therapy dogs has been linked to more positive facial expressions, increased gestures, eye contact, and spontaneous speech.

High-quality randomized trials suggest that AAT is probably efficacious as a supplementary intervention. The potential mechanisms include the innate human affinity for animals—supported by the Biophilia Hypothesis—which may make autistic children more receptive to therapy involving animals. Although promising, the evidence currently still calls for more standardized interventions and rigorous scientific evaluation to firmly establish the therapy’s effectiveness.

Overall, animal-assisted therapy holds potential as a supportive approach for autism, fostering improvements in social interaction, emotional health, and stress reduction. Nonetheless, further well-designed research is essential to confirm these benefits and better understand the biological and psychological mechanisms involved.

Potential triggers for autistic traits

While many benefits are noted, AAT can sometimes trigger adverse reactions in autistic individuals. Certain animals or specific interactions may provoke meltdowns, agitation, or heightened sensory sensitivities. For instance, some children might find the tactile sensation of petting or the animal’s movements overwhelming.

Identifying triggers requires thorough assessment prior to therapy. Particular attention should be paid to the child’s sensitivities, past experiences, and sensory processing tendencies. This helps in selecting appropriate animals and designing sessions that minimize stress.

Mitigating animal-related stress or agitation

To prevent distress, comprehensive planning is vital. This includes ensuring animal welfare and comfort, choosing animals with temperament suitable for therapy, and closely monitoring reactions during interactions. Using animals with predictable and gentle behavior, such as calm dogs or low-maintenance guinea pigs, can reduce the risk of agitation.

Furthermore, therapists and handlers should be trained to recognize early signs of stress or discomfort both in children and animals. Techniques such as giving children control over interactions, providing breaks, and creating a safe environment help in reducing potential stress.

Assessments for matching animals to individuals

Matching the right animal to a child's needs is crucial. Factors considered include the animal’s breed, temperament, handling experience, and health status. In some cases, a structured assessment guides the pairing process.

Matching also involves observing the child's responses to different animals and adjusting accordingly. For instance, children preferring calmer, independent animals like cats may benefit from their companionship, while those requiring more physical contact might find dogs or guinea pigs more supportive.

These assessments aim to optimize therapeutic outcomes, enhance safety, and promote a positive experience for both the child and the animal.

Aspect Considerations Details
Research support Evidence level Systematic reviews, randomized trials, growing scientific literature
Triggers Potential triggers Overstimulation, tactile sensitivities, animal unfamiliarity
Stress mitigation Strategies Thorough assessment, animal temperament selection, close monitoring
Matching process Criteria Breed, temperament, history, child's preferences

The application of animal-assisted therapy in autism involves both promising benefits and significant challenges. By understanding these limitations and carefully planning interventions, practitioners can maximize positive outcomes and ensure the safety and well-being of all involved.

Integrating Animal-Assisted Therapy into Broader Autism Support Strategies

Integrating Animals into Autism Support: Strategies and Future Directions

What are the advantages of pet therapy for children with autism?

Pet therapy provides multiple benefits that can greatly support children on the autism spectrum. One of the most immediate observable advantages is its calming effect; even short interactions with animals such as dogs, guinea pigs, or cats can lower blood pressure and reduce physiological arousal, helping children feel more relaxed.

Beyond physical relaxation, animals serve as emotional anchors, fostering feelings of safety, trust, and companionship. The nonjudgmental presence of animals can encourage children to open up and communicate more effectively, which supports improvements in social skills and emotional regulation.

Therapy animals also offer multisensory stimulation—touch, sight, sound, and environment—helping children integrate sensory experiences and reduce tendencies toward meltdowns or hyperactivity. For example, petting a guinea pig or stroking a dog can increase the release of calming hormones such as oxytocin, further promoting emotional stability.

In addition to therapy sessions, pet ownership or caring for animals can teach responsibility and empathy, building self-esteem and fostering independence. These interactions often improve family cohesion as parents and children share meaningful experiences and develop stronger bonds.

Different animals serve varied roles; dogs are particularly effective for non-verbal children as they can be trained for specific calming behaviors like applying weighted pressure during distress or licking to provide comfort. Guinea pigs are ideal for children who prefer gentle, calm companions, while cats can serve children who enjoy a more independent interaction.

Overall, pet therapy supports emotional well-being, social engagement, and behavioral development, tailored to each child's individual needs. It complements traditional therapies by adding a layer of multisensory, emotional, and social support that can lead to lasting improvements.

How can therapy be combined with traditional treatments?

Integrating animal-assisted therapy with conventional treatments such as occupational therapy, speech therapy, and behavioral interventions can yield more comprehensive support. For instance, animals can act as motivators, helping children participate in communication exercises or motor activities more willingly.

Structured therapy models—like triangle, diamond, or star configurations—allow therapists to customize interventions based on each child's needs. These models facilitate social facilitation, encouraging interactions not only with animals but also with therapists and peers.

Research indicates that when incorporated effectively, animal-assisted activities enhance the effectiveness of traditional therapies, especially in improving social responsiveness, reducing irritability, and decreasing hyperactivity. Additionally, animals can serve as emotional anchors during challenging sessions, helping children regulate their behaviors.

The role of family and community involvement

Integrating families into animal-assisted therapy enhances the benefits and encourages consistency at home. Parents and caregivers learn to continue positive interactions with animals outside clinical settings, fostering a supportive environment.

Community programs, including school-based pet therapy and local animal-assisted activities, expand access and normalize the presence of animals in social and educational contexts. Such initiatives can reduce stigma and promote peer acceptance.

Supporting families with resources on caring for therapy animals and understanding their specific needs ensures the sustainability of these interventions. Teaching children to care for pets also cultivates empathy, responsibility, and routine—elements critical for emotional stability.

Future directions and research needs

Despite promising findings, research on animal-assisted therapy for autism faces limitations like small sample sizes, lack of standardization, and methodological inconsistencies. There is a need for high-quality, large-scale studies that rigorously evaluate long-term outcomes.

Future research should explore physiological effects on both children and therapy animals, as well as the mechanisms through which these interventions influence neural and behavioral changes.

Developing standardized frameworks and protocols will help practitioners implement consistent, evidence-based practices. Exploring the integration of various animal types and therapy models can also optimize outcomes.

In summary, combining animal-assisted therapy with traditional interventions, engaging families and communities, and advancing research are essential steps toward harnessing the full potential of animal-assisted strategies in autism support plans.

Final Thoughts on the Role of Animals in Autism Support

While animal-assisted therapy is not a cure for autism, evidence increasingly indicates its significant benefits in enhancing social, emotional, and physical well-being. The biological, psychological, and social mechanisms by which animals influence autistic individuals—such as oxytocin release, sensory stimulation, and building trust—are supported by growing scientific research. From calming companion animals to specialized service dogs and therapeutic horses, these interventions can be tailored to meet individual needs, fostering greater independence, emotional regulation, and social integration. Challenges remain, including ensuring animal welfare and appropriate matching, but ongoing research continues to refine best practices. Ultimately, the inclusion of animals in autism support strategies offers a promising, holistic approach to improving quality of life, emphasizing that our bond with animals can significantly contribute to the developmental journey of autistic individuals.

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