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able accept achieve attitudes become behavior bladder changes Coitus Comarr cord injury patients Cord lnjury Centers Cord lnjury Service Dave Barrie dependency develop disabled person discharge doctor encourage Essie Davis Estin example experience family members feel goals going handicapped HOSPlTAL important injured patient interact involved kind lesions live Long Beach lower motor neuron marriage Michael Burns milieu program motivated normal nurses PANELlST paraplegia paraplegic pattern perception physical physical therapy PM&R problem professional psycho-social psychological psychologist quadriplegic QUESTlON reflex activity reflexogenic erections rehabilitation program relationship responsibility role SCl Centers SCl individual SCl lNDlVlDUAL SCl patients SCl Service Sexual Function situation social distance Spinal Cord lnjury staff members Synanon talk task therapeutic therapist therapy things tion treatment upper motor neuron veterans vocational ward Weight Watchers wheelchair wife