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Undertaken over a period of time, CPD ensures that educational qualifications do not become obsolete, and allows for best practice and professional standards to be upheld. Further down, the paper acknowledges that the medical profession sees these individuals as suffering from a mental disorder, and many of them are reluctant to be diagnosed differently because they fear they would lose whatever medical attention they need. Smith and Storck tried to push the conversation high enough so the community could participate and they got taken to the woodshed.