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How do I repair desktop to Windows XP Appearance?

Running Windows XP, I have lost the ability to select any other Desktop Appearance but Windows Classic Style, when usually there are two options - http://www.theeldergeek.com/HT2_003.htm

Can anyone help restore this please?!
Hunter, November 2008
I pressed something wrong and now all icons in my desktop are lying. I can run my computer but I must turn it in 90 degrees. Somebody said that it is possible to repair by klicking ctrl and sign up buit it didn´t work for me
Thanks for your help

Ivan, January 2009