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Supporting Well-being and Resilience: Delivering Interactive Workshops for Psychiatry Core Trainees
- Kenneth Ruddock, Catriona Neil, Suzanne Galloway, Rekha Hegde
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- Journal:
- BJPsych Open / Volume 9 / Issue S1 / July 2023
- Published online by Cambridge University Press:
- 07 July 2023, pp. S35-S36
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Aims
Stress and burnout is increasingly recognised as an issue for doctors in training. The 2022 General Medical Council (GMC) National Training Survey revealed that 39% of respondents were suffering from burnout to a ‘high’ or ‘very high’ degree. 51% felt their work is emotionally exhausting. There are multiple sources of stress for psychiatry trainees, including clinical demands, adverse events, the impact of emotional labour and moral injury. The Royal College of Psychiatrists recognises the importance of supporting trainees’ well-being; this has been reflected with the inclusion of personal well-being-focussed key capabilities in the new Core Psychiatry Training curriculum.
MethodsTo meet these needs, we developed and delivered two interactive face-to-face workshops for Year 1 Core Psychiatry Trainees (CT1s) in the West of Scotland. Training is embedded within the CT1 educational programme and facilitated by higher trainees. The sessions cover key aspects of well-being, including the physiology of stress, risk factors for burnout and the evidence base for developing resilience. We explore the impact of errors on doctors and the health service, relevant clinical governance systems and regulatory policies, focussing on psychiatry training issues. Feedback was obtained immediately after each session via anonymous questionnaire with a mixture of Likert scale and free text responses.
ResultsThere were 27 responses for workshop one and 21 for workshop two. 14 respondents felt the teaching should be mandatory for core training. There was mixed opinion regarding the overall benefit and optimum timing of the sessions within the training year. Overall, CT1s valued group discussions and wanted more time for this with less focus on GMC policy. There was also split opinion on the value of discussing institutional responses to errors, including significant adverse event reviews and Datix reporting.
ConclusionOur feedback showed differing opinions on which topics should be covered during the training and their level of detail. Overall, the opportunity for group discussion – in order to share experiences with peers – appeared to be valued most. We feel the sessions provide new CT1s with an opportunity to explore problems they may encounter in a safe and supportive environment.
We aim to provide trainees with a ‘toolkit’ to support their personal well-being within the workplace, as well as demystifying clinical governance systems. We plan to further develop our course materials based on our feedback, and deliver the workshops again in 2023.
Junior Doctor Mentors: Enhancing Medical Student Psychiatry Training
- Kenneth Ruddock, Catriona Neil
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- Journal:
- BJPsych Open / Volume 8 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 20 June 2022, p. S33
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Increased clinical contact during undergraduate psychiatry placements has been shown to both increase the likelihood of students considering a career in psychiatry and reduce mental-health related stigma. It can be challenging to provide medical students with a valuable clinical experience, a problem which has been further exacerbated by the coronavirus pandemic. We aimed to develop a junior doctor mentoring scheme to increase clinical exposure and teaching for students.
MethodsWithin NHS Lanarkshire, groups of 4–6 University of Glasgow medical students are accommodated for their five-week clinical psychiatry blocks, during which they have a varied structured timetable, providing an overview of different psychiatric specialties. As such, students meet a wide range of clinicians, which can unfortunately mean there is little continuity in their training throughout the block.
We developed a mentoring scheme to help address this issue. Enthusiastic trainee doctors – including foundation year two doctors, GP trainees and psychiatry core trainees – were invited to participate. Medical students are paired with a mentor for the duration of their block, during which they meet informally on a weekly basis. Mentors provide students with ward shadowing opportunities and bedside teaching, as well as completing work-place based assessments (WPBAs), discussing case reports and providing an additional perspective for end-of-block reports.
ResultsThe mentoring scheme has been running successfully for every five-week student placement since October 2020. Student feedback has been collected via an anonymous electronic questionnaire. Students were asked what they enjoyed the most about their placement, with students frequently highlighting the support from their mentor.
Examples from free-text comments included, “having an assigned mentor was really useful as someone to touch base with and go through clinical cases” and, “having a mentor was invaluable – it is crucial to have a friendly face on the wards and a contact to complete WPBAs”.
Informal feedback from mentors has also been positive with trainees enjoying the opportunity to develop their teaching skills and support student training. Mentors also highlighted the role's benefit for their portfolios and specialty applications.
ConclusionThis simple and cost-free intervention has had resoundingly positive feedback from medical students and trainees. Medical students enjoy having consistent informal teaching, support and feedback. Our mentoring scheme will continue for all medical students in NHS Lanarkshire and we would encourage other areas to consider a similar project. By increasing clinical exposure we hope to further reduce mental health stigma amongst students and inspire the psychiatrists of tomorrow.
Immersive psychiatry simulation: a novel course for medical student training
- Kenneth Ruddock, Kim Herbert, Catriona Neil, Neera Gajree, Karli Dempsey
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- BJPsych Open / Volume 7 / Issue S1 / June 2021
- Published online by Cambridge University Press:
- 18 June 2021, pp. S153-S154
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Over the last decade, there have been significant developments in the use of simulation for undergraduate medical education. Despite simulation's diverse applications across the medical school curriculum, it has thus far been underutilised within psychiatry teaching. Psychiatric simulation can support students to develop strategies to elicit psychopathology, de-escalate an aggressive patient or perform a risk assessment. Such experiences can be difficult to encounter during clinical placements and may expose a student or patient to an unacceptable level of risk. We have therefore developed an immersive simulation course that aims to enhance undergraduate psychiatry training.
MethodOur course was developed by medical education faculty and psychiatry staff. The course handbook includes storyboards, patient scripts and debrief guidelines. Clinical scenarios are mapped to university intended learning outcomes and include; conducting a risk assessment for a patient with emotionally unstable personality disorder and comorbid depression, managing a manic patient in the Emergency Department and assessing a patient with obsessive-compulsive disorder who has developed skin damage due to hand washing.
The one-day course is delivered to groups of 4-8 students from the Universities of Glasgow and Edinburgh during their placements in NHS Lanarkshire. The course takes place in a simulation suite and is facilitated by psychiatrists and medical education faculty. Students each take the lead role during a clinical scenario in which they will encounter a simulated patient. Live video from the simulation is broadcast to other candidates. Scenarios last 10-15 minutes with a 20-30 minute group debrief immediately afterwards. The debrief utilises the PEARLS framework (Promoting Excellence and Reflective Learning in Simulation) and provides the opportunity for peer and facilitator feedback, as well as discussions regarding mental state examination, diagnosis and management.
ResultQualitative and quantitative feedback has been collected via an anonymous electronic post-course questionnaire. To date, the course has received universally positive feedback. 93% of candidates rated the overall quality of the course as a learning experience as ‘excellent’. Students reported that the course helped them develop communication skills which they could apply to future clinical situations. In addition, candidates felt participation had increased their confidence in taking a psychiatric history and performing a risk assessment.
ConclusionImmersive simulation is an underutilised tool in psychiatry education. Our course complements the existing educational programme of lectures and ward-based teaching and has been positively received. It provides the opportunity for students to develop interview techniques and communication skills in a safe, controlled environment.
Consultation and Surgical Wait Times in Cervical Spondylotic Myelopathy
- Babak Sharifi, Greg McIntosh, Charles Fisher, W. Bradley Jacobs, Michael Johnson, Christopher S. Bailey, Sean Christie, Raphaële Charest-Morin, Jérome Paquet, Andrew Nataraj, David Cadotte, Neil Manson, Hamilton Hall, Kenneth C. Thomas, Y. Raja Rampersaud, Nicolas Dea
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- Journal:
- Canadian Journal of Neurological Sciences / Volume 46 / Issue 4 / July 2019
- Published online by Cambridge University Press:
- 03 May 2019, pp. 430-435
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Background: Cervical spondylotic myelopathy (CSM) is the leading cause of spinal cord impairment. In a public healthcare system, wait times to see spine specialists and eventually access surgical treatment for CSM can be substantial. The goals of this study were to determine consultation wait times (CWT) and surgical wait times (SWT), and identify predictors of wait time length. Methods: Consecutive patients enrolled in the Canadian Spine Outcomes and Research Network (CSORN) prospective and observational CSM study from March 2015 to July 2017 were included. A data-splitting technique was used to develop and internally validate multivariable models of potential predictors. Results: A CSORN query returned 264 CSM patients for CWT. The median was 46 days. There were 31% mild, 35% moderate, and 33% severe CSM. There was a statistically significant difference in median CWT between moderate and severe groups; 207 patients underwent surgical treatment. Median SWT was 42 days. There was a statistically significant difference in SWT between mild/moderate and severe groups. Short symptom duration, less pain, lower BMI, and lower physical component score of SF-12 were predictive of shorter CWT. Only baseline pain and medication duration were predictive of SWT. Both CWT and SWT were shorter compared to a concurrent cohort of lumbar stenosis patients (p <0.001). Conclusions: Patients with shorter duration (either symptoms or medication) and less neck pain waited less to see a spine specialist in Canada and to undergo surgical treatment. This study highlights some of the obstacles to overcome in expedited care for this patient population.
Sleep problems in breast cancer survivors 1–10 years posttreatment
- Amy E. Lowery-Allison, Steven D. Passik, Matthew R. Cribbet, Ruth A. Reinsel, Barbara O'Sullivan, Larry Norton, Kenneth L. Kirsh, Neil B. Kavey
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- Journal:
- Palliative & Supportive Care / Volume 16 / Issue 3 / June 2018
- Published online by Cambridge University Press:
- 16 May 2017, pp. 325-334
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Objective:
Sleep can affect quality of life (QoL) during cancer survivorship, and symptoms related to poor sleep can be exacerbated. We examined the prevalence, severity, and nature of subjective sleep complaints in women surviving stage I–III breast cancer who were 1–10 years posttreatment. We also examined the demographic, medical, physical, and psychosocial correlates of poor sleep in these women in order to identify the subgroups that may be most in need of intervention.
Method:A total of 200 patients at a comprehensive cancer center who were 1–10 years posttreatment for primary stage I–III breast cancer with no evidence of disease at the time of enrollment completed a battery of questionnaires on demographics, sleep, physical symptoms, mood, cancer-specific fears, and QoL.
Results:The women had a mean age of 57 years (SD = 10.0), with a mean of 63.3 months (SD = 28.8) of post-cancer treatment. Some 38% of these patients were identified as having poor-quality sleep. Women with poor sleep took longer to fall asleep, had more awakenings, and acquired 2 hours less sleep per night than those with good sleep. They also had a lower QoL, greater severity of pain, more concerns about health and recurrence, and increased vasomotor symptoms (p < 0.05). Daytime sleepiness and depression were found to be not significantly correlated with sleep quality.
Significance of results:Many breast cancer survivors had severe subjective insomnia, and several breast cancer survivor subgroups were identified as having members who might be most in need of sleep-improvement interventions. Addressing physical symptoms (e.g., vasomotor symptoms and pain) and providing education about the behavioral, social, environmental, and medical factors that affect sleep could result in substantial improvement in the life course of breast cancer survivors.
Uranium-Series Ages of Travertines and Timing of the Last Glaciation in the Northern Yellowstone Area, Wyoming-Montana
- Neil C. Sturchio, Kenneth L. Pierce, Michael T. Murrell, Michael L. Sorey
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- Journal:
- Quaternary Research / Volume 41 / Issue 3 / May 1994
- Published online by Cambridge University Press:
- 20 January 2017, pp. 265-277
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Uranium-series age determinations by mass spectrometric methods were done for travertines and associated carbonate veins related to clastic deposits of the last glaciation (Pinedale) in the northern Yellowstone area. Dramatic variations in the hydrologic head are inferred from variations in the elevation of travertine deposition with time and are consistent with the expected hydrologic effects of glaciation. We determine the following chronology of the Pinedale Glaciation, with the key assumption that travertine deposits (and associated carbonate veins) perched high above present thermal springs were deposited when glaciers filled the valley below these perched deposits: (1) the early Pinedale outlet glacier advanced well downvalley between 47,000 and 34,000 yr B.P.; (2) the outlet glacier receded to an interstadial position between 34,000 and 30,000 yr B.P.; (3) an extensive Pinedale ice advance occurred between 30,000 and 22,500 yr B.P.; (4) a major recession occurred between 22,500 and 19,500 yr B.P.; (5) a minor readvance (Deckard Flats) culminated after 19,500 yr B.P.; and (6) recession from the Deckard Flats position was completed before 15,500 yr B.P. This chronology is consistent with the general trend of climatic changes in the northern hemisphere as revealed by recent high-resolution ice-core records from the Greenland ice sheet.
Early-Harvest Barley (Hordeum vulgare) Silage Reduces Wild Oat (Avena fatua) Densities Under Zero Tillage
- K. Neil Harker, Kenneth J. Kirkland, Vern S. Baron, George W. Clayton
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- Journal:
- Weed Technology / Volume 17 / Issue 1 / March 2003
- Published online by Cambridge University Press:
- 20 January 2017, pp. 102-110
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Effective, long-term wild oat management requires an integrated approach that uses management techniques beyond simple herbicide application. A 5-yr (1996 to 2000) zero tillage study was conducted to assess the influence of barley harvest timing on wild oat densities in subsequent years at Lacombe, AB, Canada and Melfort, SK, Canada. Harvest timings included barley harvested 1 wk after heading (early), approximately 14 to 16 d later at the soft dough stage (normal), and at maturity (grain). In the absence of herbicides, wild oat densities decreased in silage plots harvested early and increased in grain plots. Reductions were more distinct at Lacombe where barley phenological differences and whole plant moisture contents between early and normal silage harvests were greater than at Melfort. Half rates of wild oat herbicides (ICIA 0604 and imazamethabenz) did not augment reductions in wild oat densities after early silage harvest, but did improve wild oat management after normal silage harvest, and in grain production. At Lacombe, early silage harvest reduced wild oat densities more than did herbicides in grain production. Similar trends were apparent at Melfort but were not statistically significant. Early barley silage harvests may be an effective integrated weed management tool for wild oat.
Volunteer Barley Interference in Spring Wheat Grown in a Zero-Tillage System
- John T. O'Donovan, K. Neil Harker, George W. Clayton, Linda M. Hall, Jason Cathcart, Kenneth L. Sapsford, F. A. Holm, Kristin Hacault
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- Journal:
- Weed Science / Volume 55 / Issue 1 / February 2007
- Published online by Cambridge University Press:
- 20 January 2017, pp. 70-74
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There is no published information on the impact of volunteer barley on wheat yield loss or on the economics of controlling barley with a herbicide. With the registration of imazamox-resistant wheat, it is now possible to control volunteer barley in wheat. Thus, the likelihood of growing wheat in rotation with barley may increase. Field experiments were conducted in 2003 and 2004 at Beaverlodge, Lacombe, and Edmonton, AB, Canada, and Saskatoon, SK, Canada, to determine the impact of volunteer barley on yield of imazamox-resistant spring wheat seeded at relatively low (100 kg ha−1) and high (175 kg ha−1) rates. Barley was seeded at different densities to simulate volunteer barley infestations. Regression analysis indicated that wheat-plant density influenced the effects of volunteer barley interference on wheat yield loss, economic threshold values, and volunteer barley fecundity among locations and years. Economic thresholds varied from as few volunteer barley plants as 3 m−2 at Beaverlodge in 2003 and 2004 to 48 m−2 at Lacombe in 2003. In most cases, wheat yield loss and volunteer barley fecundity were lower and economic thresholds were higher when wheat was seeded at the higher rate. For example, averaged over both years at Beaverlodge initial slope values (percentage of wheat yield loss at low barley density) were 4.5 and 1.7%, and economic threshold values of volunteer barley plants were 3 m−2 and 8 m−2 at low and high wheat seeding rates, respectively. Results indicate that volunteer barley can be highly competitive in wheat, but yield losses and wheat seed contamination due to volunteer barley can be alleviated by seeding wheat at a relatively high rate.
Restructuring of Terrestrial Environments in Southern Pangea Following the Permian–Triassic Mass Extinction
- Christian A. Sidor, Kenneth D. Angielczyk, Peter D. Roopnarine, Neil J. Tabor, Sterling J. Nesbitt, Brandon R. Peecook, Roger M.H. Smith, Adam K. Huttenlocker, Ian J. Glasspool
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- The Paleontological Society Special Publications / Volume 13 / 2014
- Published online by Cambridge University Press:
- 26 July 2017, p. 130
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- 2014
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NOCTUA PRONUBA, A EUROPEAN CUTWORM, ESTABLISHED IN NOVA SCOTIA (LEPIDOPTERA: NOCTUIDAE)
- Barry Wright, Kenneth A. Neil
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- The Canadian Entomologist / Volume 115 / Issue 8 / August 1983
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- 31 May 2012, pp. 1047-1048
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In the palearctic region Noctua pronuba (Linnaeus), the Large Yellow Underwing Moth, ranges from North Africa through Western Europe to Finland and Iceland. In Britain the flight period extends from April to October with peak emergence in August. The larva feeds in winter on grasses and low plants and is often a pest in gardens. This species is occasionally bivoltine when eggs laid early in the year develop to adults in the fall. The moth comes readily to bait (fermented fruit and molasses) applied to tree trunks at dusk, and is also attracted to light. The moth is polymorphic and sexually dimorphic. All of the usual forms are present in Nova Scotia.
FIELD RELEASES OF TRICHOGRAMMA PRETIOSUM RILEY (HYMENOPTERA: TRICHOGRAMMATIDAE) FOR SUPPRESSION OF CORN EARWORM, HELIOTHIS ZEA (BODDIE) (LEPIDOPTERA: NOCTUIDAE), EGG POPULATIONS ON SWEET CORN IN NOVA SCOTIA
- Kenneth A. Neil, H.B. Specht
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- The Canadian Entomologist / Volume 122 / Issue 6 / December 1990
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- 31 May 2012, pp. 1259-1266
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Trichogramma pretiosum Riley was released in the field for suppression of corn earworm, Heliothis zea (Boddie), egg populations in Nova Scotia in 1985–1987. Trichogramma pretiosum reduced com earworm populations 7.4–53% compared with chemical treatments reductions of 19–100%. Trichogramma pretiosum were not as effective as insecticides, especially when populations of the corn earworm were low (less than five larvae per 1000 ears). Timing of T. pretiosum releases and spray applications were determined by blacklight trap catches and were considered critical for effective control.
SIXTH-INSTAR LARVAE OF NOCTUA PRONUBA (L.) (LEPIDOPTERA: NOCTUIDAE)
- Kenneth A. Neil, H.B. Specht
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- The Canadian Entomologist / Volume 119 / Issue 3 / March 1987
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- 31 May 2012, pp. 209-214
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The 6th-instar larvae of Noctua pronuba (L.) are described and illustrated. The larvae, although similar to other noctuinae genera, can be distinguished by the hypopharyngeal complex and mandible morphology. Life history notes based on larvae and adults collected in Nova Scotia are also given.
NOCTUA COMES, A NOCTUID NEW TO NORTH AMERICA (LEPIDOPTERA: NOCTUIDAE: NOCTUINAE)
- Kenneth A. Neil
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- The Canadian Entomologist / Volume 116 / Issue 3 / March 1984
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- 31 May 2012, pp. 479-480
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On 19 August 1982, a female noctuid moth resembling the Palearctic species Noctua pronuba (Linnaeus), which has recently been introduced into Eastern Canada (Neil 1981), was collected at an ultraviolet light at Simon Fraser University, Burnaby, British Columbia. An additional specimen, a male, was taken 13 September 1982. A third was seen, but not captured, 2 September 1982. A comparison of the British Columbia material with figures and descriptions of other Noctua species given by Bretherton et al. (1979) revealed them to represent Noctua comes (Hübner), based on their smaller size, light brown, narrow primaries, and well defined discal dot on the secondaries. This preliminary identification was later confirmed by external morphological and genitalic comparison with specimens of various Noctua species obtained from the Nova Scotia Museum collection in Halifax.
Contributors
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- By Robert Adler, Dinesh Bhugra, Sharon Brownie, Kenneth Busch, Julian Freidin, Susham Gupta, Helen Herrman, James W. Holsinger, Gillian Lewando Hundt, Sir Donald Irvine, Vikram Jha, Neil Johnson, Amit Malik, H. Steven Moffic, Jonathan Montgomery, Katinka Morton, Robert A. Murden, David W. Page, Vikram Patel, Trudie Roberts, James E. Sabin, Norman Sartorius, Donna J. Schmutzler, Zeryab Setna, Bruce Singh, John A. Talbott, Allan Tasman, Jill Thistlethwaite, Kathy M. Vincent, Sidney Weissman
- Edited by Dinesh Bhugra, Institute of Psychiatry, London, Amit Malik
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- Professionalism in Mental Healthcare
- Published online:
- 10 November 2010
- Print publication:
- 28 October 2010, pp vi-viii
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. Chapman, James H. Charlesworth, Kenneth R. Chase, Chen Zemin, Luciano Chianeque, Philip Chia Phin Yin, Francisca H. Chimhanda, Daniel Chiquete, John T. Chirban, Soobin Choi, Robert Choquette, Mita Choudhury, Gerald Christianson, John Chryssavgis, Sejong Chun, Esther Chung-Kim, Charles M. A. Clark, Elizabeth A. Clark, Sathianathan Clarke, Fred Cloud, John B. Cobb, W. Owen Cole, John A Coleman, John J. Collins, Sylvia Collins-Mayo, Paul K. Conkin, Beth A. Conklin, Sean Connolly, Demetrios J. Constantelos, Michael A. Conway, Paula M. Cooey, Austin Cooper, Michael L. Cooper-White, Pamela Cooper-White, L. William Countryman, Sérgio Coutinho, Pamela Couture, Shannon Craigo-Snell, James L. Crenshaw, David Crowner, Humberto Horacio Cucchetti, Lawrence S. Cunningham, Elizabeth Mason Currier, Emmanuel Cutrone, Mary L. Daniel, David D. Daniels, Robert Darden, Rolf Darge, Isaiah Dau, Jeffry C. Davis, Jane Dawson, Valentin Dedji, John W. de Gruchy, Paul DeHart, Wendy J. Deichmann Edwards, Miguel A. De La Torre, George E. Demacopoulos, Thomas de Mayo, Leah DeVun, Beatriz de Vasconcellos Dias, Dennis C. Dickerson, John M. Dillon, Luis Miguel Donatello, Igor Dorfmann-Lazarev, Susanna Drake, Jonathan A. Draper, N. Dreher Martin, Otto Dreydoppel, Angelyn Dries, A. J. Droge, Francis X. D'Sa, Marilyn Dunn, Nicole Wilkinson Duran, Rifaat Ebied, Mark J. Edwards, William H. Edwards, Leonard H. Ehrlich, Nancy L. Eiesland, Martin Elbel, J. Harold Ellens, Stephen Ellingson, Marvin M. Ellison, Robert Ellsberg, Jean Bethke Elshtain, Eldon Jay Epp, Peter C. Erb, Tassilo Erhardt, Maria Erling, Noel Leo Erskine, Gillian R. Evans, Virginia Fabella, Michael A. Fahey, Edward Farley, Margaret A. Farley, Wendy Farley, Robert Fastiggi, Seena Fazel, Duncan S. Ferguson, Helwar Figueroa, Paul Corby Finney, Kyriaki Karidoyanes FitzGerald, Thomas E. FitzGerald, John R. Fitzmier, Marie Therese Flanagan, Sabina Flanagan, Claude Flipo, Ronald B. Flowers, Carole Fontaine, David Ford, Mary Ford, Stephanie A. Ford, Jim Forest, William Franke, Robert M. Franklin, Ruth Franzén, Edward H. Friedman, Samuel Frouisou, Lorelei F. Fuchs, Jojo M. Fung, Inger Furseth, Richard R. Gaillardetz, Brandon Gallaher, China Galland, Mark Galli, Ismael García, Tharscisse Gatwa, Jean-Marie Gaudeul, Luis María Gavilanes del Castillo, Pavel L. Gavrilyuk, Volney P. Gay, Metropolitan Athanasios Geevargis, Kondothra M. George, Mary Gerhart, Simon Gikandi, Maurice Gilbert, Michael J. Gillgannon, Verónica Giménez Beliveau, Terryl Givens, Beth Glazier-McDonald, Philip Gleason, Menghun Goh, Brian Golding, Bishop Hilario M. Gomez, Michelle A. Gonzalez, Donald K. Gorrell, Roy Gottfried, Tamara Grdzelidze, Joel B. Green, Niels Henrik Gregersen, Cristina Grenholm, Herbert Griffiths, Eric W. Gritsch, Erich S. Gruen, Christoffer H. Grundmann, Paul H. Gundani, Jon P. Gunnemann, Petre Guran, Vidar L. Haanes, Jeremiah M. Hackett, Getatchew Haile, Douglas John Hall, Nicholas Hammond, Daphne Hampson, Jehu J. Hanciles, Barry Hankins, Jennifer Haraguchi, Stanley S. Harakas, Anthony John Harding, Conrad L. Harkins, J. William Harmless, Marjory Harper, Amir Harrak, Joel F. Harrington, Mark W. Harris, Susan Ashbrook Harvey, Van A. Harvey, R. Chris Hassel, Jione Havea, Daniel Hawk, Diana L. Hayes, Leslie Hayes, Priscilla Hayner, S. Mark Heim, Simo Heininen, Richard P. Heitzenrater, Eila Helander, David Hempton, Scott H. Hendrix, Jan-Olav Henriksen, Gina Hens-Piazza, Carter Heyward, Nicholas J. Higham, David Hilliard, Norman A. Hjelm, Peter C. Hodgson, Arthur Holder, M. Jan Holton, Dwight N. Hopkins, Ronnie Po-chia Hsia, Po-Ho Huang, James Hudnut-Beumler, Jennifer S. Hughes, Leonard M. Hummel, Mary E. Hunt, Laennec Hurbon, Mark Hutchinson, Susan E. Hylen, Mary Beth Ingham, H. Larry Ingle, Dale T. Irvin, Jon Isaak, Paul John Isaak, Ada María Isasi-Díaz, Hans Raun Iversen, Margaret C. Jacob, Arthur James, Maria Jansdotter-Samuelsson, David Jasper, Werner G. Jeanrond, Renée Jeffery, David Lyle Jeffrey, Theodore W. Jennings, David H. Jensen, Robin Margaret Jensen, David Jobling, Dale A. Johnson, Elizabeth A. Johnson, Maxwell E. Johnson, Sarah Johnson, Mark D. Johnston, F. Stanley Jones, James William Jones, John R. Jones, Alissa Jones Nelson, Inge Jonsson, Jan Joosten, Elizabeth Judd, Mulambya Peggy Kabonde, Robert Kaggwa, Sylvester Kahakwa, Isaac Kalimi, Ogbu U. Kalu, Eunice Kamaara, Wayne C. Kannaday, Musimbi Kanyoro, Veli-Matti Kärkkäinen, Frank Kaufmann, Léon Nguapitshi Kayongo, Richard Kearney, Alice A. Keefe, Ralph Keen, Catherine Keller, Anthony J. Kelly, Karen Kennelly, Kathi Lynn Kern, Fergus Kerr, Edward Kessler, George Kilcourse, Heup Young Kim, Kim Sung-Hae, Kim Yong-Bock, Kim Yung Suk, Richard King, Thomas M. King, Robert M. Kingdon, Ross Kinsler, Hans G. Kippenberg, Cheryl A. Kirk-Duggan, Clifton Kirkpatrick, Leonid Kishkovsky, Nadieszda Kizenko, Jeffrey Klaiber, Hans-Josef Klauck, Sidney Knight, Samuel Kobia, Robert Kolb, Karla Ann Koll, Heikki Kotila, Donald Kraybill, Philip D. W. Krey, Yves Krumenacker, Jeffrey Kah-Jin Kuan, Simanga R. Kumalo, Peter Kuzmic, Simon Shui-Man Kwan, Kwok Pui-lan, André LaCocque, Stephen E. Lahey, John Tsz Pang Lai, Emiel Lamberts, Armando Lampe, Craig Lampe, Beverly J. Lanzetta, Eve LaPlante, Lizette Larson-Miller, Ariel Bybee Laughton, Leonard Lawlor, Bentley Layton, Robin A. Leaver, Karen Lebacqz, Archie Chi Chung Lee, Marilyn J. Legge, Hervé LeGrand, D. L. LeMahieu, Raymond Lemieux, Bill J. Leonard, Ellen M. Leonard, Outi Leppä, Jean Lesaulnier, Nantawan Boonprasat Lewis, Henrietta Leyser, Alexei Lidov, Bernard Lightman, Paul Chang-Ha Lim, Carter Lindberg, Mark R. Lindsay, James R. Linville, James C. Livingston, Ann Loades, David Loades, Jean-Claude Loba-Mkole, Lo Lung Kwong, Wati Longchar, Eleazar López, David W. Lotz, Andrew Louth, Robin W. Lovin, William Luis, Frank D. Macchia, Diarmaid N. J. MacCulloch, Kirk R. MacGregor, Marjory A. MacLean, Donald MacLeod, Tomas S. Maddela, Inge Mager, Laurenti Magesa, David G. Maillu, Fortunato Mallimaci, Philip Mamalakis, Kä Mana, Ukachukwu Chris Manus, Herbert Robinson Marbury, Reuel Norman Marigza, Jacqueline Mariña, Antti Marjanen, Luiz C. L. Marques, Madipoane Masenya (ngwan'a Mphahlele), Caleb J. D. Maskell, Steve Mason, Thomas Massaro, Fernando Matamoros Ponce, András Máté-Tóth, Odair Pedroso Mateus, Dinis Matsolo, Fumitaka Matsuoka, John D'Arcy May, Yelena Mazour-Matusevich, Theodore Mbazumutima, John S. McClure, Christian McConnell, Lee Martin McDonald, Gary B. McGee, Thomas McGowan, Alister E. McGrath, Richard J. McGregor, John A. McGuckin, Maud Burnett McInerney, Elsie Anne McKee, Mary B. McKinley, James F. McMillan, Ernan McMullin, Kathleen E. McVey, M. Douglas Meeks, Monica Jyotsna Melanchthon, Ilie Melniciuc-Puica, Everett Mendoza, Raymond A. Mentzer, William W. Menzies, Ina Merdjanova, Franziska Metzger, Constant J. Mews, Marvin Meyer, Carol Meyers, Vasile Mihoc, Gunner Bjerg Mikkelsen, Maria Inêz de Castro Millen, Clyde Lee Miller, Bonnie J. Miller-McLemore, Alexander Mirkovic, Paul Misner, Nozomu Miyahira, R. W. L. Moberly, Gerald Moede, Aloo Osotsi Mojola, Sunanda Mongia, Rebeca Montemayor, James Moore, Roger E. Moore, Craig E. Morrison O.Carm, Jeffry H. Morrison, Keith Morrison, Wilson J. Moses, Tefetso Henry Mothibe, Mokgethi Motlhabi, Fulata Moyo, Henry Mugabe, Jesse Ndwiga Kanyua Mugambi, Peggy Mulambya-Kabonde, Robert Bruce Mullin, Pamela Mullins Reaves, Saskia Murk Jansen, Heleen L. Murre-Van den Berg, Augustine Musopole, Isaac M. T. Mwase, Philomena Mwaura, Cecilia Nahnfeldt, Anne Nasimiyu Wasike, Carmiña Navia Velasco, Thulani Ndlazi, Alexander Negrov, James B. Nelson, David G. Newcombe, Carol Newsom, Helen J. Nicholson, George W. E. Nickelsburg, Tatyana Nikolskaya, Damayanthi M. A. Niles, Bertil Nilsson, Nyambura Njoroge, Fidelis Nkomazana, Mary Beth Norton, Christian Nottmeier, Sonene Nyawo, Anthère Nzabatsinda, Edward T. Oakes, Gerald O'Collins, Daniel O'Connell, David W. Odell-Scott, Mercy Amba Oduyoye, Kathleen O'Grady, Oyeronke Olajubu, Thomas O'Loughlin, Dennis T. Olson, J. Steven O'Malley, Cephas N. Omenyo, Muriel Orevillo-Montenegro, César Augusto Ornellas Ramos, Agbonkhianmeghe E. Orobator, Kenan B. Osborne, Carolyn Osiek, Javier Otaola Montagne, Douglas F. Ottati, Anna May Say Pa, Irina Paert, Jerry G. Pankhurst, Aristotle Papanikolaou, Samuele F. Pardini, Stefano Parenti, Peter Paris, Sung Bae Park, Cristián G. Parker, Raquel Pastor, Joseph Pathrapankal, Daniel Patte, W. Brown Patterson, Clive Pearson, Keith F. Pecklers, Nancy Cardoso Pereira, David Horace Perkins, Pheme Perkins, Edward N. Peters, Rebecca Todd Peters, Bishop Yeznik Petrossian, Raymond Pfister, Peter C. Phan, Isabel Apawo Phiri, William S. F. Pickering, Derrick G. Pitard, William Elvis Plata, Zlatko Plese, John Plummer, James Newton Poling, Ronald Popivchak, Andrew Porter, Ute Possekel, James M. Powell, Enos Das Pradhan, Devadasan Premnath, Jaime Adrían Prieto Valladares, Anne Primavesi, Randall Prior, María Alicia Puente Lutteroth, Eduardo Guzmão Quadros, Albert Rabil, Laurent William Ramambason, Apolonio M. Ranche, Vololona Randriamanantena Andriamitandrina, Lawrence R. Rast, Paul L. Redditt, Adele Reinhartz, Rolf Rendtorff, Pål Repstad, James N. Rhodes, John K. Riches, Joerg Rieger, Sharon H. Ringe, Sandra Rios, Tyler Roberts, David M. Robinson, James M. Robinson, Joanne Maguire Robinson, Richard A. H. Robinson, Roy R. Robson, Jack B. Rogers, Maria Roginska, Sidney Rooy, Rev. Garnett Roper, Maria José Fontelas Rosado-Nunes, Andrew C. Ross, Stefan Rossbach, François Rossier, John D. Roth, John K. Roth, Phillip Rothwell, Richard E. Rubenstein, Rosemary Radford Ruether, Markku Ruotsila, John E. Rybolt, Risto Saarinen, John Saillant, Juan Sanchez, Wagner Lopes Sanchez, Hugo N. Santos, Gerhard Sauter, Gloria L. Schaab, Sandra M. Schneiders, Quentin J. Schultze, Fernando F. Segovia, Turid Karlsen Seim, Carsten Selch Jensen, Alan P. F. Sell, Frank C. Senn, Kent Davis Sensenig, Damían Setton, Bal Krishna Sharma, Carolyn J. Sharp, Thomas Sheehan, N. Gerald Shenk, Christian Sheppard, Charles Sherlock, Tabona Shoko, Walter B. Shurden, Marguerite Shuster, B. Mark Sietsema, Batara Sihombing, Neil Silberman, Clodomiro Siller, Samuel Silva-Gotay, Heikki Silvet, John K. Simmons, Hagith Sivan, James C. Skedros, Abraham Smith, Ashley A. Smith, Ted A. Smith, Daud Soesilo, Pia Søltoft, Choan-Seng (C. S.) Song, Kathryn Spink, Bryan Spinks, Eric O. Springsted, Nicolas Standaert, Brian Stanley, Glen H. Stassen, Karel Steenbrink, Stephen J. Stein, Andrea Sterk, Gregory E. Sterling, Columba Stewart, Jacques Stewart, Robert B. Stewart, Cynthia Stokes Brown, Ken Stone, Anne Stott, Elizabeth Stuart, Monya Stubbs, Marjorie Hewitt Suchocki, David Kwang-sun Suh, Scott W. Sunquist, Keith Suter, Douglas Sweeney, Charles H. Talbert, Shawqi N. Talia, Elsa Tamez, Joseph B. Tamney, Jonathan Y. Tan, Yak-Hwee Tan, Kathryn Tanner, Feiya Tao, Elizabeth S. Tapia, Aquiline Tarimo, Claire Taylor, Mark Lewis Taylor, Bishop Abba Samuel Wolde Tekestebirhan, Eugene TeSelle, M. Thomas Thangaraj, David R. Thomas, Andrew Thornley, Scott Thumma, Marcelo Timotheo da Costa, George E. “Tink” Tinker, Ola Tjørhom, Karen Jo Torjesen, Iain R. Torrance, Fernando Torres-Londoño, Archbishop Demetrios [Trakatellis], Marit Trelstad, Christine Trevett, Phyllis Trible, Johannes Tromp, Paul Turner, Robert G. Tuttle, Archbishop Desmond Tutu, Peter Tyler, Anders Tyrberg, Justin Ukpong, Javier Ulloa, Camillus Umoh, Kristi Upson-Saia, Martina Urban, Monica Uribe, Elochukwu Eugene Uzukwu, Richard Vaggione, Gabriel Vahanian, Paul Valliere, T. J. Van Bavel, Steven Vanderputten, Peter Van der Veer, Huub Van de Sandt, Louis Van Tongeren, Luke A. Veronis, Noel Villalba, Ramón Vinke, Tim Vivian, David Voas, Elena Volkova, Katharina von Kellenbach, Elina Vuola, Timothy Wadkins, Elaine M. Wainwright, Randi Jones Walker, Dewey D. Wallace, Jerry Walls, Michael J. Walsh, Philip Walters, Janet Walton, Jonathan L. Walton, Wang Xiaochao, Patricia A. Ward, David Harrington Watt, Herold D. Weiss, Laurence L. Welborn, Sharon D. Welch, Timothy Wengert, Traci C. West, Merold Westphal, David Wetherell, Barbara Wheeler, Carolinne White, Jean-Paul Wiest, Frans Wijsen, Terry L. Wilder, Felix Wilfred, Rebecca Wilkin, Daniel H. Williams, D. Newell Williams, Michael A. Williams, Vincent L. Wimbush, Gabriele Winkler, Anders Winroth, Lauri Emílio Wirth, James A. Wiseman, Ebba Witt-Brattström, Teofil Wojciechowski, John Wolffe, Kenman L. Wong, Wong Wai Ching, Linda Woodhead, Wendy M. Wright, Rose Wu, Keith E. Yandell, Gale A. Yee, Viktor Yelensky, Yeo Khiok-Khng, Gustav K. K. Yeung, Angela Yiu, Amos Yong, Yong Ting Jin, You Bin, Youhanna Nessim Youssef, Eliana Yunes, Robert Michael Zaller, Valarie H. Ziegler, Barbara Brown Zikmund, Joyce Ann Zimmerman, Aurora Zlotnik, Zhuo Xinping
- Edited by Daniel Patte, Vanderbilt University, Tennessee
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- Book:
- The Cambridge Dictionary of Christianity
- Published online:
- 05 August 2012
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- 20 September 2010, pp xi-xliv
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Contributors
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- By Jennifer Alvarez, Ananda B. Amstadter, Metin Başoğlu, David M. Benedek, Charles C. Benight, George A. Bonanno, Evelyn J. Bromet, Richard A. Bryant, Barbara Lopes Cardozo, M. L. Somchai Chakkraband, Claude Chemtob, Roman Cieslak, Lauren M. Conoscenti, Joan M. Cook, Judith Cukor, Carla Kmett Danielson, JoAnn Difede, Charles DiMaggio, Anja J.E. Dirkzwager, Cristiane S. Duarte, Jon D. Elhai, Diane L. Elmore, Yael L.E. Errera, Julian D. Ford, Carol S. Fullerton, Sandro Galea, Freya Goodhew, Neil Greenberg, Lindsay Greene, Linda Grievink, Michael J. Gruber, Sumati Gupta, Johan M. Havenaar, Alesia O. Hawkins, Clare Henn-Haase, Kimberly Eaton Hoagwood, Christina W. Hoven, Sabra S. Inslicht, Krzysztof Kaniasty, Ronald C. Kessler, Rachel Kimerling, Richard V. King, Rolf J. Kleber, Jessica Mass Levitt, Brett T. Litz, Maria Livanou, Katelyn P. Mack, Paula Madrid, Shira Maguen, Paul Maguire, Donald J. Mandell, Charles R. Marmar, Andrea R. Maxwell, Shannon E. McCaslin, Alexander C. McFarlane, Thomas J. Metzler, Summer Nelson, Yuval Neria, Elana Newman, Thomas C. Neylan, Fran H. Norris, Carol S. North, Lawrence A. Palinkas, Benjaporn Panyayong, Maria Petukhova, Betty Pfefferbaum, Marleen Radigan, Beverley Raphael, James Rodriguez, G. James Rubin, Kenneth J. Ruggiero, Ebru Şalcıoğlu, Nancy A. Sampson, Arieh Y. Shalev, Bruce Shapiro, Laura M. Stough, Prawate Tantipiwatanaskul, Warunee Thienkrua, Phebe Tucker, J. Blake Turner, Robert J. Ursano, Bellis van den Berg, Peter G. van der Velden, Frits van Griensven, Miranda Van Hooff, Edward Waldrep, Philip S. Wang, Simon Wessely, Leslie H. Wind, C. Joris Yzermans, Heidi M. Zinzow
- Edited by Yuval Neria, Columbia University, New York, Sandro Galea, University of Michigan, Ann Arbor, Fran H. Norris
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- Book:
- Mental Health and Disasters
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- 07 May 2010
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- 20 July 2009, pp xi-xvi
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6 - Migration in Africa
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- By Shubi L. Ishemo, Trinity and All Saints College, Aderanti Adepoju, United Nations African Institute, Jonathan Crush, Queen's University, Alan H. Jeeves, Queen's University, W. T. S. Gould, University of Liverpool, Neil MacMaster, University of East Anglia, Kenneth Swindell, University of Birmingham
- Edited by Robin Cohen, University of Warwick
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- The Cambridge Survey of World Migration
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- 05 December 2012
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- 02 November 1995, pp 159-202
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Summary
Was there ever a ‘Merrie Africa’, a Golden Age when Africans were perfectly integrated into their environments, when cattle lowed, well-fed children played and communities migrated only with the rhythm of the seasons? All societies have such mythological ages and in the USA the ‘Afrocentric’ political activists of recent years have certainly generated more than an average number of such quasi-fictional re-creations. Yet, one does not have to subscribe to an Afrocentric view of the world to accept that the intrusions by Arabs in East Africa and Europeans elsewhere on the continent disrupted the normal social life of African communities. True, there was a long history of violence, kidnapping, enslavement and, in Islamic areas, judicial support for domestic slavery. But the arrival of external social actors solidified the practice of slavery and accelerated the trade into new directions (Lovejoy 1981: 27–8). Many African communities reacted by getting as far away as possible from the slave-raiders and in so doing started the melancholy history of ‘flight migration’ with which the African continent continues to be plagued.
The displacement of peoples and their retreat into the interior was accelerated by the commencement of colonialism. The lesser colonial powers – Belgium, Portugal and Germany – were the most brutal in effecting their hegemony. Spurred by Stanley's discovery of forests of rubber in the Congo basin, King Leopold ordered Belgian army detachments to drive the Congolese into gathering rubber. Not for nothing was the crop called ‘red rubber’, for those who resisted were killed.
Evaluation of the Functioning of the Plymouth Nuffield Clinic
- Neil Kessel, Christine Hassall, Robert Blair, John M. Gilroy, Francis Pilkington, Kenneth F. Weeks
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- Journal:
- The British Journal of Psychiatry / Volume 118 / Issue 544 / March 1971
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- 29 January 2018, pp. 305-312
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- March 1971
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When the Plymouth Nuffield Clinic was planned it was decided to evaluate its functioning in respect of the adult psychiatric services in Plymouth. This paper reports the findings. The Nuffield Clinic project was a joint venture between the hospital service and the local authority, so that they might collaboratively discharge their respective tasks in both the spirit and the letter of the 1959 Mental Health Act. Pilkington (1966) has described the ideas and the stages leading to the creation of the clinic.
Psychiatric Out-Patients in Plymouth—An Area Service Analysed
- Neil Kessel, Christine Hassall, Robert Blair, John M. Gilroy, Francis Pilkington, Kenneth F. Weeks
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- Journal:
- The British Journal of Psychiatry / Volume 111 / Issue 470 / January 1965
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- 29 January 2018, pp. 10-17
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- January 1965
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Out-patient services in Britain for psychiatric patients have expanded enormously under the National Health Service. Well over half a million patients are seen at clinics annually. Concomitant with this increase the out-patient department has changed in function. No longer is it principally concerned with providing follow up and support for discharged mental hospital in-patients; instead, because of the greatly increased demand for psychiatric care for less severe disorders and under the influence of the movement for community care it now should play a part not at all subservient to the in-patient department. The clinic, properly run, should be an arena of treatment in its own right.
XV.—The Synthesis of Derivatives of Fluorene and Fluoranthene*
- Neil Campbell, John T. Craig, Kenneth Nichol
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- Journal:
- Proceedings of the Royal Society of Edinburgh Section A: Mathematical and Physical Sciences / Volume 65 / Issue 3 / 1960
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- 14 February 2012, pp. 223-230
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- 1960
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The preparation of substituted fluoranthenes by the aromatization of hydrogenated fluoranthene derivatives is described. 8-Nitrofluoranthene, one of the nitration products of fluoranthene, has been synthesized from 2-nitrofluorene and the preparation and properties of some 2-nitrofluorene derivatives of potential synthetic value are reported.