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The coronavirus disease 2019 (COVID-19) pandemic is having a well-documented impact on the mental health of front-line health and social care workers (HSCWs). However, little attention has been paid to the experiences of, and impact on, the mental health professionals who were rapidly tasked with supporting them.
Aims
We set out to redress this gap by qualitatively exploring UK mental health professionals’ experiences, views and needs while working to support the well-being of front-line HSCWs during the COVID-19 pandemic.
Method
Mental health professionals working in roles supporting front-line HSCWs were recruited purposively and interviewed remotely. Transcripts of the interviews were analysed by the research team following the principles of reflexive thematic analysis.
Results
We completed interviews with 28 mental health professionals from varied professional backgrounds, career stages and settings across the UK. Mental health professionals were motivated and driven to develop new clinical pathways to support HSCWs they perceived as colleagues and many experienced professional growth. However, this also came at some costs, as they took on additional responsibilities and increased workloads, were anxious and uncertain about how best to support this workforce and tended to neglect their own health and well-being. Many were professionally isolated and were affected vicariously by the traumas and moral injuries that healthcare workers talked about in sessions.
Conclusions
This research highlights the urgent need to consider the mental well-being, training and support of mental health professionals who are supporting front-line workers.
Substantial evidence has highlighted the importance of considering the mental health of healthcare workers during the COVID-19 pandemic, and several organisations have issued guidelines with recommendations. However, the definition of well-being and the evidence base behind such guidelines remain unclear.
Aims
The aims of the study are to assess the applicability of well-being guidelines in practice, identify unaddressed healthcare workers’ needs and provide recommendations for supporting front-line staff during the current and future pandemics.
Method
This paper discusses the findings of a qualitative study based on interviews with front-line healthcare workers in the UK (n = 33), and examines them in relation to a rapid review of well-being guidelines developed in response to the COVID-19 pandemic (n = 14).
Results
The guidelines placed greater emphasis on individual mental health and psychological support, whereas healthcare workers placed greater emphasis on structural conditions at work, responsibilities outside the hospital and the invaluable support of the community. The well-being support interventions proposed in the guidelines did not always respond to the lived experiences of staff, as some reported not being able to participate in these interventions because of understaffing, exhaustion or clashing schedules.
Conclusions
Healthcare workers expressed well-being needs that aligned with socio-ecological conceptualisations of well-being related to quality of life. This approach to well-being has been highlighted in literature on support of healthcare workers in previous health emergencies, but it has not been monitored during this pandemic. Well-being guidelines should explore the needs of healthcare workers, and contextual characteristics affecting the implementation of recommendations.
While there is a growing body of research on second language acquisition (SLA) in children, adolescents, young and more mature adults, much remains to be explored about how adults in later life learn a new language and how good additional language learning is for them. Our goal in this article is to survey and evaluate what is known about the linguistic, socio-affective, neurobiological and cognitive underpinnings of the second language (L2) learning process in older individuals, the extent to which L2 acquisition may be seen as contributing to healthy and active ageing, and how these phenomena are to be approached scientifically, methodologically and pedagogically. Our view is that a developmental enterprise as complex as L2 learning in senior adulthood and its effects in later life cannot be explained by a single theory or set of principles. Furthermore, we take it that L2 acquisition in the third age needs to be regarded not just as a goal in itself but as a means of promoting social interaction and integration, and that it is partly through the stimulation of social well-being that its cognitive effects may potentially be observed.
This article is concerned with age in second language learning. It steers well clear, however, of the well-worn issue of maturational constraints and the intractable problems of locating their consensual offset point and finding indisputable evidence for or against them. Instead we propose something completely different in our agenda for age-related research: a programme on some poorly understood non-maturational dimensions of the age factor which will stand some chance of yielding results unlikely to become entangled in theoretical controversy. In other words, the results will, we think, be immediately usable and useful. The topics included in our outlined agenda are: (1) age effects in various dimensions of language teaching and learning (in relation to bilingualism and biliteracy, to different target languages and to Content and Language Integrated Learning (CLIL); (2) what can be observed in respect of second language (L2) learning in the third age; (3) an ecological perspective on age in classroom L2 research methodology; and (4) an exploration of the attitudes of teachers of different-aged L2 learners.
The present study aimed to identify predictors of one aspect of sign language acquisition, sign learning, in hearing nonsigners. Candidate predictors were selected based on the theory that the observed relationship between phonological short-term memory and L2 lexical learning is due in part to common perceptual-motor processes. Hearing nonsigning adults completed a sign learning task, three assessments of short-term memory for movements (movement STM; two of which used sign-like stimuli), and two visuospatial STM tasks. The final sample included 103 adults, ranging between 18 and 33 years of age. All predictors were moderately to strongly correlated with the sign learning task and to each other. A series of regression analyses revealed that both movement and visuospatial STM uniquely contributed to the prediction of sign learning. These results suggest that perceptual-motor processes play a significant role in sign learning and raise questions about the role of phonological processing.
Unlike many recent books on L2 vocabulary and processing, this volume does not set out to offer a complex perspective of the L2 lexicon, but rather represents a sustained attempt to come to grips with some very basic questions clustered around the relationship between the L2 mental lexicon and the L1 mental lexicon. It provides a substantial review of L1 and L2 lexical research issues such as similarities and differences between the conditions of L1 and L2 acquisition, the respective roles of form and meaning in L1 and L2 processing, and the degree of separation/integration between L1 and the L2 lexical operations. New research into the L2 lexicon from the Trinity College Dublin Modern Languages Project is considered in the latter part of the volume.
This article addresses age-related attainment effects in second language acquisition, posing the question of whether such effects are to be explained in terms of a Critical Period with a predictable and abrupt offset point or in terms of the impact of a wider range of factors. It attempts to explore this question by focusing on four discussion points in the current debate: (i) the wide use of native-speaker behaviour as the key L2 attainment yardstick; (ii) the degree of compatibility of prevailing views regarding the notion of a critical period for L2 acquisition; (iii) the relative narrowness of much research in this area, where age of L2 onset is often regarded as the crucial if not the only critical variable; and (iv) insights relative to maturational constraints on language acquisition offered by recent brain research. The article concludes that a loosening of the association between ultimate L2 attainment research and Critical Period Hypothesis (CPH) issues would shed more light on L2 attainment in terms both of the comprehensiveness and of the acuity of the insights which would result.
The existence and selection of steady-state travelling planar fronts in a set of typical phase field equations for solidification are investigated by a combination of numerical and analytical methods. Such solutions are conjectured to exist only for a unique velocity of propagation and to be unique except for translation. This behaviour is in marked contrast to the situation in conventional Stefan models in which travelling fronts exist for all velocities. The value of the steady-state velocity depends upon the various material parameters which enter the phase field equations. Numerical and, in certain tractable limits, analytical results for the velocity are presented for a number of physical situations.
Trends in health treatments and outcomes in the general population may be used to monitor achievement of health targets.
Aims
To investigate changes in mental health services and treatment in Britain over a 7-year period.
Method
National surveys of psychiatric morbidity were completed in 1993 and 2000 in households throughout Great Britain. Standardised interviews were used to establish psychiatric case status and service and treatment utilisation in adults aged 16–64 years.
Results
Use of psychotropic medication doubled in those designated as psychiatric cases. In the non-case-status population antidepressant use rose from 0.16% in 1993 (95% Cl 0.07–0.25) to 2.02% in 2000 (95% Cl 1.69–2.35). However, the overall prevalence of neurotic and psychotic disorder hardly changed from 1993 to 2000. Use of specialised ‘talking treatments' did not increase significantly, except in the non-case group.
Conclusions
Treatment with psychotropic medication alone is unlikely to improve the overall mental health of the nation. A policy based almost exclusively on treatment of identified cases should be augmented by preventive approaches.
The idea that there is an age factor in language development has long been — and continues to be — a hotly debated topic. This review begins by briefly revisiting some of the early perspectives on this issue; it goes on to sketch some of the relevant findings which emerged in the three decades following the onset in the late 1960s of serious empirical investigation of the age factor in L2 acquisition; and, finally, in the third section of the survey, it hones in on the results of some more recently published age-related research. The article concludes with a short discussion — in the light of the foregoing — of (a) the degree of absoluteness of the age factor in L2 acquisition; and (b) the notion that there may be not one, but a number, of age-related factors at work.
A great deal of evidence of cross-linguistic influence at work in lexical acquisition and processing has already been reviewed, notably in Chapter 4. The phenomenon of interlexical interaction, like the question of whether the L2 lexicon has a more formal basis than the L1 lexicon, has been a major topic of interest within the MLRP since its inception – and for similar reasons. That is to say, the former issue like the latter bears on the nature of the relationship between the L1 and the L2 mental lexicon. If the L2 mental lexicon were qualitatively different from the L1 mental lexicon, one would expect interaction between them to be minimal or non-existent. Reversing the terms of this argument, the fact that there are, as we have seen, so many indications that interlexical interaction is commonplace has to be taken as pritna facie evidence of the similarity of the L1 and L2 lexica.
From our own previous work in other contexts (e.g., Ridley, 1991b; Singleton, 1981, 1983, 1987a, 1987b; Singleton & Little, 1984b), it was clear to us that lexical transfer – to use the traditional term – was a reality. However, we did not initially make the connection between this and the question of whether or not there was a basic qualitative difference between the L1 and the L2 mental lexicon. It was our examination of the hypothesis that the L2 mental lexicon was essentially form-driven which brought this connection into focus. From that point onwards, the cross-lexical data which emerged from the MLRP - some of which are presented in the present chapter - took on a new relevance.
In Chapter 2 we looked at the question of how lexis is acquired. In the present chapter we turn our attention to the equally fascinating issue of how the lexis that is acquired is managed; in other words, we shall be considering the structure of the lexical storage system and the ways in which that system is accessed under different conditions. We shall also be looking at lexical processing within two broader theoretical frames of reference – respectively, the modularity hypothesis and connectionism.
The present chapter concerns itself mostly with research which does not have a specifically L2 or bilingual focus. However, in research relating to the L2 mental lexicon the same kinds of organizational and operational issues arise as in L1-focused research, the difference being that in the L2 case they are further complicated by questions having to do with precisely the fact that more than one language comes into the picture. These latter questions – (1) the degree to which the L2 lexicon resembles the L1 lexicon and (2) the degree to which and ways in which the L2 lexicon interacts with the L1 lexicon – will be addressed in Chapter 4. With regard to (1), we have already seen in Chapter 2 that there are some similarities between the challenges posed by, respectively, L1 lexical acquisition and L2 lexical acquisition; and we shall see in Chapter 4 that such similarities extend into the operational sphere. We can therefore take it that most of what is said in the present chapter in respect of L1 lexical processing is also relevant to L2.