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Latin and vernacular histories of England and Britain from the early twelfth century onwards testify to various names for the exceptional prehistoric monument on Salisbury Plain. A British tradition prioritized by Geoffrey of Monmouth shows a split, attributable to the unfamiliarity of an archaic term, between names translatable as ‘Giants’ Dance’ and ‘Giants’ Ring’. The Old English name which gives us ‘Stonehenge’, meanwhile, identifies the megalithic structure with a place of judicial incarceration or punishment. While imaginative, that is significantly embedded in a phase of later Anglo-Saxon history when displays of authority were determinedly imposed on the landscape. Archaeological evidence shows that Stonehenge itself served as the site of one execution, possibly more, in the late eighth or ninth century. Recognition of this stage in the long sequence of societal engagement with the monument sheds light both on the site itself and its context, before and through the transition to Norman England.
The purpose of this study was to investigate and compare the performance of a stepwise variable selection algorithm to traditional exploratory factor analysis. The Monte Carlo study included six factors in the design; the number of common factors; the number of variables explained by the common factors; the magnitude of factor loadings; the number of variables not explained by the common factors; the type of anomaly evidenced by the poorly explained variables; and sample size. The performance of the methods was evaluated in terms of selection and pattern accuracy, and bias and root mean squared error of the structure coefficients. Results indicate that the stepwise algorithm was generally ineffective at excluding anomalous variables from the factor model. The poor selection accuracy of the stepwise approach suggests that it should be avoided.
‘Inhalants’ have been associated with poorer mental health in adolescence, but little is known of associations with specific types of inhalants.
Aims
We aimed to investigate associations of using volatile substances, nitrous oxide and alkyl nitrates with mental health problems in adolescence.
Method
We conducted a cross-sectional analysis using data from 13- to 14-year-old adolescents across England and Wales collected between September 2019 and March 2020. Multilevel logistic regression examined associations between lifetime use of volatile substances, nitrous oxide and alkyl nitrates with self-reported symptoms of probable depression, anxiety, conduct disorder and auditory hallucinations.
Results
Of the 6672 adolescents in the study, 5.1% reported use of nitrous oxide, 4.9% volatile solvents and 0.1% alkyl nitrates. After accounting for multiple testing, adolescents who had used volatile solvents were significantly more likely to report probable depressive (odds ratio = 4.59, 95% CI 3.58, 5.88), anxiety (odds ratio = 3.47, 95% CI 2.72, 4.43) or conduct disorder (odds ratio = 7.52, 95% CI 5.80, 9.76) and auditory hallucinations (odds ratio = 5.35, 95% CI 4.00, 7.17) than those who had not. Nitrous oxide use was significantly associated with probable depression and conduct disorder but not anxiety disorder or auditory hallucinations. Alkyl nitrate use was rare and not associated with mental health outcomes. Adjustment for use of other inhalants, tobacco and alcohol resulted in marked attenuation but socioeconomic disadvantage had little effect.
Conclusion
To our knowledge, this study provides the first general population evidence that volatile solvents and nitrous oxide are associated with probable mental health disorders in adolescence. These findings require replication, ideally with prospective designs.
Cannabis has been associated with poorer mental health, but little is known of the effect of synthetic cannabinoids or cannabidiol (often referred to as CBD).
Aims
To investigate associations of cannabis, synthetic cannabinoids and cannabidiol with mental health in adolescence.
Method
We conducted a cross-sectional analysis with 13- to 14-year-old adolescents across England and Wales in 2019–2020. Multilevel logistic regression was used to examine the association of lifetime use of cannabis, synthetic cannabinoids and cannabidiol with self-reported symptoms of probable depression, anxiety, conduct disorder and auditory hallucinations.
Results
Of the 6672 adolescents who participated, 5.2% reported using of cannabis, 1.9% reported using cannabidiol and 0.6% reported using synthetic cannabinoids. After correction for multiple testing, adolescents who had used these substances were significantly more likely to report a probable depressive, anxiety or conduct disorder, as well as auditory hallucinations, than those who had not. Adjustment for socioeconomic disadvantage had little effect on associations, but weekly tobacco use resulted in marked attenuation of associations. The association of cannabis use with probable anxiety and depressive disorders was weaker in those who reported using cannabidiol than those who did not. There was little evidence of an interaction between synthetic cannabinoids and cannabidiol.
Conclusions
To our knowledge, this study provides the first general population evidence that synthetic cannabinoids and cannabidiol are associated with probable mental health disorders in adolescence. These associations require replication, ideally with prospective cohorts and stronger study designs.
New essays demonstrate Gower's mastery of the three languages of medieval England, and provide a thorough exploration of the voices he used and the discourses in which he participated.
Despite a high prevalence of problematic substance use among people living with HIV in South Africa, there remains limited access to substance use services within the HIV care system. To address this gap, our team previously developed and adapted a six-session, peer-delivered problem-solving and behavioral activation-based intervention (Khanya) to improve HIV medication adherence and reduce substance use in Cape Town. This study evaluated patient and provider perspectives on the intervention to inform implementation and future adaptation.
Methods
Following intervention completion, we conducted semi-structured individual interviews with patients (n = 23) and providers (n = 9) to understand perspectives on the feasibility, acceptability, and appropriateness of Khanya and its implementation by a peer. Patients also quantitatively ranked the usefulness of individual intervention components (problem solving for medication adherence ‘Life-Steps’, behavioral activation, mindfulness training, and relapse prevention) at post-treatment and six months follow-up, which we triangulated with qualitative feedback to examine convergence and divergence across methods.
Results
Patients and providers reported high overall acceptability, feasibility, and appropriateness of Khanya, although there were several feasibility challenges. Mindfulness and Life-Steps were identified as particularly acceptable, feasible, and appropriate components by patients across methods, whereas relapse prevention strategies were less salient. Behavioral activation results were less consistent across methods.
Conclusions
Findings underscore the importance of examining patients’ perspectives on specific intervention components within intervention packages. While mindfulness training and peer delivery models were positively perceived by consumers, they are rarely used within task-shared behavioral interventions in low- and middle-income countries.
IT IS relatively easy to identify leading examples of how (unsurprisingly) the many successive generations and changing social configurations within the population of Anglo-Saxon England were both conscious of and cared about their place within a wider known world and its history. Such evidence can be traced back in time to origin traditions that must derive from the fifth and sixth centuries AD and the connected relationships claimed and nurtured with surviving or apparently lost populations in Scandinavia and on the Continent. Bede's learning was, of course, shaped fundamentally by Christian orthodoxy and an ecclesiastical focus, but his informed awareness of geography was not limited to the biblical, with the introduction of a reference to distant visitors – presumably traders – who had witnessed the midnight sun in the Arctic into his commentary on the Book of Kings. The violent and forceful Scandinavian raiding and colonization of the Viking Age, from the end of the eighth century onwards, created a demanding new context for such reflexive thought.
Not least in light of the terminological controversy within which the origins and production of this publication have become embedded, it is pertinent to note that the adoption of the title Angulsaxonum rex for King Alfred at the very beginning of Asser's De rebus gestis Ælfredi itself prominently embodies the adoption in the court of Wessex, as a political label, of a geo-ethnic term that had become current in learned and politically leading circles on the Continent around a century before, and thus in effect represents a significant stage in the repositioning of the West Saxon leadership relative both to England and to Europe. The production of an Old English translation of Orosius’ Historiae adversus paganos in the milieu of Alfred of Wessex's court, probably in or just before the last decade of the ninth century, provided a further opportunity for that political centre to record and display the connections it had over long distances within Europe, and its knowledge of areas virtually unknown to Orosius at the end of the fourth and in the early fifth centuries.
Paulus Orosius is thought to have been born in Iberia and is known to have travelled around the Mediterranean area, especially in North Africa, and to Palestine.
IT IS AN UNWELCOME FACT to have to face, that studies of pre-Christian religion amongst the Germanic-speaking peoples have recently shown little sign of progressing in a very coherent manner, and indeed in the course of the past quarter-century or so have been moving away from rather than towards any consensus even over the proper critical methodology to be brought to this topic. Specialization in the disciplines relevant to some particular source of evidence can lead to powerful convictions in favour of certain views, perhaps nowhere more clearly exemplified than in Anatoly Liberman's etymologically embedded reconstruction of a prehistoric Germanic religion dominated by the terror of chthonic spirit leaders and hordes (work of many years collected and revised in Liberman 2016). Different only in mode is the imposition of perceived analogies or even just casual assumptions upon material phenomena such as the burial of the dead with grave goods, or potential cases of graphic or numerical symbolism (e.g. Andrén 2014; review Hines 2015a; further, infra). It is quite possible for suggestions made through such diverse approaches to this aspect of the distant past to be historically correct – and perhaps they are even more likely to be partially correct – but they will still be essentially flawed if they are conclusions drawn for the wrong reasons. I stand resolutely by the contention that it is utterly fundamental to the study of religion that the phenomenon itself be adequately characterized at a general level to enable us to identify with defensible credibility where religion may be inherent in what are essentially very different material, linguistic or textual phenomena (Hines 1997; 2015b). Studies of ancient and historical religion are otherwise no more than a series of variously lucky or wild guesses which discredit both the object of study and the scholarly attempt to engage with it.
This critique is based upon a view that posits that religion is essentially immaterial, residing at its very heart in a common human sense of numinism: a field of cognition which in a truly Kantian sense ‘transcends’ the material and social substrates of the culture within which this consciousness exists and to which it must necessarily also relate; perhaps not (to develop the Kantian analogy further) as an a priori category of understanding but certainly as an autonomous element of the culture's ideology.
VERSLOOT With reference to the problem of interpreting what can only be scarce evidence, and ideas of the ‘deconstruction’ of historical narratives, the evidence we can put together seems to me largely to be adding details to a traditional scheme that has been around for some time. Has that scheme changed fundamentally, or has it just become more precise? We are still talking about migrations, essentially. I find this quite comforting. Johan (Nicolay) is filling out the concept of migration, but not saying it is not there.
IJSSENNAGGER-VAN DER PLUIJM I agree with that, but there's still more to it. The focus has changed; the perspective is now more anthropological. Some of the papers do try to go beyond the traditional scope. It is not about trying to throw away an old image, or even just filling it out, but a different perspective that enables us to see new things. Many of the papers were about a wider world than Radbod’s.
NIJDAM I would make two points. It is important not to forget that Boeles's idea of a fourth-century break, and the proposition that the same Frisians had not always inhabited the region, was revolutionary and unpopular in the early twentieth century. Around that time, the Frisian Movement also made use of Radbod as a figure; they would not want to see him deconstructed as a Frankish duke. Things changed in the post-World War II period. Jos Bazelmans wrote on this in the De Vrije Fries (2002), being surprised that this question of a long continuity of the Frisians back into the Roman Period is no longer perceived as important to Frisian identity. Moreover, new insights have been gained in recent times. Hans and Gilles's location of Radbod in North-Holland/Texel (de Langen and Mol) poses the question of what his power was over the rest of Frisia. Meanwhile, the reaction to Ian (Wood)'s public lecture does show the continuing desire for information on origins.
IJSSENNAGGER-VAN DER PLUIJM The public may not always be happy with the answer.
HINES We have to respect the desire to ask the question; and responding with respect will mean giving an answer that is as accurate as we can, but not necessarily the answer that is wished for.