17 results
Overcoming challenges in delivering integrated motivational interviewing and cognitive behavioural therapy for bipolar disorder with co-morbid alcohol use: therapist perspectives
- Katherine Berry, Christine Barrowclough, Mike Fitsimmons, Rosalyn Hartwell, Claire Hilton, Lisa Riste, Ian Wilson, Steven Jones
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- Journal:
- Behavioural and Cognitive Psychotherapy / Volume 48 / Issue 5 / September 2020
- Published online by Cambridge University Press:
- 06 May 2020, pp. 615-620
- Print publication:
- September 2020
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Background:
Alcohol misuse is common in bipolar disorder and is associated with worse outcomes. A recent study evaluated integrated motivational interviewing and cognitive behavioural therapy for bipolar disorder and alcohol misuse with promising results in terms of the feasibility of delivering the therapy and the acceptability to participants.
Aims:Here we present the experiences of the therapists and supervisors from the trial to identify the key challenges in working with this client group and how these might be overcome.
Method:Four therapists and two supervisors participated in a focus group. Topic guides for the group were informed by a summary of challenges and obstacles that each therapist had completed at the end of therapy for each individual client. The audio recording of the focus group was transcribed and data were analysed using thematic analysis.
Results:We identified five themes: addressing alcohol use versus other problems; impact of bipolar disorder on therapy; importance of avoidance and overcoming it; fine balance in relation to shame and normalising use; and ‘talking the talk’ versus ‘walking the walk’.
Conclusions:Findings suggest that clients may be willing to explore motivations for using alcohol even if they are not ready to change their drinking, and they may want help with a range of mental health problems. Emotional and behavioural avoidance may be a key factor in maintaining alcohol use in this client group and therapists should be aware of a possible discrepancy between clients’ intentions to reduce misuse and their actual behaviour.
Blurring and Bridging: The Role of Volunteers in Dementia Care within Homes and Communities
- VIKKI MCCALL, LOUISE MCCABE, ALASDAIR RUTHERFORD, FEIFEI BU, MICHAEL WILSON, MIKE WOOLVIN
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- Journal:
- Journal of Social Policy / Volume 49 / Issue 3 / July 2020
- Published online by Cambridge University Press:
- 22 January 2020, pp. 622-642
- Print publication:
- July 2020
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Policy makers across the political spectrum have extolled the virtues of volunteering in achieving social policy aims. Yet little is known about the role that volunteering plays in addressing one of the significant challenges of an ageing population: the provision of care and support to people with dementia. We combine organisational survey data, secondary social survey data, and in-depth interviews with people with dementia, family carers and volunteers in order to better understand the context, role and challenges in which volunteers support people with dementia. Social policies connecting volunteering and dementia care in homes and communities often remain separate and disconnected and our paper draws on the concept of policy ‘assemblages’ to suggest that dementia care is a dynamic mixture of formal and informal volunteering activities that bridge and blur traditional policy boundaries. Linking home and community environments is a key motivation, benefit and outcome for volunteers, carers and those living with dementia. The paper calls to widen the definition and investigation of volunteering in social policy to include and support informal volunteering activity.
twelve - The poverty of well-being
- Edited by Glen Bramley, Heriot-Watt University, Edinburgh, Nick Bailey, University of Glasgow
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- Book:
- Poverty and Social Exclusion in the UK Vol 2
- Published by:
- Bristol University Press
- Published online:
- 12 April 2022
- Print publication:
- 29 November 2017, pp 289-308
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Summary
Introduction
The main aim of this chapter is to explore the material basis of well-being using data from the Poverty and Social Exclusion UK (PSE-UK) 2012 survey. The chapter begins by reviewing contemporary discussions of well-being and the ubiquitous presence of the concept in public and private sector discourses. It explores the ideas behind the rise of the ‘happiness industry’ and shows how the measurement of well-being has been at the forefront of some recent developments in official statistics, principally through survey questions on life satisfaction, happiness and anxiety.
Using the PSE-UK data, we analyse the relationship between poverty and satisfaction/dissatisfaction with various circumstances such as employment, accommodation and neighbourhood, as well as between poverty and overall satisfaction with life and feeling part of the community. Several measures of income poverty and deprivation are used to explore the consistency of relationship between very low levels of satisfaction with life and poverty. We also use regression analysis to distinguish the impact on overall well-being of factors such as material deprivation, long-term illness, age and employment status.
The chapter concludes with a discussion of well-being and social policy. One of the consequences of the mainstreaming of well-being is that subjective happiness scores are now receiving much more attention than traditional measures of social justice (such as unemployment, poverty and mortality rates). The explicit assumption is that how people feel is more important to both the outcomes of policies and to the way governments seek to achieve social policy goals in the era of austerity – by ‘nudging’, and in many cases compelling, individuals towards healthier and more enriching behaviours. On the basis of the PSE-UK evidence, we argue that substantial gains in well-being are most likely to be achieved by reducing poverty and providing more support to those with long-term illnesses and disabilities.
The ubiquity of well-being
The promotion of well-being has lately become all things to all people. ‘Well-being’ and the associated concepts of ‘happiness’ and ‘quality of life’ are liberally used in public and private sector discourses as if there is now universal agreement on the common purpose of corporate effort and activity (Scott, 2012).
Standardization of the MSA/MAS/AMAS Hyper-Dimensional File Format
- Aaron Torpy, Mike Kundmann, Nick Wilson, Colin MacRae, Nestor J. Zaluzec
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- Journal:
- Microscopy and Microanalysis / Volume 23 / Issue S1 / July 2017
- Published online by Cambridge University Press:
- 04 August 2017, pp. 1092-1093
- Print publication:
- July 2017
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12 - Social inclusion from the carer's perspective
- from Part 2 - Social exclusion: the scope of the problem
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- By David Chang, Mike Osborne, Nottinghamshire Healthcare NHS Trust, Rosemary Wilson, Susan Brook, Institute, University of Central Lancashire
- Edited by Jed Boardman, Alan Currie, Helen Killaspy, Gillian Mezey
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- Book:
- Social Inclusion and Mental Health
- Published by:
- Royal College of Psychiatrists
- Published online:
- 25 February 2017, pp 259-276
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Summary
We are all members of the National Social Inclusion Programme's Reference Group and here we reflect on our experiences of carers or of being a carer for people with severe and enduring mental health problems. David and Rosemary have family members with mental health problems and Rosemary also uses mental health services herself; Michael works as a volunteer with carers and Susan is a carer of her elderly mother; they both also have experience of mental health services. Our experiences are both similar and distinct and reflect the differences between carer and service user viewpoints. For people who act as carers, particularly those who have family members with mental health problems, there is more than one individual who experiences exclusion and the journey of recovery. The four perspectives here reflect this and illustrate the potential tensions that engagement with services and the desire for different outcomes and choices can engender. Admittedly, many of the causes and solutions to exclusion involve political and social changes, but we will be concentrating on how mental health professionals and services can help in facilitating inclusion or how they may hinder the process of recovery.
David: Caring for a spouse
I have been a carer to my spouse who suffers from bipolar disorder for the past 15 years. She has not had an in-patient episode for over 7 years and we both have learnt to manage the condition and our lives. As our situation became more stable and we began to enjoy more of a ‘normal’ life again, I began to realise that our recovery was intimately linked to increasing experiences of social inclusion, and that much of our distress was exacerbated, even caused, by our experience of exclusion. This exclusion was experienced in many ways and for me was a reflection of my personal needs and altered personal relationships, my experiences of employment and financial difficulties, the increasing isolation from people and social contacts, my experience of health services and my need for information on matters about which I was previously ignorant.
Thinking back to my wife's first admission, it strikes me how alone and vulnerable I was. To be fair, there were people around, so I was not technically alone, but I was very lonely.
11 - Finding acceptance: the experiences of people who use mental health services
- from Part 2 - Social exclusion: the scope of the problem
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- By Rosemary Wilson, Mike Osborne, Nottinghamshire Healthcare NHS Trust, Susan Brook, Institute, University of Central Lancashire
- Edited by Jed Boardman, Alan Currie, Helen Killaspy, Gillian Mezey
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- Book:
- Social Inclusion and Mental Health
- Published by:
- Royal College of Psychiatrists
- Published online:
- 25 February 2017, pp 232-258
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Summary
This chapter was co-written by three members of the National Social Inclusion Programme's (NSIP's) Reference Group. Although we all have considerable experience of mental distress, which has been, or is being, treated by mental health professionals, and of discussing and promoting socially inclusive practice, it can be seen that we all have different approaches to the topic of social inclusion. For one of us employment plays an important role, for another working as a volunteer alongside mental health professionals has been the key to inclusion, whereas the third argues strongly for the right to take time out, to stand back and reflect. This variation of perspectives should come as no surprise. Social inclusion – participating and being part of a community – is multi-faceted and personal, charged with different meanings and experiences. In this chapter we shall be looking at some of these facets and experiences.
We are aware that solving the problem of exclusion will require political and social changes. Discrimination remains a significant barrier. We cannot, for example, serve on a jury and we may be excluded from the workplace. We may be disadvantaged in financial matters, in foreign travel and in the job market. Public attitudes are still prejudicial and as common parlance bears out, people with mental health issues have been excluded throughout recorded history; we are ‘round the bend’, ‘out of our mind’, ‘off our rocker’. But in this chapter we shall be focusing on how mental health practitioners can help us to achieve the more everyday forms of social inclusion by the way they interact with us and the treatment they offer. We will contribute examples of good and bad practice, which we have been given by other people using services to use anonymously and by referring to our own experiences.
It is important to recognise that we are not ‘representative service users’. There is no such person, as each experience of life and distress is unique. We are, however, privileged to have access to a wide community of people who use services who perhaps feel more able to talk about their experiences to us rather than to professionals, because there is no perceived imbalance of power. Traditionally it was called the views of the smoke-room; more accurately now it is the outcome of peer support, the use of storytelling to gain understanding which has been practised since time immemorial.
Reconstructing Rangea: new discoveries from the Ediacaran of southern Namibia
- Patricia Vickers-Rich, Andrey Yu. Ivantsov, Peter W. Trusler, Guy M. Narbonne, Mike Hall, Sasha Wilson, Carolyn Greentree, Mikhail A. Fedonkin, David A. Elliott, Karl H. Hoffmann, Gabi I. C. Schneider
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- Journal:
- Journal of Paleontology / Volume 87 / Issue 1 / January 2013
- Published online by Cambridge University Press:
- 20 May 2016, pp. 1-15
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Rangea is the type genus of the Rangeomorpha, an extinct clade near the base of the evolutionary tree of large, complex organisms which prospered during the late Neoproterozoic. It represents an iconic Ediacaran taxon, but the relatively few specimens previously known significantly hindered an accurate reconstruction. Discovery of more than 100 specimens of Rangea in two gutter casts recovered from Farm Aar in southern Namibia significantly expands this data set, and the well preserved internal and external features on these specimens permit new interpretations of Rangea morphology and lifestyle. Internal structures of Rangea consist of a hexaradial axial bulb that passes into an axial stalk extending the length of the fossil. The axial bulb is typically filled with sediment, which becomes increasingly loosely packed and porous distally, with the end of the stalk typically preserved as an empty, cylindrical cone. This length of the axial structure forms the structural foundation for six vanes arranged radially around the axis, with each vane consisting of a bilaminar sheet composed of a repetitive pattern of elements exhibiting at least three orders of self-similar branching. Rangea was probably an epibenthic frond that rested upright on the sea bottom, and all known fossil specimens were transported prior to their final burial in storm deposits.
Contributors
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- By Mitchell Aboulafia, Frederick Adams, Marilyn McCord Adams, Robert M. Adams, Laird Addis, James W. Allard, David Allison, William P. Alston, Karl Ameriks, C. Anthony Anderson, David Leech Anderson, Lanier Anderson, Roger Ariew, David Armstrong, Denis G. Arnold, E. J. Ashworth, Margaret Atherton, Robin Attfield, Bruce Aune, Edward Wilson Averill, Jody Azzouni, Kent Bach, Andrew Bailey, Lynne Rudder Baker, Thomas R. Baldwin, Jon Barwise, George Bealer, William Bechtel, Lawrence C. Becker, Mark A. Bedau, Ernst Behler, José A. Benardete, Ermanno Bencivenga, Jan Berg, Michael Bergmann, Robert L. Bernasconi, Sven Bernecker, Bernard Berofsky, Rod Bertolet, Charles J. Beyer, Christian Beyer, Joseph Bien, Joseph Bien, Peg Birmingham, Ivan Boh, James Bohman, Daniel Bonevac, Laurence BonJour, William J. Bouwsma, Raymond D. Bradley, Myles Brand, Richard B. Brandt, Michael E. Bratman, Stephen E. Braude, Daniel Breazeale, Angela Breitenbach, Jason Bridges, David O. Brink, Gordon G. Brittan, Justin Broackes, Dan W. Brock, Aaron Bronfman, Jeffrey E. Brower, Bartosz Brozek, Anthony Brueckner, Jeffrey Bub, Lara Buchak, Otavio Bueno, Ann E. Bumpus, Robert W. Burch, John Burgess, Arthur W. Burks, Panayot Butchvarov, Robert E. Butts, Marina Bykova, Patrick Byrne, David Carr, Noël Carroll, Edward S. Casey, Victor Caston, Victor Caston, Albert Casullo, Robert L. Causey, Alan K. L. Chan, Ruth Chang, Deen K. Chatterjee, Andrew Chignell, Roderick M. Chisholm, Kelly J. Clark, E. J. Coffman, Robin Collins, Brian P. Copenhaver, John Corcoran, John Cottingham, Roger Crisp, Frederick J. Crosson, Antonio S. Cua, Phillip D. Cummins, Martin Curd, Adam Cureton, Andrew Cutrofello, Stephen Darwall, Paul Sheldon Davies, Wayne A. Davis, Timothy Joseph Day, Claudio de Almeida, Mario De Caro, Mario De Caro, John Deigh, C. F. Delaney, Daniel C. Dennett, Michael R. DePaul, Michael Detlefsen, Daniel Trent Devereux, Philip E. Devine, John M. Dillon, Martin C. Dillon, Robert DiSalle, Mary Domski, Alan Donagan, Paul Draper, Fred Dretske, Mircea Dumitru, Wilhelm Dupré, Gerald Dworkin, John Earman, Ellery Eells, Catherine Z. Elgin, Berent Enç, Ronald P. Endicott, Edward Erwin, John Etchemendy, C. Stephen Evans, Susan L. Feagin, Solomon Feferman, Richard Feldman, Arthur Fine, Maurice A. Finocchiaro, William FitzPatrick, Richard E. Flathman, Gvozden Flego, Richard Foley, Graeme Forbes, Rainer Forst, Malcolm R. Forster, Daniel Fouke, Patrick Francken, Samuel Freeman, Elizabeth Fricker, Miranda Fricker, Michael Friedman, Michael Fuerstein, Richard A. Fumerton, Alan Gabbey, Pieranna Garavaso, Daniel Garber, Jorge L. A. Garcia, Robert K. Garcia, Don Garrett, Philip Gasper, Gerald Gaus, Berys Gaut, Bernard Gert, Roger F. Gibson, Cody Gilmore, Carl Ginet, Alan H. Goldman, Alvin I. Goldman, Alfonso Gömez-Lobo, Lenn E. Goodman, Robert M. Gordon, Stefan Gosepath, Jorge J. E. Gracia, Daniel W. Graham, George A. Graham, Peter J. Graham, Richard E. Grandy, I. Grattan-Guinness, John Greco, Philip T. Grier, Nicholas Griffin, Nicholas Griffin, David A. Griffiths, Paul J. Griffiths, Stephen R. Grimm, Charles L. Griswold, Charles B. Guignon, Pete A. Y. Gunter, Dimitri Gutas, Gary Gutting, Paul Guyer, Kwame Gyekye, Oscar A. Haac, Raul Hakli, Raul Hakli, Michael Hallett, Edward C. Halper, Jean Hampton, R. James Hankinson, K. R. Hanley, Russell Hardin, Robert M. Harnish, William Harper, David Harrah, Kevin Hart, Ali Hasan, William Hasker, John Haugeland, Roger Hausheer, William Heald, Peter Heath, Richard Heck, John F. Heil, Vincent F. Hendricks, Stephen Hetherington, Francis Heylighen, Kathleen Marie Higgins, Risto Hilpinen, Harold T. Hodes, Joshua Hoffman, Alan Holland, Robert L. Holmes, Richard Holton, Brad W. Hooker, Terence E. Horgan, Tamara Horowitz, Paul Horwich, Vittorio Hösle, Paul Hoβfeld, Daniel Howard-Snyder, Frances Howard-Snyder, Anne Hudson, Deal W. Hudson, Carl A. Huffman, David L. Hull, Patricia Huntington, Thomas Hurka, Paul Hurley, Rosalind Hursthouse, Guillermo Hurtado, Ronald E. Hustwit, Sarah Hutton, Jonathan Jenkins Ichikawa, Harry A. Ide, David Ingram, Philip J. Ivanhoe, Alfred L. Ivry, Frank Jackson, Dale Jacquette, Joseph Jedwab, Richard Jeffrey, David Alan Johnson, Edward Johnson, Mark D. Jordan, Richard Joyce, Hwa Yol Jung, Robert Hillary Kane, Tomis Kapitan, Jacquelyn Ann K. Kegley, James A. Keller, Ralph Kennedy, Sergei Khoruzhii, Jaegwon Kim, Yersu Kim, Nathan L. King, Patricia Kitcher, Peter D. Klein, E. D. Klemke, Virginia Klenk, George L. Kline, Christian Klotz, Simo Knuuttila, Joseph J. Kockelmans, Konstantin Kolenda, Sebastian Tomasz Kołodziejczyk, Isaac Kramnick, Richard Kraut, Fred Kroon, Manfred Kuehn, Steven T. Kuhn, Henry E. Kyburg, John Lachs, Jennifer Lackey, Stephen E. Lahey, Andrea Lavazza, Thomas H. Leahey, Joo Heung Lee, Keith Lehrer, Dorothy Leland, Noah M. Lemos, Ernest LePore, Sarah-Jane Leslie, Isaac Levi, Andrew Levine, Alan E. Lewis, Daniel E. Little, Shu-hsien Liu, Shu-hsien Liu, Alan K. L. Chan, Brian Loar, Lawrence B. Lombard, John Longeway, Dominic McIver Lopes, Michael J. Loux, E. J. Lowe, Steven Luper, Eugene C. Luschei, William G. Lycan, David Lyons, David Macarthur, Danielle Macbeth, Scott MacDonald, Jacob L. Mackey, Louis H. Mackey, Penelope Mackie, Edward H. Madden, Penelope Maddy, G. B. Madison, Bernd Magnus, Pekka Mäkelä, Rudolf A. Makkreel, David Manley, William E. Mann (W.E.M.), Vladimir Marchenkov, Peter Markie, Jean-Pierre Marquis, Ausonio Marras, Mike W. Martin, A. P. Martinich, William L. McBride, David McCabe, Storrs McCall, Hugh J. McCann, Robert N. McCauley, John J. McDermott, Sarah McGrath, Ralph McInerny, Daniel J. McKaughan, Thomas McKay, Michael McKinsey, Brian P. McLaughlin, Ernan McMullin, Anthonie Meijers, Jack W. Meiland, William Jason Melanson, Alfred R. Mele, Joseph R. Mendola, Christopher Menzel, Michael J. Meyer, Christian B. Miller, David W. Miller, Peter Millican, Robert N. Minor, Phillip Mitsis, James A. Montmarquet, Michael S. Moore, Tim Moore, Benjamin Morison, Donald R. Morrison, Stephen J. Morse, Paul K. Moser, Alexander P. D. Mourelatos, Ian Mueller, James Bernard Murphy, Mark C. Murphy, Steven Nadler, Jan Narveson, Alan Nelson, Jerome Neu, Samuel Newlands, Kai Nielsen, Ilkka Niiniluoto, Carlos G. Noreña, Calvin G. Normore, David Fate Norton, Nikolaj Nottelmann, Donald Nute, David S. Oderberg, Steve Odin, Michael O’Rourke, Willard G. Oxtoby, Heinz Paetzold, George S. Pappas, Anthony J. Parel, Lydia Patton, R. P. Peerenboom, Francis Jeffry Pelletier, Adriaan T. Peperzak, Derk Pereboom, Jaroslav Peregrin, Glen Pettigrove, Philip Pettit, Edmund L. Pincoffs, Andrew Pinsent, Robert B. Pippin, Alvin Plantinga, Louis P. Pojman, Richard H. Popkin, John F. Post, Carl J. Posy, William J. Prior, Richard Purtill, Michael Quante, Philip L. Quinn, Philip L. Quinn, Elizabeth S. Radcliffe, Diana Raffman, Gerard Raulet, Stephen L. Read, Andrews Reath, Andrew Reisner, Nicholas Rescher, Henry S. Richardson, Robert C. Richardson, Thomas Ricketts, Wayne D. Riggs, Mark Roberts, Robert C. Roberts, Luke Robinson, Alexander Rosenberg, Gary Rosenkranz, Bernice Glatzer Rosenthal, Adina L. Roskies, William L. Rowe, T. M. Rudavsky, Michael Ruse, Bruce Russell, Lilly-Marlene Russow, Dan Ryder, R. M. Sainsbury, Joseph Salerno, Nathan Salmon, Wesley C. Salmon, Constantine Sandis, David H. Sanford, Marco Santambrogio, David Sapire, Ruth A. Saunders, Geoffrey Sayre-McCord, Charles Sayward, James P. Scanlan, Richard Schacht, Tamar Schapiro, Frederick F. Schmitt, Jerome B. Schneewind, Calvin O. Schrag, Alan D. Schrift, George F. Schumm, Jean-Loup Seban, David N. Sedley, Kenneth Seeskin, Krister Segerberg, Charlene Haddock Seigfried, Dennis M. Senchuk, James F. Sennett, William Lad Sessions, Stewart Shapiro, Tommie Shelby, Donald W. Sherburne, Christopher Shields, Roger A. Shiner, Sydney Shoemaker, Robert K. Shope, Kwong-loi Shun, Wilfried Sieg, A. John Simmons, Robert L. Simon, Marcus G. Singer, Georgette Sinkler, Walter Sinnott-Armstrong, Matti T. Sintonen, Lawrence Sklar, Brian Skyrms, Robert C. Sleigh, Michael Anthony Slote, Hans Sluga, Barry Smith, Michael Smith, Robin Smith, Robert Sokolowski, Robert C. Solomon, Marta Soniewicka, Philip Soper, Ernest Sosa, Nicholas Southwood, Paul Vincent Spade, T. L. S. Sprigge, Eric O. Springsted, George J. Stack, Rebecca Stangl, Jason Stanley, Florian Steinberger, Sören Stenlund, Christopher Stephens, James P. Sterba, Josef Stern, Matthias Steup, M. A. Stewart, Leopold Stubenberg, Edith Dudley Sulla, Frederick Suppe, Jere Paul Surber, David George Sussman, Sigrún Svavarsdóttir, Zeno G. Swijtink, Richard Swinburne, Charles C. Taliaferro, Robert B. Talisse, John Tasioulas, Paul Teller, Larry S. Temkin, Mark Textor, H. S. Thayer, Peter Thielke, Alan Thomas, Amie L. Thomasson, Katherine Thomson-Jones, Joshua C. Thurow, Vzalerie Tiberius, Terrence N. Tice, Paul Tidman, Mark C. Timmons, William Tolhurst, James E. Tomberlin, Rosemarie Tong, Lawrence Torcello, Kelly Trogdon, J. D. Trout, Robert E. Tully, Raimo Tuomela, John Turri, Martin M. Tweedale, Thomas Uebel, Jennifer Uleman, James Van Cleve, Harry van der Linden, Peter van Inwagen, Bryan W. Van Norden, René van Woudenberg, Donald Phillip Verene, Samantha Vice, Thomas Vinci, Donald Wayne Viney, Barbara Von Eckardt, Peter B. M. Vranas, Steven J. Wagner, William J. Wainwright, Paul E. Walker, Robert E. Wall, Craig Walton, Douglas Walton, Eric Watkins, Richard A. Watson, Michael V. Wedin, Rudolph H. Weingartner, Paul Weirich, Paul J. Weithman, Carl Wellman, Howard Wettstein, Samuel C. Wheeler, Stephen A. White, Jennifer Whiting, Edward R. Wierenga, Michael Williams, Fred Wilson, W. Kent Wilson, Kenneth P. Winkler, John F. Wippel, Jan Woleński, Allan B. Wolter, Nicholas P. Wolterstorff, Rega Wood, W. Jay Wood, Paul Woodruff, Alison Wylie, Gideon Yaffe, Takashi Yagisawa, Yutaka Yamamoto, Keith E. Yandell, Xiaomei Yang, Dean Zimmerman, Günter Zoller, Catherine Zuckert, Michael Zuckert, Jack A. Zupko (J.A.Z.)
- Edited by Robert Audi, University of Notre Dame, Indiana
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- Book:
- The Cambridge Dictionary of Philosophy
- Published online:
- 05 August 2015
- Print publication:
- 27 April 2015, pp ix-xxx
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Cognition, coping, and outcome in Parkinson's disease
- Catherine S. Hurt, Sabine Landau, David J. Burn, John V. Hindle, Mike Samuel, Ken Wilson, Richard G. Brown
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- Journal:
- International Psychogeriatrics / Volume 24 / Issue 10 / October 2012
- Published online by Cambridge University Press:
- 22 May 2012, pp. 1656-1663
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Background: Cognitive impairment and depression are common and disabling non-motor symptoms of Parkinson's disease (PD). Previous studies have shown associations between them but the nature of the relationship remains unclear. In chronic illness, problem- or task-oriented coping strategies are associated with better outcome but often require higher level cognitive functioning. The present study investigated, in a sample of patients with PD, the relationships between cognitive function, choice of coping strategies, and a broad index of outcome including depression, anxiety, and health-related quality of life (QoL). It was hypothesized that the coping strategy used could mediate the association between cognition and outcome.
Methods: 347 participants completed the Coping Inventory for Stressful Situations, the Hospital Anxiety and Depression Scale, the Parkinson's Disease Questionnaire-8, the Unified Parkinson's Disease Rating Scale, and the Addenbrooke's Cognitive Examination–Revised. Structural Equation Modeling was used to test the hypothesized model of cognition, coping, and outcome based on a direct association between cognition and outcome and an indirect association mediated by coping.
Results: Overall, poorer cognition predicted less use of task-oriented coping, which predicted worse outcome (a latent variable comprised of higher depression and anxiety and lower QoL). The analyses suggested a small indirect effect of cognition on outcome mediated by coping.
Conclusions: The findings suggest that patients who fail to employ task-oriented coping strategies may be at greater risk of depression, anxiety, and poor health-related QoL. Even mild to moderate cognitive impairment may contribute to reduced use of task-oriented coping. Suitably adapted cognitive–behavioral approaches may be useful to enable the use of adaptive coping strategies in such patients.
Psychiatric in-patients, violence and the criminal justice system
- Simon Wilson, Kevin Murray, Mike Harris, Michael Brown
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- Journal:
- The Psychiatrist / Volume 36 / Issue 2 / February 2012
- Published online by Cambridge University Press:
- 02 January 2018, pp. 41-44
- Print publication:
- February 2012
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There is ambivalence about prosecuting psychiatric in-patients for violent offences. This ambivalence is reflected in the Memorandum of Understanding that exists between the Crown Prosecution Service and the NHS Security Management Service. This has led to an unwelcome change in practice when the police ask for information from an individual's consultant psychiatrist, the police requesting information about the individual's cognitive abilities at the time of the alleged offence and using this to make decisions about prosecution. However, there is also guidance on this area from other sources. We describe this and make further suggestions for dealing with these requests.
9 - University College London and France: Teaching and Research Collaborations
- from Part I: Teaching and Training Partnerships
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- By Myriam Hunter-Henin, Lecturer at University College London, Co-Director of the Institute of Global Law, and Director of European Double Degree Programmes., Mike Wilson, Professor of Microbiology in the School of Life and Medical Sciences at University College London (UCL)
- Edited by Philippe Lane, Maurice Fraser
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- Book:
- Franco-British Academic Partnerships
- Published by:
- Liverpool University Press
- Published online:
- 22 July 2017
- Print publication:
- 08 July 2011, pp 77-84
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Summary
The Faculty of Laws at University College London: One Step Away from France
Located a five-minute walk away from the Eurostar terminal at Saint Pancras, the Faculty of Laws at University College London (UCL) is geographically naturally prone to look towards France. The attraction to its spiritual father, Jeremy Bentham, of codification may also have been a reason for UCL to look beyond the Channel towards the French Napoleonic codified system. Reciprocally, the prestige of UCL Faculty of Laws – ranked third after Oxford and Cambridge according to a recent national survey of students – and its location in Bloomsbury were bound to raise interest among French universities and students. Links between UCL and France have therefore been long-standing, fruitful and active. These links take the shape of student programmes, teaching links and research collaborations.
Student Programmes
UCL's Faculty of Laws has student exchange programmes with numerous partner universities across the world but our programmes with France are the most important in terms of student numbers and teaching resources.
International student programmes feature prominently at UCL since about one-third of our undergraduate students are part of exchange programmes. Some are recruited by UCL, others by our partner universities, which send a selected happy few to UCL for a year as ‘affiliate students’. UCL Faculty of Laws has links with prestigious universities, many in Commonwealth countries, such as the University of New South Wales (Australia), the University of Hong Kong, the National University of Singapore and Columbia University in the United States. But our European exchange programmes also stand prominently, counting links with: Germany – Cologne and Munich (Ludwig Maximilians Universität München); Spain – Carlos III in Madrid and Girona; Italy (Florence); and, of course, France, with Paris II University Panthéon-Assas and Université Paul Cézanne, Aix-en-Provence.
The links with France date back to 1984 for Aix-en-Provence and 1989/90 for Paris II Panthéon-Assas. Relationships have developed through time and rely on solid ties. Collaboration is smooth because academics and administrative staff involved in the management of the French links, and, indeed, of all European links, regularly meet up, informally. Moreover, UCL chairs a formal gathering once a year at one of our partner universities or at UCL. This provides a unique opportunity to plan ahead for the coming academic year but also to strengthen our relationships by enabling people to put faces to names.
9 - University College London and France: Teaching and Research Collaborations
- from Part I - Teaching and Training Partnerships
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- By Myriam Hunter-Henin, University College London, Mike Wilson, University College London
- Edited by Philippe Lane, Attaché for Higher Education at the French Embassy in the UK and Visiting Fellow Corpus Christi College, Cambridge, Maurice Fraser, London School of Economics
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- Book:
- Franco-British Academic Partnerships
- Published by:
- Liverpool University Press
- Published online:
- 26 October 2011
- Print publication:
- 30 June 2011, pp 77-84
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Summary
The Faculty of Laws at University College London: One Step Away from France
Located a five-minute walk away from the Eurostar terminal at Saint Pancras, the Faculty of Laws at University College London (UCL) is geographically naturally prone to look towards France. The attraction to its spiritual father, Jeremy Bentham, of codification may also have been a reason for UCL to look beyond the Channel towards the French Napoleonic codified system. Reciprocally, the prestige of UCL Faculty of Laws – ranked third after Oxford and Cambridge according to a recent national survey of students – and its location in Bloomsbury were bound to raise interest among French universities and students. Links between UCL and France have therefore been long-standing, fruitful and active. These links take the shape of student programmes, teaching links and research collaborations.
Student Programmes
UCL's Faculty of Laws has student exchange programmes with numerous partner universities across the world but our programmes with France are the most important in terms of student numbers and teaching resources.
International student programmes feature prominently at UCL since about one-third of our undergraduate students are part of exchange programmes. Some are recruited by UCL, others by our partner universities, which send a selected happy few to UCL for a year as ‘affiliate students’. UCL Faculty of Laws has links with prestigious universities, many in Commonwealth countries, such as the University of New South Wales (Australia), the University of Hong Kong, the National University of Singapore and Columbia University in the United States.
Re-Mixing Digital Economies in the Voluntary Community Sector? Governing Identity Information and Information Sharing in the Mixed Economy of Care for Children and Young People*
- Rob Wilson, Mike Martin, Sarah Walsh, Paul Richter
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- Journal:
- Social Policy and Society / Volume 10 / Issue 3 / July 2011
- Published online by Cambridge University Press:
- 01 June 2011, pp. 379-391
- Print publication:
- July 2011
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This article critically examines the governance of identity in the context of children's social care. There is a widespread assumption in government policy and technical practice that information can be integrated across organisations and sectors. This article questions these assertions using a case study (‘Mary's story’). It draws on a range of insights from the philosophy of Charles Pierce, information systems practice and social theory. This provides a platform to explore the governance of identity information for VCS organisations, service providers, and user(s). The logics of the governance of identity information in current and future service co-ordination and delivery are examined.
Gristhorpe Man: an Early Bronze Age log-coffin burial scientifically defined
- Nigel Melton, Janet Montgomery, Christopher J. Knüsel, Cathy Batt, Stuart Needham, Mike Parker Pearson, Alison Sheridan, Carl Heron, Tim Horsley, Armin Schmidt, Adrian Evans, Elizabeth Carter, Howell Edwards, Michael Hargreaves, Rob Janaway, Niels Lynnerup, Peter Northover, Sonia O'Connor, Alan Ogden, Timothy Taylor, Vaughan Wastling, Andrew Wilson
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A log-coffin excavated in the early nineteenth century proved to be well enough preserved in the early twenty-first century for the full armoury of modern scientific investigation to give its occupants and contents new identity, new origins and a new date. In many ways the interpretation is much the same as before: a local big man buried looking out to sea. Modern analytical techniques can create a person more real, more human and more securely anchored in history. This research team shows how.
Developing personal relationships in care homes: realising the contributions of staff, residents and family members
- CHRISTINE BROWN WILSON, SUE DAVIES, MIKE NOLAN
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- Journal:
- Ageing & Society / Volume 29 / Issue 7 / October 2009
- Published online by Cambridge University Press:
- 11 June 2009, pp. 1041-1063
- Print publication:
- October 2009
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Personal relationships are an integral part of living, working and visiting in care homes, but little research has made relationships the main focus of enquiry, and there have been few studies of the perspectives of residents, staff and family members. The study reported here sought to redress this neglect. Using a constructivist approach, the nature and types of relationships between residents, staff and family members were explored in three care homes in England using combined methods including participant observation, interviews and focus groups. The data collection and analysis occurred iteratively over 21 months and three types of relationships were identified: ‘pragmatic relationships’ that primarily focus on the instrumental aspects of care; ‘personal and responsive relationships’ that engage more fully with the particular needs of individual residents; and ‘reciprocal relationships’ that recognise the roles of residents, staff and family members in creating a sense of community within the home. This paper explores the contributions made by staff, residents and family members in the development of these relationships. The findings enhance our understanding of the role of inter-personal relationships in care home settings and of the factors that condition them. The implications for developing improved practice in care homes are also considered.
Selection, design, and characterization of a new potentially therapeutic ribozyme
- SHAWN P. ZINNEN, KRISTAL DOMENICO, MIKE WILSON, BRENT A. DICKINSON, AMBER BEAUDRY, VICTOR MOKLER, ANDREW T. DANIHER, ALEX BURGIN, LEONID BEIGELMAN
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An in vitro selection was designed to identify RNA-cleaving ribozymes predisposed for function as a drug. The selection scheme required the catalyst to be trans-acting with phosphodiesterase activity targeting a fragment of the Kras mRNA under simulated physiological conditions. To increase stabilization against nucleases and to offer the potential for improved functionality, modified sequence space was sampled by transcribing with the following NTPs: 2′-F-ATP, 2′-F-UTP, or 2′-F-5-[(N-imidazole-4-acetyl) propylamine]-UTP, 2′-NH2-CTP, and GTP. Active motifs were identified and assessed for their modified NMP and divalent metal dependence. The minimization of the ribozyme's size and the ability to substitute 2′-OMe for 2′-F and 2′-NH2 moieties yielded the motif from these selections most suited for both nuclease stability and therapeutic development. This motif requires only two 2′-NH2-Cs and functions as a 36-mer. Its substrate sequence requirements were determined to be 5′–Y-G-H–3′. Its half-life in human serum is >100 h. In physiologically relevant magnesium concentrations [∼1 mM] its kcat = 0.07 min−1, Km = 70 nM. This report presents a novel nuclease stable ribozyme, designated ZinzymeTM, possessing optimal activity in simulated physiological conditions and ready for testing in a therapeutic setting.