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We prove that if two free probability-measure-preserving (p.m.p.) ${\mathbb Z}$-actions are Shannon orbit equivalent, then they have the same entropy. The argument also applies more generally to yield the same conclusion for free p.m.p. actions of finitely generated virtually Abelian groups. Together with the isomorphism theorems of Ornstein and Ornstein–Weiss and the entropy invariance results of Austin and Kerr–Li in the non-virtually-cyclic setting, this shows that two Bernoulli actions of any non-locally-finite countably infinite amenable group are Shannon orbit equivalent if and only if they are measure conjugate. We also show, at the opposite end of the stochastic spectrum, that every ${\mathbb Z}$-odometer is Shannon orbit equivalent to the universal ${\mathbb Z}$-odometer.
Post-traumatic stress disorder (PTSD) after traumatic birth can have a debilitating effect on parents already adapting to significant life changes during the post-partum period. Cognitive therapy for PTSD (CT-PTSD) is a highly effective psychological therapy for PTSD which is recommended in the NICE guidelines (National Institute for Health and Care Excellence, 2018) as a first-line intervention for PTSD. In this paper, we provide guidance on how to deliver CT-PTSD for birth-related trauma and baby loss and how to address common cognitive themes.
Key learning aims
(1) To recognise and understand the development of PTSD following childbirth and baby loss.
(2) To understand how Ehlers and Clark’s (2000) cognitive model of PTSD can be applied to post-partum PTSD.
(3) To be able to apply cognitive therapy for PTSD to patients with perinatal PTSD, including traumatic baby loss through miscarriage or birth.
(4) To discover common personal meanings associated with birth trauma and baby loss and the steps to update them.
Political engagement is central to the functioning of democratic society. An engaged citizenry is a sign of a healthy democracy. High levels of political and civic participation not only increase the chances of citizens’ voices being heard on important issues but also confer legitimacy on elected officials and democratic institutions. However, in many countries, there has been a growing concern since the 1990s that increasing numbers of the public, particularly younger generations, are becoming disengaged from political and civic life.
This disengagement, or ‘democratic deficit’ as it is termed by political scientists, has brought an increased focus on the role of education in helping to reverse this trend by educating young people how to engage politically. It has led to countries strengthening the role of citizenship education in their school curricula over the past 20 years through teaching and learning approaches designed to help young people to develop the civic competences (knowledge, skills, values and dispositions) that encourage them to engage politically now and in the future.
In England, this concern saw the establishment of the Citizenship Advisory Group (CAG), chaired by Professor (Sir) Bernard Crick, in 1998, and the introduction of citizenship as a new statutory national curriculum subject for all 11-to 16-year-olds in 2002. In the CAG final report, known as the ‘Crick Report’, the Lord Chancellor was quoted from a speech he made earlier in the year: ‘We should not, must not, dare not, be complacent about the health and future of British democracy. Unless we become a nation of engaged citizens, our democracy is not secure’ (QCA, 1998, p 8). The Crick Report projected the benefits of effective citizenship education to be:
• For pupils – an entitlement in schools that will empower them to participate in society effectively as active, informed, critical and responsible citizens.
• For schools – a firm base to coordinate existing teaching and activities, to relate positively to the local community and to develop effective citizenship education in the curriculum for all pupils.
Patients with social anxiety disorder (SAD) have a range of negative thoughts and beliefs about how they think they come across to others. These include specific fears about doing or saying something that will be judged negatively (e.g. ‘I’ll babble’, ‘I’ll have nothing to say’, ‘I’ll blush’, ‘I’ll sweat’, ‘I’ll shake’, etc.) and more persistent negative self-evaluative beliefs such as ‘I am unlikeable’, ‘I am foolish’, ‘I am inadequate’, ‘I am inferior’, ‘I am weird/different’ and ‘I am boring’. Some therapists may take the presence of such persistent negative self-evaluations as being a separate problem of ‘low self-esteem’, rather than seeing them as a core feature of SAD. This may lead to a delay in addressing the persistent negative self-evaluations until the last stages of treatment, as might be typically done in cognitive therapy for depression. It might also prompt therapist drift from the core interventions of NICE recommended cognitive therapy for social anxiety disorder (CT-SAD). Therapists may be tempted to devote considerable time to interventions for ‘low self-esteem’. Our experience from almost 30 years of treating SAD within the framework of the Clark and Wells (1995) model is that when these digressions are at the cost of core CT-SAD techniques, they have limited value. This article clarifies the role of persistent negative self-evaluations in SAD and shows how these beliefs can be more helpfully addressed from the start, and throughout the course of CT-SAD, using a range of experiential techniques.
Key learning aims
(1) To recognise persistent negative self-evaluations as a key feature of SAD.
(2) To understand that persistent negative self-evaluations are central in the Clark and Wells (1995) cognitive model and how to formulate these as part of SAD.
(3) To be able to use all the experiential interventions in cognitive therapy for SAD to address these beliefs.
Surveys are a powerful technique in cognitive behavioural therapy (CBT). A form of behavioural experiment, surveys can be used to test beliefs, normalise symptoms and experiences, and generate compassionate perspectives. In this article, we discuss why and when to use surveys in CBT interventions for a range of psychological disorders. We also present a step-by-step guide to collaboratively designing surveys with patients, selecting the appropriate recipients, sending out surveys, discussing responses and using key learning as a part of therapy. In doing so, we hope to demonstrate that surveys are a flexible, impactful, time-efficient, individualised technique which can be readily and effectively integrated into CBT interventions.
Key learning aims
After reading this article, it is hoped that readers will be able to:
(1) Conceptualise why surveys can be useful in cognitive behavioural therapy.
(2) Implement collaborative and individualised survey design, delivery and feedback as part of a CBT intervention.
Therapist cognitions about trauma-focused psychological therapies can affect our implementation of evidence-based therapies for post-traumatic stress disorder (PTSD), potentially reducing their effectiveness. Based on observations gleaned from teaching and supervising one of these treatments, cognitive therapy for PTSD (CT-PTSD), ten common ‘misconceptions’ were identified. These included misconceptions about the suitability of the treatment for some types of trauma and/or emotions, the need for stabilisation prior to memory work, the danger of ‘retraumatising’ patients with memory-focused work, the risks of using memory-focused techniques with patients who dissociate, the remote use of trauma-focused techniques, and the perception of trauma-focused CBT as inflexible. In this article, these misconceptions are analysed in light of existing evidence and guidance is provided on using trauma-focused CT-PTSD with a broad range of presentations.
Key learning aims
(1) To recognise common misconceptions about trauma-focused CBT for PTSD and the evidence against them.
(2) To widen understanding of the application of cognitive therapy for PTSD (CT-PTSD) to a broad range of presentations.
(3) To increase confidence in the formulation-driven, flexible, active and creative delivery of CT-PTSD.
We prove that if two topologically free and entropy regular actions of countable sofic groups on compact metrizable spaces are continuously orbit equivalent, and each group either (i) contains a w-normal amenable subgroup which is neither locally finite nor virtually cyclic, or (ii) is a non-locally-finite product of two infinite groups, then the actions have the same sofic topological entropy. This fact is then used to show that if two free uniquely ergodic and entropy regular probability-measure-preserving actions of such groups are boundedly orbit equivalent then the actions have the same sofic measure entropy. Our arguments are based on a relativization of property SC to sofic approximations and yield more general entropy inequalities.
We describe the incidence of suicidality (2007–2017) in people with depression treated by secondary mental healthcare services at South London and Maudsley NHS Trust (n = 26 412). We estimated yearly incidence of ‘suicidal ideation’ and ‘high risk of suicide’ from structured and free-text fields of the Clinical Record Interactive Search system. The incidence of suicidal ideation increased from 0.6 (2007) to 1 cases (2017) per 1000 population. The incidence of high risk of suicide, based on risk forms, varied between 0.06 and 0.50 cases per 1000 adult population (2008–2017). Electronic health records provide the opportunity to examine suicidality on a large scale, but the impact of service-related changes in the use of structured risk assessment should be considered.
The first hip-hop recordings arrived in Dar es Salaam in the mid-1980s when films like Wild Style and Breakin’, which featured early hip-hop recordings in their soundtracks, were being shown in the city. High import duties ensured that hip-hop recordings were scarce and principally available to wealthier Tanzanians, who consequently formed many of the early rap groups. Following the liberalization of the media in the early 1990s, there has been a proliferation of new musical genres collectively defined as muziki wa kizazi kipya (music of the new generation). This loose set of genres such as hip-hop, bongo flava, R’n’B, reggae, and zouk are mostly associated with youth. The new generation that performs these genres entered adulthood during structural adjustment reforms and is marked by their appropriation of style, form, and fashion from the transnational circulation of popular musical forms.
As these genres have become popular, rapping has become a widespread cultural practice among young people. It has produced musical stars as well as unrecorded maandagraundi (or underground) rappers. The most popular rappers have become not only national or regional stars but also continent-wide celebrities regularly performing on TV channels such as Channel O and MTV Africa and at TV spectacles such as the Big Brother Africa. By contrast, underground rappers define themselves through their exclusion from these transnational circuits of commercial musical production, distribution, and dissemination. Central to the practice of underground rapping are unplanned settlements commonly referred to as uswahilini, which provide space for underground rapping practice and performance. Informal spaces of sociality referred to as maskani (dwelling or abode) or kijiweni (little stone) act as the primary informal performance spaces for aspiring underground rappers. The young men who spend time at maskani in uswahilini are largely underemployed (popularly referred to as daywaka) or engaged in mishe-mishe (looking for money).
In this chapter I will argue that underground rapping provides a space for young people in Tanzania to engage with the world conceptually, philosophically, and discursively. Underground rappers draw on both the transnational signs and symbols of hip-hop as well as local creative, political, and imaginative discourses to empower themselves as social actors.
Inflammatory diets are increasingly recognised as a modifiable determinant of mental illness. However, there is a dearth of studies in early life and across the full mental well-being spectrum (mental illness to positive well-being) at the population level. This is a critical gap given that inflammatory diet patterns and mental well-being trajectories typically establish by adolescence. We examined the associations of inflammatory diet scores with mental well-being in 11–12-year-olds and mid-life adults. Throughout Australia, 1759 11–12-year-olds (49 % girls) and 1812 parents (88 % mothers) contributed cross-sectional population-based data. Alternate inflammatory diet scores were calculated from a twenty-six-item FFQ, based on the prior literature and prediction of inflammatory markers. Participants reported negatively and positively framed mental well-being via psychosocial health, quality of life and life satisfaction surveys. We used causal inference modelling techniques via generalised linear regression models (mean differences and risk ratios (RR)) to examine how inflammatory diets might influence mental well-being. In children and adults, respectively, a 1 sd higher literature-derived inflammatory diet score conferred between a 44 % (RR 95 % CI 1·2, 1·8) to 57 % (RR 95 % CI 1·3, 2·0) and 54 % (95 % CI 1·2, 2·0) to 86 % (RR 95 % CI 1·4, 2·4) higher risk of being in the worst mental well-being category (i.e. <16th percentile) across outcome measures. Results for inflammation-derived scores were similar. BMI mediated effects (21–39 %) in adults. Inflammatory diet patterns were cross-sectionally associated with mental well-being at age 11–12 years, with similar effects observed in mid-adulthood. Reducing inflammatory dietary components in childhood could improve population-level mental well-being across the life course.
Finely laminated (cm–μm scale) metalliferous precipitates are widespread in the surficial environment, especially around mineral deposits and reflect biogeochemical processes that can pervade near-surface environments on a larger scale. Examples in this paper involve precipitates of the transition metals Fe, Cu and Mn with minor Co, Ni, V and Zn; the metalloids As and Sb; and authigenic Au. Mobility and re-precipitation are driven primarily by geochemical disequilibrium, especially with respect to pH and redox states, that arises from complex interactions between biological processes, geological processes, and variations in the surrounding environment. Different degrees of chemical disequilibrium arise on small spatial scales on time scales of days to millennia. Interactions between biota, waters and rocks in these small near-surface settings affect the biogeochemical environments. Sulfur- and iron-oxidising bacteria are common biogeochemical agents associated with sulfide-bearing lithologies, but localised reductive environments can also develop, leading to gradients in pH and redox state and differential metal mobility. In general, there is commonly a spatial separation of Fe-rich precipitates from those with Cu and Mn, and other transition metals also follow Cu and Mn rather than Fe. Metalloids As and Sb have a strong affinity for Fe under oxidising conditions, but not under more reducing conditions. However, complex biogeochemical parageneses of laminated metalliferous deposits preclude prediction of finer formation details. The textures, mineral species, and metal associations within these deposits are likely to be encountered in all facets of mineral deposit development: initial exploration activity of near-surface locations, mining of shallow portions of orebodies, especially supergene zones, and downstream environmental management with respect to discharging metalliferous waters.
Remote delivery of evidence-based psychological therapies via video conference has become particularly relevant following the COVID-19 pandemic, and is likely to be an on-going method of treatment delivery post-COVID. Remotely delivered therapy could be of particular benefit for people with social anxiety disorder (SAD), who tend to avoid or delay seeking face-to-face therapy, often due to anxiety about travelling to appointments and meeting mental health professionals in person. Individual cognitive therapy for SAD (CT-SAD), based on the Clark and Wells (1995) model, is a highly effective treatment that is recommended as a first-line intervention in NICE guidance (NICE, 2013). All of the key features of face-to-face CT-SAD (including video feedback, attention training, behavioural experiments and memory-focused techniques) can be adapted for remote delivery. In this paper, we provide guidance for clinicians on how to deliver CT-SAD remotely, and suggest novel ways for therapists and patients to overcome the challenges of carrying out a range of behavioural experiments during remote treatment delivery.
Key learning aims
(1) To learn how to deliver all of the core interventions of CT-SAD remotely.
(2) To learn novel ways of carrying out behavioural experiments remotely when some in-person social situations might not be possible.
Around a quarter of patients treated in intensive care units (ICUs) will develop symptoms of post-traumatic stress disorder (PTSD). Given the dramatic increase in ICU admissions during the COVID-19 pandemic, clinicians are likely to see a rise in post-ICU PTSD cases in the coming months. Post-ICU PTSD can present various challenges to clinicians, and no clinical guidelines have been published for delivering trauma-focused cognitive behavioural therapy with this population. In this article, we describe how to use cognitive therapy for PTSD (CT-PTSD), a first line treatment for PTSD recommended by the National Institute for Health and Care Excellence. Using clinical case examples, we outline the key techniques involved in CT-PTSD, and describe their application to treating patients with PTSD following ICU.
Key learning aims
(1) To recognise PTSD following admissions to intensive care units (ICUs).
(2) To understand how the ICU experience can lead to PTSD development.
(3) To understand how Ehlers and Clark’s (2000) cognitive model of PTSD can be applied to post-ICU PTSD.
(4) To be able to apply cognitive therapy for PTSD to patients with post-ICU PTSD.
William Montgomery Watt was elevated to the Chair of Arabic and Islamic Studies at the University of Edinburgh in 1964. In addition to marking a distinguished personal achievement for Professor Watt, the occasion was an important moment in the history of the university, and of Scotland itself. It was the first time that a professorship was recognised in this field in any Scottish university. Although Edinburgh, like other ancient universities in Scotland, had a tradition of including some Arabic in the curricula of Semitic languages, and had created a dedicated lectureship in Arabic and Islamic studies in 1912 – to which Montgomery Watt was appointed in 1947 – there had never before been a professor in this field in Scotland. Yet the intellectual history of Scotland had produced a remarkable number of scholars with interests in Islam. It was fitting therefore that Professor Watt devoted his inaugural lecture, given in October 1965, to reviewing of the genesis and the evolution of this field of scholarship in Scotland, under the title ‘Islamic Studies in Scotland: Retrospect and Prospect’.
An Analysis of the Contribution of Scottish Scholars to Arabic and Islamic Studies Discussed in Professor Watt's Inaugural Lecture
Seventeenth-century origins: Alexander Ross
Scottish interests in Islam go back as far as the mid-seventeenth century when Alexander Ross published the first English translation of the Qur’an (1649) – though he worked from an existing French translation rather than the original Arabic. If Ross's work as translator was less than original, it aroused a personal esteem for much that he discovered in Islamic scripture, and it prompted him to write about Islam with insights that were unusual for his day. In gentle rebuke of Christian polemic against Islam he commented in the introduction to his translation:
If Christians will but diligently read and observe the Lawes and Histories of the Mahometans, they may blush to see how zealous they are in the works of Devotion, Piety and Charity … If we observe their justice, temperance and other morall virtues, we may truly blush at our own coldnesse.
Ross developed his comparative approach in a second work entitled Pansebeia, or a View of All the Religions of the World (1653).
Findings as to whether individuals’ experiences of physical maltreatment from their parents in childhood predict their own perpetration of physical maltreatment toward their children in adulthood are mixed. Whether the maltreatment experienced is severe versus moderate or mild may relate to the strength of intergenerational associations. Furthermore, understanding of the roles of possible mediators (intervening mechanisms linking these behaviors) and moderators of the intervening mechanisms (factors associated with stronger or weaker mediated associations) is still relatively limited. These issues were examined in the present study. Mediating mechanisms based on a social learning model included antisocial behavior as assessed by criminal behaviors and substance use (alcohol and drug use), and the extent to which parental angry temperament moderated any indirect effects of antisocial behavior was also examined. To address these issues, data were used from Generations 2 and 3 of a prospective three-generational study, which is an extension of the Oregon Youth Study. Findings indicated modest intergenerational associations for severe physical maltreatment. There was a significant association of maltreatment history, particularly severe maltreatment with mothers’ and fathers’ delinquency. However, neither delinquency nor substance use showed significant mediational effects, and parental anger as a moderator of mediation did not reach significance.
Recently, smartphone applications (apps) have been used as smoking cessation aids. Interactive apps appear to more effective than non-interactive apps. SmokeBeat, a smartphone app used in conjunction with a smartwatch, aims to detect smoking events, interact with the user as they occur and potentially stop smoking events before they occur in the future.
Aims
The purpose of this feasibility study was to determine the sensitivity and specificity of SmokeBeat in detecting smoking events.
Methods
The feasibility of using the app as a smoking cessation aid was tested over a 2-week period by daily, dependent smokers. SmokeBeat's cigarette detection rate was measured in laboratory sessions both before and after the 2-week period. Fisher's exact test was used to compare detection rates from each session.
Results/Findings
The detection rate was 22.5% during session 1 and 41.7% during session 2. Once technological issues were controlled for (i.e., signal loss between smartphone and smartwatch), SmokeBeat's detection rate improved over the 2-week period, resulting in a 100% detection rate.
Conclusions
Apps which can detect smoking events in real time present an opportunity for a proactive and interactive smoking cessation aid – a potentially useful tool for individuals attempting to quit smoking.
With the intention to inform future public health initiatives, we aimed to determine the extent to which typical childhood dietary trajectories predict adolescent cardiovascular phenotypes.
Design
Longitudinal study. Exposure was determined by a 4 d food diary repeated over eight waves (ages 4–15 years), coded by Australian Dietary Guidelines and summed into a continuous diet score (0–14). Outcomes were adolescent (Wave 8, age 15 years) blood pressure, resting heart rate, pulse wave velocity, carotid intima-media thickness, retinal arteriole-to-venule ratio. Latent class analysis identified ‘typical’ dietary trajectories from childhood to adolescence. Adjusted linear regression models assessed relationships between trajectories and cardiovascular outcomes, adjusted for a priori potential confounders.
Setting
Community sample, Melbourne, Australia.
Subjects
Children (n 188) followed from age 4 to 15 years.
Results
Four dietary trajectories were identified: unhealthy (8 %); moderately unhealthy (25 %); moderately healthy (46 %); healthy (21 %). There was little evidence that vascular phenotypes associated with the trajectories. However, resting heart rate (beats/min) increased (β; 95 % CI) across the healthy (reference), moderately healthy (4·1; −0·6, 8·9; P=0·08), moderately unhealthy (4·5; −0·7, 9·7; P=0·09) and unhealthy (10·5; 2·9, 18·0; P=0·01) trajectories.
Conclusions
Decade-long dietary trajectories did not appear to influence macro- or microvascular structure or stiffness by mid-adolescence, but were associated with resting heart rate, suggesting an early-life window for prevention. Larger studies are needed to confirm these findings, the threshold of diet quality associated with these physiological changes and whether functional changes in heart rate are followed by phenotypic change.
Herbicides and interim summer crop treatments were studied in 1984 to 1987 to replace fungal endophyte-infected with endophyte-free tall fescue or red clover to improve forage quality. Foliar glyphosate or paraquat were applied in spring across interim crops with PRE herbicides. The interim crops, grain sorghum with atrazine, sorghum-sudangrass hybrid with metribuzin, or soybean with imazaquin, were each applied as confounded treatments across glyphosate or paraquat. Within an interim crop system, a follow-up glyphosate treatment was serially applied the next fall or spring. Then either red clover or endophyte-free tall fescue was spring drilled within the fall or spring glyphosate follow-up treatments. Glyphosate controlled old tall fescue better than paraquat, and improved the stand of the endophyte-free tall fescue. Control of tall fescue was 97% from 1.7 kg ai/ha glyphosate. Glyphosate reduced the endophyte from a 77% original infection level to 20% over all interim crops after drilling the endophyte-free tall fescue. Among interim crops, grain sorghum or the sorghum-sudangrass hybrid was more competitive than soybean with the uncontrolled tall fescue. Replacement with endophyte-free tall fescue was best in grain sorghum or sorghum-sudangrass hybrid stubble the next spring. Grain sorghum or sorghum-sudangrass hybrid following foliar glyphosate or paraquat treatment of endophyte-infected tall fescue reduced endophyte infection level in tall fescue to 28%. A follow-up fall treatment with glyphosate controlled tall fescue better than the spring retreatment and red clover and endophyte-free tall fescue were established better from fall retreated glyphosate. Red clover was easily established by drilling into the sod after treating endophyte-infected tall fescue with either glyphosate or paraquat.
Poor effortful control is a key temperamental factor underlying behavioral problems. The bidirectional association of child effortful control with both positive parenting and negative discipline was examined from ages approximately 3 to 13–14 years, involving five time points, and using data from parents and children in the Oregon Youth Study—Three Generational Study (N = 318 children from 150 families). Based on a dynamic developmental systems approach, it was hypothesized that there would be concurrent associations between parenting and child effortful control and bidirectional effects across time from each aspect of parenting to effortful control and from effortful control to each aspect of parenting. It was also hypothesized that associations would be more robust in early childhood, from ages 3 to 7 years, and would diminish as indicated by significantly weaker effects at the older ages, 11–12 to 13–14 years. Longitudinal feedback or mediated effects were also tested. The findings supported (a) stability in each construct over multiple developmental periods; (b) concurrent associations, which were significantly weaker at the older ages; (c) bidirectional effects, consistent with the interpretation that at younger ages children's effortful control influenced parenting, whereas at older child ages, parenting influenced effortful control; and (d) a transactional effect, such that maternal parenting in late childhood was a mechanism explaining children's development of effortful control from middle childhood to early adolescence.