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Training as a cognitive behavioural therapist involves a considerable role transition for mental health professionals where they are expected to demonstrate competence in a range of new skills that emphasise collaboration and Socratic dialogue. This can be in stark contrast to the more didactic style that trainees are familiar with prior to embarking on their training. Guided discovery (GD) is an integral part of formulation and treatment, yet little is known at present about the experiences of cognitive behavioural therapy (CBT) trainees when learning this new skill; specifically, how they assimilate this with existing ways of working and the challenges this might involve. This research is a preliminary attempt to understand factors that help and hinder GD skill acquisition. Eighteen trainee CBT practitioners completed an online questionnaire with the subsequent data analysed using a grounded theory methodology. Three themes were identified: ‘Competing Selves’, ‘Style’ and ‘Active Engagement and Learning’. These themes were used to develop a preliminary model of factors that enable or inhibit skills in GD. The impact of previous professional roles appears to influence the acquisition of confidence and skill in GD. This paper discusses the implications of the findings for CBT trainers, supervisors and trainees.
Key learning aims
As a result of reading this paper, readers should:
(1) Understand how trainee cognitive behavioural therapists respond to learning how to use guided discovery.
(2) Identify potential barriers to acquiring and improving skills in guided discovery.
(3) Recognise training strategies that might assist trainees in becoming more proficient in guided discovery.
The UK Ministry of Defence (MOD) has closed hundreds of investigations into alleged ill-treatment of detainees by British troops in Iraq. This article probes one reason given for the closure of these investigations: the assertion (without further evidence) that the allegations were ‘less serious’, ‘lower-level’ or in the ‘middle’ range of severity. These terms usually appear without reference to international law, and are once defined with reference to the English criminal law of assault, so that investigations were closed if the alleged treatment resulted in less than grievous bodily harm. The MOD's terminology is wrong-headed and conceptually underinclusive: it fails to grasp the threshold of inhuman or degrading treatment in international human rights law (IHRL), and largely neglects the investigatory obligations in IHRL, international humanitarian law (IHL) and international criminal law (ICL).
In June 2015, the British government presented ‘the social justice case for an academic curriculum’ as the justification for recent radical changes to educational policy. However, this justification failed to account for both the key changes in the newly-revised National Curriculum for Music and the place of music in the National Curriculum as a whole.
Through a critical evaluation of the National Curriculum for Music, this study will propose how the place of music could successfully be justified within an education system wholly committed to ‘social justice’. Using the ‘habit concept’ of classical philosophical pragmatism, it will assess how and why music's educational value should be understood not through its ‘academic rigour’ but through its distinctive, inherently destabilising nature.
Objective: Despite an increasing recognition that psychiatric disorders can be diagnosed as early as preschool, little is known how early genetic and environmental risk factors contribute to the development of psychiatric disorders during this very early period of development. Method: We assessed infant temperament at age 1, and attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and separation anxiety disorder (SAD) at ages 3 through 5 years in a sample of Hispanic twins. Genetic, shared, and non-shared environmental effects were estimated for each temperamental construct and psychiatric disorder using the statistical program MX. Multivariate genetic models were fitted to determine whether the same or different sets of genes and environments account for the co-occurrence between early temperament and preschool psychiatric disorders. Results: Additive genetic factors accounted for 61% of the variance in ADHD, 21% in ODD, and 28% in SAD. Shared environmental factors accounted for 34% of the variance in ODD and 15% of SAD. The genetic influence on difficult temperament was significantly associated with preschool ADHD, SAD, and ODD. The association between ODD and SAD was due to both genetic and family environmental factors. The temperamental trait of resistance to control was entirely accounted for by the shared family environment. Conclusions: There are different genetic and family environmental pathways between infant temperament and psychiatric diagnoses in this sample of Puerto Rican preschool age children.
On September 16, 2014, the Grand Chamber of the European Court of Human Rights (the Court) gave its judgment in the case of Hassan v. United Kingdom.This is the Court’s first explicit engagement with the co-applicability of international humanitarian law and international human rights law in relation to detention in international armed conflicts. The judgment is significant for its rejection of the government’s argument that international humanitarian law operates as lex specialis to displace international human rights law entirely during the “active hostilities phase of an international armed conflict.” It is also noteworthy for the majority’s ruling that provisions on detention of prisoners of war and the internment of protected persons in the Third and Fourth Geneva Conventions of 1949 could be read into Article 5 (right to liberty and security) of the European Convention on Human Rights (the European Convention), creating a new ground for detention under Article 5(1) in international armed conflicts and modifying the procedural guarantees in Article 5(4).
The obligation to train troops in international humanitarian law (IHL) is simply stated and its implementation delegated to State discretion. This reflects a past assumption that mere dissemination of IHL would be an effective contribution to the prevention of violations. Academic literature has evolved so that dissemination alone is now known to be insufficient for compliance, while the ICRC's integration model emphasizes the relevance of IHL to all aspects of military decision-making. A separate process, the ICRC/Government of Switzerland Initiative on Strengthening Compliance with IHL, is still in its consultative stages at the time of writing, but may result in voluntary State reporting and/or thematic discussions at meetings of States. This article synthesizes academic and practitioner insights on effective IHL training, and suggests a collaborative rubric for informative, standardized reporting on IHL training. Such a rubric could enable States and researchers to share best practice and future innovations on IHL training, using a streamlined, cost-effective tool.
At some point during the 1070s the archbishop of Canterbury, Lanfranc, wrote to Herfast (bishop of East Anglia 1070–84/5) in trenchant terms. Much of his letter criticized the bishop's lifestyle – ‘Give up the dicing (to mention nothing worse) and the world's amusements in which you are said to idle away the entire day’ – and the company he kept: ‘Banish the monk Hermann, whose life is notorious for its many faults, from your society and your household completely.’ Instead, Lanfranc told his bishop to read Scripture and above all to master the decrees of the Roman pontiffs and the canons of the holy councils, to ‘discover what you do not know’ and ‘ensure that you hold no opinion that is at variance with your mother church’. The significance of that advice finds context in the opening of the letter, which relates to the affairs of the abbey of Bury St Edmunds. After a conventional greeting, where Lanfranc wished Bishop Herfast might be humble in wisdom and of sober understanding, the archbishop began by observing that Berard, a cleric of Abbot Baldwin of Bury, had delivered a previous letter from the Archbishop to Bishop Herfast. He went on:
As [Berard] himself affirmed to me later, you made a coarse joke about it; you uttered cheap and unworthy remarks about me in the hearing of many; and you declared on oath that you would give me no assistance in that matter. There will be another time and another place to speak of those things. But my immediate instructions are these: that you lay no claim to the property of St Edmund unless you can give indisputable proof that it was claimed by your predecessors and that you discharge the aforesaid Berard without any fine or threat of punishment, until the case comes into our own court and can be rightly concluded according to canon law and our own ruling as judge.
There are three types of epilepsy: analempsia, epilempsia, and catalempsia. Analempsia has that name because it deprives the sacred parts of the head of sensation, and it arises either from neglect of the stomach, or from an excess of food or drink, or from drinking cold things, or from luxury … Epilempsia has that name from seizure of the mind and senses, and when they are besieged the body is also possessed, for it is a serious and slow affliction. Some call this sickness comitialis, others the holy affliction, and the Greeks call it geronoson … Catalempsia is epilepsy accompanied by fever … the sickness of cataleptics starts with the feet or lower legs. When they feel the advancing pain and catarrh, it comes from an excess of blood, or rather, choler ferments in the confines of the stomach, with no natural exit, whence it burdens the head and injures the senses.
This explanation of the causes and effects working within the human body is found in an eleventh-century medical text from Salerno, the Passionarius (‘Book of Diseases’) attributed to the physician Gariopontus. This medical text survives in sixty-five medieval manuscripts, one of which is now London, British Library, MS Royal 12. C. xxiv. Michael Gullick has identified the script of this manuscript as that of an early twelfth-century scribe of Bury St Edmunds, demonstrating that this text was known at Bury in the generation after the physician-abbot Baldwin.
The notion that the history of the abbey of Bury St Edmunds after the Norman Conquest was unusual is not new. William of Malmesbury in his Gesta pontificum described St Edmund as ‘the first of the saints of the country’. And in the Gesta regum he wrote that the saint's abbey was remarkable both for its capacity to attract patronage and to repulse tax-collectors:
By these arts he has so engaged the loyalty of all the inhabitants of Britain that anyone thinks it a privilege to enrich his monastery by even a penny. Even kings, the lords of other men, rejoice to call themselves his servants, and place their royal crown at his service, redeeming it at a great price if they wish to use it. The tax-collectors who run riot in other places, making no distinction between right and wrong, are on their knees before St Edmund, and stay their legal processes at his boundary-ditch, knowing from experience how many have suffered who have thought fit to persist.
A monk of the great Ile-de-France abbey of Saint-Denis, Abbot Baldwin of Bury St Edmunds (1065–97) was the one non-Englishman to be an abbot in England on the day that Harold lost the Battle of Hastings. He had first visited England well before his appointment to Bury in 1065 and been treated with great favour by King Edward.
The medieval persona of St Edmund, as far as it can be recovered, is generally recognised to have resided in Abbo of Fleury's Passio sancti Eadmundi. Written at the request of the monks of Ramsey at the end of the tenth century, this text was swiftly adopted by the Benedictine community at Bury, where it appears to have been recorded in a booklist from the 1040s, and from whose scribes three eleventh-century copies survive. The Passio was undoubtedly a creative stimulus for the local community, for it gave rise both to the famous cycle of illuminations in the twelfth-century illustrated libellus, now New York, Pierpont Morgan Library, MS M. 736, and to an important collection of eleventh-century chants for St Edmund's feast, which forms the basis of this chapter. Even Bury's late eleventh-century hagiographer Herman owed a debt to Abbo: in alluding to the story of the Passio, commenting on the general shortage of other available accounts, and apparently fashioning his own Miracula as a continuation of that narrative. One might be forgiven for assuming, therefore, that the St Edmund portrayed by Abbo's Passio – the humble, peace-loving figure characterised by Antonia Gransden as a model of Christian kingship – was the very same St Edmund known to the monks of Bury.
In comparison with the large number of manuscripts at Saint-Denis from the Carolingian period and the twelfth century, the sources for the eleventh century, the time of Abbot Baldwin of Bury St Edmunds, are meagre. This is one indication that the abbey suffered severe losses in the tenth century at the hands of the Normans. It lost many of its domains, the fabric of the church seems to have deteriorated greatly, and the performance of the liturgy seems to have become lax.
Abbot Suger, writing in the 1140s, saw the division of the Carolingian empire under the sons of the son of Louis the Pious, that is, Charles the Bald, as the major reason for Saint-Denis's losses. In addition to the problem the monks faced in recovering their illustrious past, the monastery encountered two major challenges to its prestige in the first half of the eleventh century. First of all, the monks at Saint Emmeram, Regensburg, claimed that they had the relics of St Denis. In response to this, the saint's body was exhumed in 1053, and a new feast, the Detection of Saint Denis, was celebrated on 9 June to commemorate this event. Secondly, the bishop of Paris challenged Saint-Denis's claims of exemption from episcopal control. So it is perhaps not surprising that the extant manuscripts and charters from the eleventh century reflect both of these topics: charters were forged to prove the monastery's independence from episcopal control, and manuscripts were created for its new liturgical celebrations.
An accurate picture of the architectural history of Abbot Baldwin's church began to emerge already in the middle of the nineteenth century, as for example with Graham Hills's study of 1865. The first person to make sense of the remains on the site as a whole was Arthur Whittingham, with the research he published in the early 1950s, and many aspects of the subject were investigated further at the conference of the British Archaeological Association of 1994, organized by Antonia Gransden. In the present essay I want to examine three things: the contrast between the Norman church and its Anglo-Saxon predecessors; how relations between the abbey and the diocese in the late eleventh century may be reflected in changes in the plan of the church; and the relationship between the plans of the abbey and the town.
The Contrast between the Norman Church and its Anglo-Saxon Predecessors
According to Abbo of Fleury, when St Edmund's body arrived in Beodricesworth (before c. 950), the faithful of the vill built a very large wooden church to receive it. Nothing is recorded of its shape. Cnut and Emma supported the building of a church which was begun about 1020 and consecrated in 1031 or 1032, the new work, according to Herman, being carried out in stone.