Emotional crisis in a naturalistic context: characterizing outpatient profiles and treatment effectiveness.

Crisis happens daily yet its understanding is often limited, even in the field of psychiatry. Indeed, a challenge is to assess the potential for change of patients so as to offer appropriate therapeutic interventions and enhance treatment program efficacy. This naturalistic study aimed to identify the socio-demographical characteristics and clinical profiles at admission of patients referred to a specialized Crisis Intervention Center (CIC) and to examine the effectiveness of the intervention. The sample was composed of 352 adult outpatients recruited among the referrals to the CIC. Assessment completed at admission and at discharge examined psychiatric symptoms, defense mechanisms, recovery styles and global functioning. The crisis intervention consisted in a psychodynamically oriented multimodal approach associated with medication. Regarding the clinical profiles at intake, patients were middle-aged (M = 38.56, SD = 10.91), with a higher proportion of women (62.22%). They were addressed to the CIC because they had attempted to commit suicide or had suicidal ideation or presented depressed mood related to interpersonal difficulties. No statistical differences were found between patients dropping out (n = 215) and those attending the crisis intervention (n = 137). Crisis intervention demonstrated a beneficial effect (p < 0.01) on almost all variables, with Effect Sizes (ES) ranging from small to large (0.12 < ES < 0.75; median = 0.49). However, the Reliable Change Index indicated that most of the issues fall into the undetermined category (range 41.46 to 96.35%; median = 66.20%). This study establishes the profile of patients referred to the CIC and shows that more than half of the patients dropped out from the crisis intervention before completion. Our findings suggest that people presenting an emotional crisis benefit from crisis intervention. However, given methodological constraints, these results need to be considered with caution. Moreover, the clinical significance of the improvements is not confirmed. Thus, the effectiveness of crisis intervention in naturalistic context is not fully determined and should be more rigorously studied in future research

Disability Costs and Equivalence Scales in the Older Population in Great Britain

We use a standard of living (SoL) approach to estimate older people's disability costs, using data on 8000 individuals from the U.K. Family Resources Survey. We extend previous research in two ways. First, by allowing for a more flexible relationship between SoL and income, the structure of the estimated disability cost and equivalence scale is not dictated by a restrictive functional form assumption. Second, we allow for the latent nature of disability and SoL, addressing measurement error in the disability and SoL indicators in surveys. We find that disability costs are strongly related to severity of disability, and vary with income in absolute and proportionate terms. Older people above the median disability level require an extra �99 per week (2007 prices) on average to reach the SoL of an otherwise similar person at the median. Costs faced by older people in the highest decile of disability average �180

High flux cold Rubidium atomic beam for strongly coupled Cavity QED

This paper presents a setup capable of producing a high-flux continuous beam of cold rubidium atoms for cavity QED experiments in the regime of strong coupling. A 2 $D^+$ MOT, loaded by rubidium getters in a dry film coated vapor cell, fed a secondary moving-molasses MOT (MM-MOT) at a rate of 1.5 x $10^{10}$ atoms/sec. The MM-MOT provided a continuous beam with tunable velocity. This beam was then directed through the waist of a 280 $\mu$m cavity resulting in a Rabi splitting of more than +/- 10 MHz. The presence of sufficient number of atoms in the cavity mode also enabled splitting in the polarization perpendicular to the input. The cavity was in the strong coupling regime, with parameters (g, $\kappa$, $\gamma$)/2$\pi$ equal to (7, 3, 6)/ 2$\pi$ MHz.Comment: Journal pape

Study of interfacial stiffness ratio of a rough surface in contact using a spring model

This study proposes the use of a simple spring model that relates the interfacial stiffness with the complex reflection coefficient of ultrasound in a rough contact. The spring model cannot be directly related to the real area of contact as this depends on the amount, shape and distribution of contacting asperities. However, it is clear that the model provides a non-destructive tool to easily evaluate both longitudinal and shear interfacial stiffnesses and their ratio. Experimental findings indicate that the interfacial stiffness ratio K-tau/K-sigma determined during loading/unloading cycles is sensitive to the roughness level and load hysteresis. The results deviate from the theoretical available micromechanical models, indicating that actual contacting phenomenon is more complex and other variables needed are not accounted for by the models. (C) 2009 Elsevier B.V. All rights reserved

High Resolution K-band Spectroscopy of MWC 480 and V1331 Cyg

We present high resolution (R=25,000-35,000) K-band spectroscopy of two young stars, MWC 480 and V1331 Cyg. Earlier spectrally dispersed (R=230) interferometric observations of MWC 480 indicated the presence of an excess continuum emission interior to the dust sublimation radius, with a spectral shape that was interpreted as evidence for hot water emission from the inner disk of MWC 480. Our spectrum of V1331 Cyg reveals strong emission from CO and hot water vapor, likely arising in a circumstellar disk. In comparison, our spectrum of MWC 480 appears mostly featureless. We discuss possible ways in which strong water emission from MWC 480 might go undetected in our data. If strong water emission is in fact absent from the inner disk, as our data suggest, the continuum excess interior to the dust sublimation radius that is detected in the interferometric data must have another origin. We discuss possible physical origins for the continuum excess.Comment: 29 pages, 5 figures, to appear in Ap

Logarithmic rate dependence in deforming granular materials

Rate-independence for stresses within a granular material is a basic tenet of many models for slow dense granular flows. By contrast, logarithmic rate dependence of stresses is found in solid-on-solid friction, in geological settings, and elsewhere. In this work, we show that logarithmic rate-dependence occurs in granular materials for plastic (irreversible) deformations that occur during shearing but not for elastic (reversible) deformations, such as those that occur under moderate repetitive compression. Increasing the shearing rate, \Omega, leads to an increase in the stress and the stress fluctuations that at least qualitatively resemble what occurs due to an increase in the density. Increases in \Omega also lead to qualitative changes in the distributions of stress build-up and relaxation events. If shearing is stopped at t=0, stress relaxations occur with \sigma(t)/ \sigma(t=0) \simeq A \log(t/t_0). This collective relaxation of the stress network over logarithmically long times provides a mechanism for rate-dependent strengthening.Comment: 4 pages, 5 figures. RevTeX

Spatially Resolved Spectroscopy of Sub-AU-Sized Regions of T Tauri and Herbig Ae/Be Disks

We present spatially resolved near-IR spectroscopic observations of 15 young stars. Using a grism spectrometer behind the Keck Interferometer, we obtained an angular resolution of a few milli-arcseconds and a spectral resolution of 230, enabling probes of both gas and dust in the inner disks surrounding the target stars. We find that the angular size of the near-IR emission typically increases with wavelength, indicating hot, presumably gaseous material within the dust sublimation radius. Our data also clearly indicate Brackett-gamma emission arising from hot hydrogen gas, and suggest the presence of water vapor and carbon monoxide gas in the inner disks of several objects. This gaseous emission is more compact than the dust continuum emission in all cases. We construct simple physical models of the inner disk and fit them to our data to constrain the spatial distribution and temperature of dust and gas emission components.Comment: 40 pages, 8 figures. Accepted for publication in Ap

Identity work and the `unemployed' worker: age, disability and the lived experience of the older unemployed

This article seeks to explore how older individuals negotiate and manage their self-identity in relation to work while situated without paid employment. After reviewing the current positions of the older unemployed in the UK, noting the substantial overlap between age and disability, we turn our attention to conceptualizing the lived experiences of individuals through exploring `identity work' as a means of understanding a non-working work identity. Based upon focus group interviews, our empirical analysis focuses on key dimensions of participants' identity practice and how they sought to manage the following social processes: imposed identities; crafting working identities; and contesting unfavourable working identities.The conclusion contextualizes the findings against a backdrop of increasing individualistic discourses underpinning approaches to employability, closes with the policy implications arising from this study, and makes suggestions for future research agendas. </jats:p

Mechanisms for slow strengthening in granular materials

Several mechanisms cause a granular material to strengthen over time at low applied stress. The strength is determined from the maximum frictional force F_max experienced by a shearing plate in contact with wet or dry granular material after the layer has been at rest for a waiting time \tau. The layer strength increases roughly logarithmically with \tau -only- if a shear stress is applied during the waiting time. The mechanisms of strengthening are investigated by sensitive displacement measurements and by imaging of particle motion in the shear zone. Granular matter can strengthen due to a slow shift in the particle arrangement under shear stress. Humidity also leads to strengthening, but is found not to be its sole cause. In addition to these time dependent effects, the static friction coefficient can also be increased by compaction of the granular material under some circumstances, and by cycling of the applied shear stress.Comment: 21 pages, 11 figures, submitted to Phys. Rev.