162 research outputs found

    Urban greening and mobility justice in Dhaka’s informal settlements

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    Urban greening in Dhaka, Bangladesh is fraught with injustice for slum dwellers. Access to the commons for the enactment of gardening, farming and foraging by the urban poor, many recent internal migrants from rural areas, is contested by wealthier citizens, developers and political elites. Through qualitative research with households within the informal settlement of Korail in Dhaka’s urban core, and a range of stakeholders in governmental and non-governmental organizations, this study critiques competing policy visions that involve urban greening and urban green infrastructure. Repurposing the conceptual lense of ‘mobility justice’ to analyse environmental and ecological issues in the global South, the findings highlight the importance of mobility concerns to just futures for urban planning

    Shame, social deprivation, and the quality of the voice-hearing relationship.

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    OBJECTIVES: Many individuals hold different beliefs about the voices that they hear and have distinct relationships with them, the nature of which may determine the distress experienced. Understanding what factors contribute to these beliefs and relationships and consequently the resulting distress is important. The current research examined whether shame and social deprivation, in a sample of adult voice-hearers, were related to the relationships that individuals had with their voices or the beliefs that they held about them. DESIGN: The study utilized a cross-sectional, Internet-based design. METHODS: Eighty-seven adult voice-hearers from England were recruited to the online survey. Participants completed measures regarding shame, beliefs about voices, and relationships with voices and provided demographic information and postcodes that were used to refer to Index of Multiple Deprivation data. RESULTS: Social deprivation and shame were not associated. Shame was positively associated with variables describing negative voice-hearing beliefs/relationships but not positive voice-hearing beliefs/relationships. Principal component analysis on the eight voice-hearing variables yielded two components related to positive and negative voice-hearing qualities. A multiple regression conducted on the two components identified that shame was only associated with negative voice-hearing qualities. CONCLUSIONS: The results suggest that therapies that target shame may be helpful when working with negative voice-hearing beliefs and relationships. Future research should utilize experimental or longitudinal designs to examine the direction of the relationship. PRACTITIONER POINTS: The results contribute to the limited research evidence available regarding the relationship between shame and voice-hearing. The results suggest the utility of psychological therapies that focus on shame such as compassion-focused therapy and that conceptualize voices interpersonally such as cognitive analytic therapy. No conclusions can be made regarding causation. The sample size was relatively small, and results cannot be generalized to other areas of the United Kingdom. Future research should utilize experimental and longitudinal designs to examine the impact of shame on voice-hearing experiences and to examine other factors that may predict shame

    Relating therapy for voices (the R2V study): study protocol for a pilot randomized controlled trial

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    Background Evidence exists for the effectiveness of cognitive behaviour therapy for psychosis with moderate effect sizes, but the evidence for cognitive behaviour therapy specifically for distressing voices is less convincing. An alternative symptom-based approach may be warranted and a body of literature has explored distressing voices from an interpersonal perspective. This literature has informed the development of relating therapy and findings from a case series suggested that this intervention was acceptable to hearers and therapists. Methods/Design An external pilot randomized controlled trial (RCT) comparing outcomes for 15 patients receiving 16 hours (weekly sessions of one hour) of relating therapy and their usual treatment with 15 patients receiving only their usual treatment. Participants will be assessed using questionnaires at baseline, 16 weeks (post-intervention), and 36 weeks (follow-up). Discussion Expected outcomes will include a refined study protocol and an estimate of the effect size to inform the sample size of a definitive RCT. If evidence from a fully powered RCT suggests that relating therapy is effective, the therapy will extend the range of evidence-based psychological therapies available to people who hear distressing voices

    Group cognitive analytic music therapy: a quasi-experimental feasibility study conducted in a high secure hospital

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    This study conducted a feasibility patient preference quasi-experimental study of group cognitive analytic music therapy (G-CAMT) for mentally disordered offenders. Participants either chose or were randomised to 16 sessions of manualised G-CAMT (N = 10) plus treatment as usual (TAU) or TAU alone (N = 10). Self-rated and staff-rated outcomes were assessed at baseline, post-intervention and 8-weeks post-intervention. Residency was assessed at 2-year follow-up. Results indicate that G-CAMT was easily implemented; 9/10 participants completed G-CAMT and attendees had high satisfaction with the approach. Session attendance was high; 4/10 participants attended all sessions. At the 8-week follow-up, 3/9 G-CAMT participants had reliable reductions (i.e. statistically reliable pre to 8-week follow-up change results) in intrusive/possessive behaviours and fear of separation/abandonment. On the staff-rated outcome measure G-CAMT participants as a group were statistically significantly friendlier compared to TAU at 8-week follow-up (U = 0.50, p = 0.009, d = 1.92, CI 0.44 to 3.11). There were no differences between the arms in terms of residency outcomes at 2-year follow-up. The study is discussed in terms of G-CAMT’s theoretical grounding and high acceptability. The study is limited by its small sample size, but indicates the possibility of progressing onto a full trial

    Em-‘powering' niche innovations: learning from cycling inequalities

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    This paper aims to situate power in ‘niche innovations’ through an investigation of cycling inequalities in the city of Birmingham. Much research has focused on the sustainability and innovation potential of cycling. However, debates usually revolve around the power relations between cycling and the dominant automobility regime, thus ignoring the possible inequalities embedded within niches. This paper aims to contribute to such analyses by unfolding the multiple inequalities and relations of exclusion that can be embedded in the practice of cycling. Drawing on Mobilities research for the EPSRC Liveable Cities programme, it focuses on the car-dependent city of Birmingham, in order to explore cycling as a practice with various socio-material, infrastructural, political and economic entanglements that can embed, reproduce or generate new socio-spatial inequalities, processes of gentrification and immobilities. Through such analysis, this paper aims to situate power in examining niche innovations. However, it also aims to underline that understanding and addressing such inequalities are central for not only locating cycling in the centre of developing a more sustainable mobility future, but also enabling a more sustainable future for cycling itself
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