‘Conflict versus Congruence’: A qualitative study exploring the experience of gender dysphoria for adults with autism spectrum disorder

An emergent evidence base indicates a higher prevalence of autism exists amongst people attending gender identity clinics. This qualitative study explored adults’ with autism experiences of coming to understand and address their gender dysphoria (GD). Data were collected and analysed using Grounded Theory. Ten adults with autism and GD undertook semi-structured interviews. A tentative theoretical framework of common processes involved in understanding and addressing GD for individuals with autism was developed. The experience is captured in the core category—Conflict versus Congruence. A key finding was the impact of autism as a barrier but sometimes a protective factor in participants’ understanding and addressing GD. Participants appeared to achieve greater personal congruence and wellbeing upon transition. Nevertheless, conflicts remained as they navigated the social world with a continuing fear of hostility and sense of difference due to having two stigmatised identities

Fractons in Twisted Multiflavor Schwinger Model

We consider two-dimensional QED with several fermion flavors on a finite spatial circle. A modified version of the model with {\em flavor-dependent} boundary conditions $\psi_p(L) = e^{2\pi ip/ N} \psi_p(0)$, $p = 1, \ldots , N$ is discussed ($N$ is the number of flavors). In this case a non-contactable contour in the space of the gauge fields is {\em not} determined by large gauge transformations. The Euclidean path integral acquires the contribution from the gauge field configurations with fractional topological charge. The configuration with $\nu = 1/N$ is responsible for the formation of the fermion condensate $\langle\bar{\psi}_p \psi_p\rangle_0$. The condensate dies out as a power of $L^{-1}$ when the length $L$ of the spatial box is sent to infinity. Implications of this result for non-abelian gauge field theories are discussed in brief.Comment: 29 pages, 3 figures available upon request, Report TPI-MINN-94-24-T Plain LATE

Trivial Vacua, High Orders in Perturbation Theory and Nontrivial Condensates

In the limit of an infinite number of colors, an analytic expression for the quark condensate in $QCD_{1+1}$ is derived as a function of the quark mass and the gauge coupling constant. For zero quark mass, a nonvanishing quark condensate is obtained. Nevertheless, it is shown that there is no phase transition as a function of the quark mass. It is furthermore shown that the expansion of $\langle 0 | \overline{\psi}\psi |0\rangle$ in the gauge coupling has zero radius of convergence but that the perturbation series is Borel summable with finite radius of convergence. The nonanalytic behavior $\langle 0 | \overline{\psi}\psi |0\rangle \stackrel{m_q\rightarrow0}{\sim} - N_C \sqrt{G^2}$ can only be obtained by summing the perturbation series to infinite order. The sum-rule calculation is based on masses and coupling constants calculated from 't Hooft's solution to $QCD_{1+1}$ which employs LF quantization and is thus based on a trivial vacuum. Nevertheless the chiral condensate remains nonvanishing in the chiral limit which is yet another example that seemingly trivial LF vacua are {\it not} in conflict with QCD sum-rule results.Comment: REVTEX, 6 pages, 1 postscript figure available from the author by emai

Extended QCD(2) from dimensional projection of QCD(4)

We study an extended QCD model in (1+1) dimensions obtained from QCD in 4D by compactifying two spatial dimensions and projecting onto the zero-mode subspace. We work out this model in the large $N_c$ limit and using light cone gauge but keeping the equal-time quantization. This system is found to induce a dynamical mass for transverse gluons -- adjoint scalars in QCD(2), and to undergo a chiral symmetry breaking with the full quark propagators yielding non-tachyonic, dynamical quark masses, even in the chiral limit. We study quark-antiquark bound states which can be classified in this model by their properties under Lorentz transformations inherited from 4D. The scalar and pseudoscalar sectors of the theory are examined and in the chiral limit a massless ground state for pseudoscalars is revealed with a wave function generalizing the so called 't Hooft pion solution.Comment: JHEP class, 16 pages, 3 figures. Change in the title, some improvements in section 2, minors changes and comments added in introduction and conclusions. References added. Version appearing in JHE

An evaluation of the transition from BAME community mental health worker to IAPT low intensity psychological wellbeing practitioner

The Improving Access to Psychological Therapies (IAPT) programme started in 2008, but it contained little provision for specifically meeting the needs of Black, Asian and minority ethnic (BAME) groups. The purpose of this evaluation was to describe the experience of transition from BAME community mental health worker (CMHW) to IAPT low-intensity psychological wellbeing practitioner (PWP) in order to identify possible gains and losses for the former communities served, and the factors that might contribute to successful training of people with BAME expertise. Four former CMHWs who had transitioned into working as PWPs were interviewed. Semi-structured interviews were used. The data were analysed using thematic analysis. Six major themes were identified with the benefits of training emerging as an important factor for the participants in enhancing their role. Three of the themes interconnected and focused on the impact for BAME communities in terms of access to service and barriers. Evident in the interviews were descriptions of adaptations that were made as a result of CMHW having access to both new and old skills. Finally, two themes focused on the participant recommendations as to how IAPT services might become more culturally responsive. The findings suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. The participants reported that low-intensity cognitive behavioural therapy (LICBT) was effective, but only when cultural sensitive adaptations were made. The evaluation has some clear recommendations as to how IAPT services might seek to offer culturally responsive CBT. Suggestions for carrying out further practice-based evaluations are made

Dimensional Changes in Dental Stone and Plaster

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66786/2/10.1177_00220345500290060601.pd

Unexpected Sources of Strontium to the Neuse and Cape Fear River Basins, North Carolina: Implications for the Global Strontium Isotope Budget in Seawater

Water, bedrock, and saprolite samples from the Neuse and Cape Fear River basins, North Carolina, were analyzed for 87Sr/86Sr and [Sr] to evaluate the control of exposed bedrock on fluvial Sr isotopic compositions and the influence of geology on Sr delivered to the ocean. The 87Sr/86Sr and [Sr] of the two rivers start low and rise downstream, eventually approximating recent ocean isotopic compositions before entering their estuaries. Groundwater samples from the headwaters have 87Sr/86Sr ratios that are lower than expected from the dominant exposed bedrock. The isotopic compositions of bedrock and saprolite samples vary predictably with rock type and age and show no correlation with degree of weathering. The data indicate that dominant surficial bedrock is not the primary source of Sr to the headwaters of the rivers. Rather, mafic dikes that focus groundwater flow and are more easily weathered than their silicic hosts impact the 87Sr/86Sr of the waters more than their limited exposure might suggest. Furthermore, the Sr isotopic composition of the water delivered to the marine environment is buffered by groundwater from coastal plain sedimentary rocks, leaving no evidence of upstream geology. The data suggest that rock type and structure exert significant control on the Sr isotope geochemistry of groundwater that enters into streams. Considering the global fluvial Sr budget, these results emphasize that, in some settings, (1) rock exposure area can be a poor indication of the geologic influence on Sr isotopic compositions of surface waters, and (2) downstream Sr isotopic compositions may not reflect upstream geology

Chirality Violation in QCD Reggeon Interactions

The appearance of the triangle graph infra-red axial anomaly in reduced quark loops contributing to QCD triple-regge interactions is studied. In a dispersion relation formalism, the anomaly can only be present in the contributions of unphysical triple discontinuities. In this paper an asymptotic discontinuity analysis is applied to high-order feynman diagrams to show that the anomaly does indeed occur in sufficiently high-order reggeized gluon interactions. The reggeon states involved must contain reggeized gluon combinations with the quantum numbers of the anomaly (winding-number) current. A direct connection with the well-known U(1) problem is thus established. Closely related diagrams that contribute to the pion/pomeron and triple pomeron couplings in color superconducting QCD are also discussed.Comment: 52 pages, 29 PS figures in the tex

The Fall of Stringy de Sitter

Kachru, Kallosh, Linde, & Trivedi recently constructed a four-dimensional de Sitter compactification of IIB string theory, which they showed to be metastable in agreement with general arguments about de Sitter spacetimes in quantum gravity. In this paper, we describe how discrete flux choices lead to a closely-spaced set of vacua and explore various decay channels. We find that in many situations NS5-brane meditated decays which exchange NSNS 3-form flux for D3-branes are comparatively very fast.Comment: 35 pp (11 pp appendices), 5 figures, v3. fixed minor typo

About the realization of chiral symmetry in QCD2

Two dimensional massless Quantum Chromodynamics presents many features which resemble those of the true theory. In particular the spectrum consists of mesons and baryons arranged in flavor multiplets without parity doubling. We analyze the implications of chiral symmetry, which is not spontaneously broken in two dimensions, in the spectrum and in the quark condensate. We study how parity doubling, an awaited consequence of Coleman's theorem, is avoided due to the dimensionality of space-time and confinement. We prove that a chiral phase transition is not possible in the theory.Comment: 9 pages, latex, ftuv/92-