The preferentially magnified active nucleus in IRAS F10214+4724 - II. Spatially resolved cold molecular gas

We present JVLA observations of the cold (CO (1-0)) molecular gas in IRAS F10214+4724, a lensed ULIRG at z=2.3 with an obscured active nucleus. The galaxy is spatially and spectrally well-resolved in the CO (1-0) emission line. A CO (1-0) counter-image is detected at the 3-sigma level. Five of the 42 km/s channels (with >5-sigma detections) are mapped back into the source plane and their total magnification posterior PDFs sampled. This reveals a roughly linear arrangement, tentatively a rotating disk. We derive a molecular gas mass of M_gas = 1.2 +- 0.2 x 10^10 M_sun, assuming a ULIRG L_{CO}-to-M_{gas} conversion ratio of \alpha = 0.8 M_sun / (K km/s pc^2) that agrees well with the derived range of \alpha = 0.3 - 1.3 for separate dynamical mass estimates at assumed inclinations of i = 90 - 30 degrees. Based on the AGN and CO (1-0) peak emission positions and the lens model, we predict a distortion of the CO Spectral Line Energy Distribution (SLED) where higher order J lines that may be partially excited by AGN heating will be preferentially lensed owing to their smaller solid angles and closer proximity to the AGN and therefore the cusp of the caustic. Comparison with other lensing inversion results shows that the narrow line region and AGN radio core in IRAS F10214+4724 are preferentially lensed by a factor >~ 3 and 11 respectively, relative to the molecular gas emission. This distorts the global continuum emission Spectral Energy Distribution (SED) and suggests caution in unsophisticated uses of IRAS F10214+4724 as an archetype high-redshift ULIRG. We explore two Large Velocity Gradient (LVG) models, incorporating spatial CO (1-0) and (3-2) information and present tentative evidence for an extended, low excitation cold gas component that implies that the total molecular gas mass in IRAS F10214+4724 is a factor >~2 greater than that calculated using spatially unresolved CO observations.Comment: Dedicated to Steve Rawlings. Accepted for publication in MNRAS. 16 pages, 11 figure

Bulletin No. 15: Integration in DPMP: An organising principle and an expanded set of tools

DPMP involves various levels of integration: • across law enforcement, treatment, harm reduction and prevention, as both approaches and sectors; • across global, national, state and local scales; • between research, policy and other practice; and • across an array of disciplinary and epistemological research approaches. Although the need for integration to better deal with complex problems, like illicit drug use, is now widely recognised and discussed, formalised processes for achieving this have been slow to develop. A unique aspect of DPMP is its close link with the new cross-cutting specialisation of Integration and Implementation Sciences. The specialisation draws from a range of disciplines, such as political science, systems thinking, complexity science, participatory methods, management, and information science, and aims to help make better-founded decisions on complex social problems by applying integrative methods to: • tackling problems systemically; • deepening understanding of problems based on all the relevant disciplines and interests; • applying knowledge management strategies to cope with both information overload and diverse epistemologies; and • applying understanding of how action occurs, in other words how policy is made, how business operates, how activism succeeds; as well as how action can be influenced by evidence. Thus the new specialisation provides theory, methods and skills to facilitate comprehensive examination of issues and problems, as well as effective mobilisation to action. Integration and Implementation Sciences also seeks to incorporate the effective use of research-based knowledge to help bring about change. Specifically, Integration and Implementation Sciences is developing theory and methods for: 1. Comprehensive scoping of problems and issues. 2. Application of appropriate integrative concepts and methods. 3. Involvement of the strengths of different research epistemologies. 4. Attention to emergent properties, i.e. to identifying and understanding properties that disappear when a system is studied in disaggregated segments. 5. Understanding of policy, product development and action and how these can be influenced by research. 6. Application of knowledge management concepts and tools. 7. Development and application of expanded ways of taking uncertainty into account. 8. Managing the inevitability of less than perfect outcomes. 9. Application of concepts and methods from change management and innovation, including developing new roles such as boundary spanners and knowledge brokers to apply research to changed practice. 10. Development and application of collaborative processes. DPMP has built on the insights gained as Integration and Implementation Sciences have developed. This has allowed some of the best leading edge ideas and methods developed in other areas to be introduced to the illicit drugs field

Therapeutic Homework to Support Recovery From Severe Mental Illness

Therapeutic homework refers to activities that clients complete between their visits with mental health workers. The aim of such homework is to facilitate progress toward h\u27eatment goals. There is an increasing body of research indicating that homework completion is associated with improved outcomes of psychotherapy across a wide range of clinical disorders (such as depression and anxiety). However, there is limited research into the role of homework in mental health case management for people with severe mental illnesses such as schizophrenia

Acceptance and commitment therapy delivered in a dyad after a severe traumatic brain injury: a feasibility study

Objective: There is a high prevalence of complex psychological distress after a traumatic brain injury but limited evidence of effective interventions. We examined the feasibility of Acceptance and Commitment Therapy after a severe traumatic brain injury using the criteria, investigating a therapeutic effect, and reviewing the acceptability of measures, treatment protocol, and delivery method (in a dyad of two clients and a therapist). Method: Two male outpatients with severe traumatic brain injury and associated psychological distress jointly engaged in a seven session treatment program based on Acceptance and Commitment Therapy principles. Pre- and post-treatment measures of mood, psychological flexibility, and participation were taken in addition to weekly measures. Results: The intervention showed a therapeutic effect with one participant, and appeared to be acceptable for both participants with regard to program content, measures, and delivery mode by in a dyad. One participant showed both significant clinical and reliable change across several outcome measures including measures of mood and psychological flexibility. The second participant did not show a reduction in psychological inflexibility, but did show a significant drop in negative affect. Significant changes pre- to post-treatment for measures of participation were not indicated. Qualitatively, both participants engaged in committed action set in accordance with their values. Conclusions: This study suggests that Acceptance and Commitment Therapy may be feasible to be delivered in a dyad with individuals who have a severe traumatic brain injury. A further test of its potential efficacy in a phase II clinical trial is recommended

Treatment adherence

Angela has been spending a fair bit of time with Sam in recent months. She is a 29-year-old single mother with one child. She studies part-time at the local university and has managed to maintain acceptable grades. She has bipolar disorder that has been well managed with medication, in different combinations at different pOints in her illness. However, over the last month she has intermittently missed doses and is consequently becoming unwell. It is puzzling that she is missing doses because she is very attached to her child and last time she stopped medication her daughter was placed in care. The following information was obtained from her in order to undertake a functional analysis. Financially, Angela was managing well on her supporting parent benefit and the maintenance paid by the father of her child. However, her former partner was sent to jail 3 months ago and the maintenance money he was sending her dried up. As a consequence, she started falling behind in some bills about 8 weeks ago. She has told you that this worries her. On top of this, her daughter started experiencing stomach aches last week and is cranky most of the time. Angela has said that she thinks that her daughter may be lactose intolerant and believes that her local GP did not take her concerns about her daughter\u27s distress seriously enough when she took her to see him 10 days ago. Since becoming involved with Sam, Angela has struggled to keep a routine for her and her daughter and she says she forgets her medication from time to time. Sometimes Angela loses interest in sex and she thinks that her medication might reduce her libido. Angela has never received much help from her family because they don\u27t agree with her diagnosis. He father says that she is just an attention getter and that she puts it on. He says that is why she cut herself when she was a teenager. Her father states that if she just stopped \u27boozing\u27 she wouldn\u27t be so down and need the medication. Angela disagrees, stating that she has been drinking to help her sleep for years and is drinking no more or less now. Nonetheless, Angela has tried to cut down on her alcohol use over the last month and this has interfered with her sleep

Narrative identity reconstruction as adaptive growth during mental health recovery: A narrative coaching boardgame approach

Objective: The purpose of this paper is to construct a conceptual framework for investigating the reconstruction of narrative identity in mental health recovery from a complexity perspective. This conceptual framework provides the foundation for developing a health boardgame to facilitate narrative identity reconstruction. Methods: A selective integrative review of the theoretical and empirical literature relevant to narrative identity reconstruction in recovery was conducted. Sources included books, dissertations, internet resources, and professional journals. Findings: The reviewed material provides a conceptual framework that offers an enriched understanding of narrative identity reconstruction in recovery as a process of adaptive growth. It identifies the Hero\u27s Journey, the life story model of identity (LSMI), and intentional change theory (ITC) as particularly relevant in informing strategies for narrative identity reconstruction. The conceptual framework can be operationalized in a narrative coaching treatment approach using a boardgame. Conclusion and Implications for Practice: In practice, mental health professionals could use the narrative coaching boardgame to facilitate people\u27s adaptive change with a focus on building skills to reconstruct their preferred narrative identity and foster hope. Future research should explore what aspects of narrative identity and non-linear dynamic processes of change are most important in people\u27s recovery narratives and in particular these processes can be assessed in response to the use of the boardgame