Placing post-graffiti: the journey of the Peckham Rock

This article is about the intersections between contemporary forms of urban inscription, art and the city, as they come to be configured through an emergent `post-graffiti' aesthetic practice. Exemplary of this movement is the self-proclaimed `art terrorist', Banksy, who has earned a reputation recently for his audacious interventions into some of the most significant art institutions in the western world, as well as for his politically charged stencil and sculptural work in the everyday spaces of the city. Focusing on the artist's Peckham Rock, a fragment of concrete that he surreptitiously stuck to the walls of the British Museum in May 2005, this article uses the methodological device of `the journey' in an attempt to place the connections and disconnections between a series of elite and institutional spaces, social relations and mediascapes through which `the rock' passes as its `life' as an artwork unfolds. Existing research, including that by geographers, has examined graffiti in terms of urban identity politics, territoriality and transgression. While such work has generated important insights into the nature of particular kinds of urbanism, it is often limited to a focus on graffiti `writing', a subcultural model of urban inscription originating in New York and Philadelphia in the late 1960s. In contrast, this article explores a more recent style of inscribing the city, as set out in a series of art publications and conferences, and unpacks what such a model might indicate regarding contemporary urban processes and experiences

Dreamlands: stories of enchantment and excess in a search for lost sensations

This paper reflects on the search for a lost, obscure piece of experimental architecture that appeared on the west coast of Scotland in the late 1960s. Encouraged by cultural geography’s efforts to recuperate storytelling as a valid mode of inquiry and to adopt a more enchanted, affirmative disposition to our endeavors, we develop a geographical story intended to draw out how enchanted experiences gained through curiosity and an openness to contingencies can serve as a vital force for sustaining geographical ways of being, doing and knowing with the world. This account focuses on our encounters with various research sites that we identify as ‘dreamlands’ to express the idiosyncratic, unregulated, unexpected sensations of wonder and delight that such places evoked, the excessive materialities they revealed and the imaginative processes they elicited. We argue that such dreamlands are not as superfluous as might be assumed by their uncanny absence from the polished end-products of scholarship, and instead, allude to the latent forces of enchantment to which geographers might become better attuned when conducting and crafting their research

Enhanced psychological care in cardiac rehabilitation services for patients with new-onset depression:the CADENCE feasibility study and pilot RCT

BACKGROUND: Around 19% of people screened by UK cardiac rehabilitation programmes report having moderate or severe symptoms of depression. These individuals are at an increased risk of cardiac mortality and morbidity, reduced quality of life and increased use of health resources compared with their non-depressed counterparts. Maximising psychological health is a goal of cardiac rehabilitation, but psychological care is patchy.OBJECTIVE(S): To examine the feasibility and acceptability of embedding enhanced psychological care (EPC) within cardiac rehabilitation, we tested the feasibility of developing/implementing EPC and documented the key uncertainties associated with undertaking a definitive evaluation.DESIGN: A two-stage multimethods study; a feasibility study and a qualitative evaluation, followed by an external pilot cluster randomised controlled trial (RCT) with a nested qualitative study.SETTING: UK comprehensive cardiac rehabilitation teams.PARTICIPANTS: Adults eligible for cardiac rehabilitation following an acute coronary syndrome with new-onset depressive symptoms on initial nurse assessment. Patients who had received treatment for depression in the preceding 6 months were excluded.INTERVENTIONS: The EPC intervention comprised nurse-led mental health-care co-ordination and behavioural activation within cardiac rehabilitation. The comparator was usual cardiac rehabilitation care.MAIN OUTCOME MEASURES: Measures at baseline, and at the 5- (feasibility and pilot) and 8-month follow-ups (pilot only). Process measures related to cardiac team and patient recruitment, and participant retention. Outcomes included depressive symptoms, cardiac mortality and morbidity, anxiety, health-related quality of life and service resource use. Interviews explored participant and nurses' views and experiences.RESULTS: Between September 2014 and May 2015, five nurses from four teams recruited participants into the feasibility study. Of the 203 patients screened, 30 were eligible and nine took part (the target was 20 participants). At interview, participants and nurses gave valuable insights into the EPC intervention design and delivery. Although acceptable, the EPC delivery was challenging for nurses (e.g. the ability to allocate sufficient time within existing workloads) and the intervention was modified accordingly. Between December 2014 and February 2015, 8 out of 20 teams approached agreed to participate in the pilot RCT [five were randomised to the EPC arm and three were randomised to the usual-care (UC) arm]. Of the 614 patients screened, 55 were eligible and 29 took part (the target was 43 participants). At baseline, the trial arms were well matched for sex and ethnicity, although the EPC arm participants were younger, from more deprived areas and had higher depression scores than the UC participants. A total of 27 out of 29 participants were followed up at 5 months. Interviews with 18 participants (12 in the EPC arm and six in the UC arm) and seven nurses who delivered EPC identified that both groups acknowledged the importance of receiving psychological support embedded within routine cardiac rehabilitation. For those experiencing/delivering EPC, the intervention was broadly acceptable, albeit challenging to deliver within existing care.LIMITATIONS: Both the feasibility and the pilot studies encountered significant challenges in recruiting patients, which limited the power of the pilot study analyses.CONCLUSIONS: Cardiac rehabilitation nurses can be trained to deliver EPC. Although valued by both patients and nurses, organisational and workload constraints were significant barriers to implementation in participating teams, suggesting that future research may require a modified approach to intervention delivery within current service arrangements. We obtained important data informing definitive research regarding participant recruitment and retention, and optimal methods of data collection.FUTURE RESEARCH: Consideration should be given to the delivery of EPC by dedicated mental health practitioners, working closely with cardiac rehabilitation services.TRIAL REGISTRATION: Current Controlled Trials ISRCTN34701576.FUNDING: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 22, No. 30. See the NIHR Journals Library website for further project information.</p

Quantifying Relative Diver Effects in Underwater Visual Censuses

Diver-based Underwater Visual Censuses (UVCs), particularly transect-based surveys, are key tools in the study of coral reef fish ecology. These techniques, however, have inherent problems that make it difficult to collect accurate numerical data. One of these problems is the diver effect (defined as the reaction of fish to a diver). Although widely recognised, its effects have yet to be quantified and the extent of taxonomic variation remains to be determined. We therefore examined relative diver effects on a reef fish assemblage on the Great Barrier Reef. Using common UVC methods, the recorded abundance of seven reef fish groups were significantly affected by the ongoing presence of SCUBA divers. Overall, the diver effect resulted in a 52% decrease in the mean number of individuals recorded, with declines of up to 70% in individual families. Although the diver effect appears to be a significant problem, UVCs remain a useful approach for quantifying spatial and temporal variation in relative fish abundances, especially if using methods that minimise the exposure of fishes to divers. Fixed distance transects using tapes or lines deployed by a second diver (or GPS-calibrated timed swims) would appear to maximise fish counts and minimise diver effects