A Systematic Review of the Soteria Paradigm for the Treatment of People Diagnosed With Schizophrenia

Background: The “Soteria paradigm” attempts to support people diagnosed with schizophrenia spectrum disorders using a minimal medication approach. Interest in this approach is growing in the United Kingdom, several European countries, North America, and Australasia. Aims: To summarize the findings from all controlled trials that have assessed the efficacy of the Soteria paradigm for the treatment of people diagnosed with schizophrenia spectrum disorders. Methods: A systematic search strategy was used to identify controlled studies (randomized, pseudorandomized, and nonrandomized) employing the Soteria paradigm to treat adults and adolescents meeting the criteria for schizophrenia spectrum disorders according to International Classification of Diseases and Diagnostic and Statistical Manual for Mental Disorders criteria. Results: We identified 3 controlled trials involving a total of 223 participants diagnosed with first- or second-episode schizophrenia spectrum disorders. There were few major significant differences between the experimental and control groups in any of the trials across a range of outcome measures at 2-year follow-up, though there were some benefits in specific areas. Conclusions: The studies included in this review suggest that the Soteria paradigm yields equal, and in certain specific areas, better results in the treatment of people diagnosed with first- or second-episode schizophrenia spectrum disorders (achieving this with considerably lower use of medication) when compared with conventional, medication-based approaches. Further research is urgently required to evaluate this approach more rigorously because it may offer an alternative treatment for people diagnosed with schizophrenia spectrum disorders

Growing an international Cultural Heritage Labs community

‘Cultural Heritage Labs’ in galleries, libraries, archives and museums around the world help researchers, artists, entrepreneurs, educators and innovators to work on, experiment, incubate and develop their ideas of working with digital content through competitions, awards, projects, exhibitions and other engagement activities. They do this by providing services and infrastructure to enable, facilitate and give access to their data both openly online and onsite for research, inspiration and enjoyment. In September 2018, the British Library Labs team organised a ‘Building Library Labs’' international workshop. The event provided the opportunity for colleagues that are planning or already have digital experimental ‘Labs’ to share knowledge, experiences and lessons learned. The workshop, which attracted over 40 institutions from North America, Europe, Middle East, Asia and Africa, demonstrated a clear need and enthusiasm for establishing an international support network. Within 6 months, a second international workshop was organised at the Royal Danish Library in Copenhagen in March 2019. In total we have brought together some 120 participants and an even wider community of around 250 people online. Some have been sharing their experiences in setting, using and running innovation labs, but there was a sizeable group of attendees who are planning to set up such labs and need advice and support in how to do this. The aim of this short paper is to present the journey and development of the International Labs community and outline our future activities

Institutional abuse – characteristics of victims, perpetrators and organsations: a systematic review

Abuse of vulnerable adults in institutional settings has been reported from various countries; however, there has been no systematic review of the characteristics of the victims and their Q3 abusers. Our aim was to identify and synthesise the literature on victims and perpetrators of abuse in institutions and the characteristics of the institutions where abuse occurs in order to inform interventions to prevent such abuse. Methods: Searches of MEDLINE (OVID), CINHAL (EBSCO), EMBASE (OVID) and PsychINFO (OVID) databases identified 4279 references. After screening of titles and abstracts, 123 citations merited closer inspection. After applying inclusion and exclusion criteria, 22 articles were included in the review. Results: Our review suggested that the evidence available on risk factors is not extensive but some conclusions can be drawn. Clients, staff, institutional and environmental factors appear to play a role in increasing the risk of abuse. Cases of abuse may be underreported. Conclusions: Vulnerable clients need closer monitoring. Clients and staff may lack the awareness and knowledge to identify and report abuse. Institutions should take proactive steps to monitor clients, train staff and devise systems that allow for the identification and reporting of incidents of abuse and take steps to prevent such incidents. Staff need education and awareness of institutional policies to identify and report abuse. There is a need for further research into the association between the individual client, staff and institutional characteristics and abuse. Such information may be useful in quantifying risk to individual clients and planning their care

The relationship between competence and patient outcome with low-intensity cognitive behavioural interventions

Little is understood about the relationship between therapist competence and the outcomes of patients treated for common mental health disorders. Furthermore, the evidence is yet to extend to competence in the delivery of low-intensity cognitive behavioural interventions. Understanding this relationship is essential to the dissemination and implementation of low-intensity cognitive behavioural interventions. The aim of this study was to explore the relationship between Psychological Well-being Practitioner (PWP) competence and patient outcome within the framework of the British government's Improving Access to Psychological Therapies (IAPT) initiative. Forty-seven PWPs treating 3688 patients participated. Relationships between PWP scores on three observed standardized clinical examinations and reliable change in patients' symptoms of anxiety and depression were explored at two time points: during the year-long training phase, and over a 12-month follow-up. Results indicated that patients treated by qualified PWPs achieved superior outcomes than those treated by trainees. Little support was found for a general association between practitioner competence in delivering low-intensity cognitive behavioural interventions and patient outcome, either during or post-training; however, significantly more patients of the most competent PWPs demonstrated reliable improvement in their symptoms of anxiety and depression than would be expected by chance alone and fewer deteriorated compared with those treated by the least competent PWPs. Results were indicative of a complex, non-linear relationship, with patient outcome affected by PWP status (trainee or qualified) and by competence at its extremes. The implications of these results for the dissemination and implementation of low-intensity cognitive behavioural interventions are discussed

Sidney Hook’s Pragmatic Anti-Communism: Commitment to Democracy as Method

In recent years, opposition to Communism has emerged as Sidney Hook’s central philosophical legacy in the eyes of scholars and historians, who tend to ignore all of Hook’s pre-Cold War philosophical contributions. Furthermore, critics who treat Hook’s anti-Communism often accuse him of abandoning pragmatism for dogmatism in his later career. In this essay, I argue that Hook’s long-standing fight against Communism should be understood as an unwavering application of the democratic method in line with his mentor John Dewey’s understanding of pragmatism as well as the commitment to scientific empiricism espoused by earlier pragmatists C. S. Peirce and William James

Adjustment of a social studies textbook for retarded children in grade five

Thesis (M.A.)--Boston University, 1949. This item was digitized by the Internet Archive

The Sharper Image: Bringing Irish Nationalist Identity Into Focus, 1880-1923

From 1880 to 1923, Irish nationalists created and sustained an independent cultural identity shaped by external and internal forces. British political cartoons reveal key external cultural perceptions of the Irish, while Irish nationalist writings endorse internal concepts of character and project political aims. Irish nationalists present an uninterrupted internal identity in pursuit of autonomy. Images published in Punch, or the London Charivari, provide external factors of identity that evolve from exaggerated threat to trivial concern while the nationalist political demands they represent escalate. Identity is the product of complex interaction and compromise between external and internal definitions. Individuals and groups self-identify through processes of internal definition. Internal definitions emerge through an internal voice yet with the expectation of an audience. Irish nationalist leaders projected their internal identity in their writings, speeches, and activities. External definition assigns factors of identity to another group of people; it cannot be a solitary act because it requires interaction. Punch, representative of British media sources, imposed external characteristics and value on Irish issues. Political cartoons convey messages more quickly and successfully than editorials to less literate readers while highlighting underlying societal assumptions on which the opinions expressed in the cartoon are formed. Presented over a period of forty years, the Irish issues and characters in the images progress from threatening to inconsequential— sketches from the end of this period even seem to bear a modicum of respect. The images also develop from exaggerated caricatures to moderate sketches over this period—a subconscious reinforcement of cultural stereotypes. Certain themes of Irish character are constant in nationalist works from this forty-year period, while the political aims they outline evolve greatly. These speeches and writings provide markers of an internal identity that attempted to refute elements of identity imposed by the majority culture. Irish nationalist goals evolved from demands for land control to an Irish Parliament within the empire to cultural and political liberation from 1880 to 1923. Irish nationalists emerged from this period with a tentative Free State and an independent cultural identity with which they developed economic, political, and cultural distinctiveness