“Us vs Them” inpatients or fellow inmates? An autoethnographic exploration

Research shows that mental health professionals hold stigmatizing and negative attitudes towards people with mental health problems. Professionals can engage in “othering” whereby they create distance between themselves and the “different” patient, diminishing discomfort. There are significant mental health difficulties amongst professionals, but there is insufficient research exploring clinicians with lived experience, including how this impacts and/or enhances clinical practice. How professionals manage occupying multiple positions, such as professional and patient, has not been sufficiently explored, perhaps owing to the stigma in the profession. I employed Autoethnography, a method and methodology (Campbell, 2016), to critique, contribute to and extend existing research and theory. I seek an increase of insight, facilitation of social consciousness, and societal change (Adams, Linn & Ellis, 2015, p. 33). This research is a direct response to the persistent gap in literature when it comes to firsthand accounts of inpatient psychiatric treatment (Short, Turner & Grant, 2013, p. 41) and a call for more writing from professionals working in mental health with lived experience. I used my insider knowledge of a cultural phenomenon (life of a wounded healer in training) and a life-altering experience (being admitted to a psychiatric institution) to critique cultural norms and practices amongst mental health professionals, including myself. The data collection and analysis was iterative and resulted in the production of an evocative narrative. I provide the reader with a theoretical chapter that discusses salient themes that arose during this process and link these themes with parts of the narrative. I demonstrate that autoethnography can be a particularly valuable method for counselling psychologists and conclude with a number of implications and suggestions for practice stemming from my research. By using myself as both the researcher and the researched, while highlighting my hybrid identity of patient and professional, I blur the boundaries that could otherwise perpetuate othering

On ordinal utility, cardinal utility, and random utility

Though the Random Utility Model (RUM) was conceived  entirely in terms of ordinal utility, the apparatus throughwhich it is widely practised exhibits properties of  cardinal utility.  The adoption of cardinal utility as a  working operation of ordinal is perfectly valid, provided  interpretations drawn from that operation remain faithful  to ordinal utility.  The paper considers whether the latterrequirement holds true for several measurements commonly  derived from RUM.  In particular it is found that  measurements of consumer surplus change may depart from  ordinal utility, and exploit the cardinality inherent in  the practical apparatus.

Interactions between brown-dwarf binaries and Sun-like stars

Several mechanisms have been proposed for the formation of brown dwarfs, but there is as yet no consensus as to which -- if any -- are operative in nature. Any theory of brown dwarf formation must explain the observed statistics of brown dwarfs. These statistics are limited by selection effects, but they are becoming increasingly discriminating. In particular, it appears (a) that brown dwarfs that are secondaries to Sun-like stars tend to be on wide orbits, a\ga 100\,{\rm AU} (the Brown Dwarf Desert), and (b) that these brown dwarfs have a significantly higher chance of being in a close (a\la 10\,{\rm AU}) binary system with another brown dwarf than do brown dwarfs in the field. This then raises the issue of whether these brown dwarfs have formed {\it in situ}, i.e. by fragmentation of a circumstellar disc; or have formed elsewhere and subsequently been captured. We present numerical simulations of the purely gravitational interaction between a close brown-dwarf binary and a Sun-like star. These simulations demonstrate that such interactions have a negligible chance ($<0.001$) of leading to the close brown-dwarf binary being captured by the Sun-like star. Making the interactions dissipative by invoking the hydrodynamic effects of attendant discs might alter this conclusion. However, in order to explain the above statistics, this dissipation would have to favour the capture of brown-dwarf binaries over single brown-dwarfs, and we present arguments why this is unlikely. The simplest inference is that most brown-dwarf binaries -- and therefore possibly also most single brown dwarfs -- form by fragmentation of circumstellar discs around Sun-like protostars, with some of them subsequently being ejected into the field.Comment: 10 pages, 8 figures, Accepted for publication in Astrophysics and Space Scienc

The voluntary control of piloerection

Autonomic nervous systems in the human body are named for their operation outside of conscious control. One rare exception is voluntarily generated piloerection (VGP)—the conscious ability to induce goosebumps—whose physiological study, to our knowledge, is confined to three single-individual case studies. Very little is known about the physiological nature and emotional correlates of this ability. The current manuscript assesses physiological, emotional, and personality phenomena associated with VGP in a sample of thirty-two individuals. Physiological descriptions obtained from the sample are consistent with previous reports, including stereotypical patterns of sensation and action. Most participants also reported that their VGP accompanies psychological states associated with affective states (e.g., awe) and experience (e.g., listening to music), and higher than typical openness to new experiences. These preliminary findings suggest that this rare and unusual physiological ability interacts with emotional and personality factors, and thus merits further study

Density-functional embedding using a plane-wave basis

The constrained electron density method of embedding a Kohn-Sham system in a substrate system (first described by P. Cortona, Phys. Rev. B {\bf 44}, 8454 (1991) and T.A. Wesolowski and A. Warshel, J. Phys. Chem {\bf 97}, 8050 (1993)) is applied with a plane-wave basis and both local and non-local pseudopotentials. This method divides the electron density of the system into substrate and embedded electron densities, the sum of which is the electron density of the system of interest. Coupling between the substrate and embedded systems is achieved via approximate kinetic energy functionals. Bulk aluminium is examined as a test case for which there is a strong interaction between the substrate and embedded systems. A number of approximations to the kinetic-energy functional, both semi-local and non-local, are investigated. It is found that Kohn-Sham results can be well reproduced using a non-local kinetic energy functional, with the total energy accurate to better than 0.1 eV per atom and good agreement between the electron densities.Comment: 11 pages, 4 figure

An Effective-Medium Tight-Binding Model for Silicon

A new method for calculating the total energy of Si systems is presented. The method is based on the effective-medium theory concept of a reference system. Instead of calculating the energy of an atom in the system of interest a reference system is introduced where the local surroundings are similar. The energy of the reference system can be calculated selfconsistently once and for all while the energy difference to the reference system can be obtained approximately. We propose to calculate it using the tight-binding LMTO scheme with the Atomic-Sphere Approximation(ASA) for the potential, and by using the ASA with charge-conserving spheres we are able to treat open system without introducing empty spheres. All steps in the calculational method is {\em ab initio} in the sense that all quantities entering are calculated from first principles without any fitting to experiment. A complete and detailed description of the method is given together with test calculations of the energies of phonons, elastic constants, different structures, surfaces and surface reconstructions. We compare the results to calculations using an empirical tight-binding scheme.Comment: 26 pages (11 uuencoded Postscript figures appended), LaTeX, CAMP-090594-

Deciphering the extreme X-ray variability of the nuclear transient eRASSt J045650.3-203750: A likely repeating partial tidal disruption event

Context. During its all-sky survey, the extended ROentgen Survey with an Imaging Telescope Array (eROSITA) on board the Spectrum-Roentgen-Gamma (SRG) observatory has uncovered a growing number of X-ray transients associated with the nuclei of quiescent galaxies. Benefitting from its large field of view and excellent sensitivity, the eROSITA window into time-domain X-ray astrophysics yields a valuable sample of X-ray selected nuclear transients. Multi-wavelength follow-up enables us to gain new insights into understanding the nature and emission mechanism of these phenomena. Aims. We present the results of a detailed multi-wavelength analysis of an exceptional repeating X-ray nuclear transient, eRASSt J045650.3-203750 (hereafter J0456-20), uncovered by SRG/eROSITA in a quiescent galaxy at a redshift of z ∼ 0:077. We aim to understand the radiation mechanism at different luminosity states of J0456-20, and provide further evidence that similar accretion processes are at work for black hole accretion systems at different black hole mass scales. Methods. We describe our temporal analysis, which addressed both the long- and short-term variability of J0456-20. A detailed X-ray spectral analysis was performed to investigate the X-ray emission mechanism. Results. Our main findings are that (1) J0456-20 cycles through four distinctive phases defined based on its X-ray variability: an X-ray rising phase leading to an X-ray plateau phase that lasts for abouttwo months. This is terminated by a rapid X-ray flux drop phase during which the X-ray flux can drop drastically by more than a factor of 100 within one week, followed by an X-ray faint state for about two months before the X-ray rising phase starts again. (2) The X-ray spectra are generally soft in the rising phase, with a photon index & 3:0, and they become harder as the X-ray flux increases. There is evidence of a multi-colour disk with a temperature of Tin ∼ 70 eV in the inner region at the beginning of the X-ray rising phase. The high-quality XMM-Newton data suggest that a warm and hot corona might cause the X-ray emission through inverse Comptonisation of soft disk seed photons during the plateau phase and at the bright end of the rising phase. (3) J0456-20 shows only moderate UV variability and no significant optical variability above the host galaxy level. Optical spectra taken at different X-ray phases are constant in time and consistent with a typical quiescent galaxy with no indication of emission lines. (4) Radio emission is (as yet) only detected in the X-ray plateau phase and rapidly declines on a timescale of two weeks. Conclusions. J0456-20 is likely a repeating nuclear transient with a tentative recurrence time of ∼223 days. It is a new member of this rare class. We discuss several possibilities to explain the observational properties of J0456-20. We currently favour a repeating partial tidal disruption event as the most likely scenario. The long-term X-ray evolution is explained as a transition between a thermal disk-dominated soft state and a steep power-law state. This implies that the corona can be formed within a few months and is destroyed within a few weeks

The influence of odour, taste and nutrients on feeding behaviour and food preferences in horses

While it has been established that nutrients and flavours (odour, taste) play an important role in diet selection by horses, previous studies have not always clarified what type of flavouring (e.g. non-nutritive or nutritive) was used. Therefore, the objective of this study was to determine the influence of distinct food characteristics (odour, taste, nutrients) on the preference of horses using different preference testing protocols. This experiment consisted of three phases; adaptation (P1), two-choice testing (P2) and multiple-choice testing using a chequerboard design (P3). Four pelleted diets equal in digestible energy, but contrasted in crude protein (LP; 14% and HP; 27%) and added non-caloric (natural) sweetener (i.e. LP, LP+, HP, HP+) were consecutively fed to each of sixteen adult horses. The diets were paired with four non-nutritive odours (coconut, banana, cinnamon, spearmint), with a unique odour and diet combination allocated to each group of four horses. In P1, each diet was presented solely for five days to facilitate pre- and post-ingestive associations; in P2 a two-choice test was conducted with four diet combinations (contrasts) over three days; and in P3 the four diets were presented simultaneously in a checkerboard fashion over a 5-day period. Feed intake, bucket/zone visits and time spent foraging or moving were recorded. The key findings of this study were: (1) In P1 an initially large variation in intake was recorded with only some horses showing a neophobic response to a new odour/food, but variation declined within 2 days with the majority of the horses consuming over 90% of the diets. (2) Nutrient (HP) content appeared to be the main driver for diet intake in P2 (P < 0.05) and P3 (P < 0.001). (3) Taste appeared to be the secondary determinant of preference and this was more evident with the LP diet. (4) Consumption of diets linked to sweet aromatic odours (banana and coconut) was greater in P3 (P < 0.001). (5) The multiple-choice test, which was designed to promote patch foraging behaviour, showed more explicit differences in diet ranking compared to the two-choice test. These findings confirm previous studies that horses prioritise diets on nutrients, but this is the first equine study that shows the positive influence of a non-caloric natural sweetener on diet choice. A non-nutritive sweet taste or odour appears to encourage diet intake by horses, but more research is needed that examines different sweeteners coupled with and without odour and/or dietary nutrients and its long-term effects on food intake

Specialist nursing and community support for the carers of people with dementia living at home: an evidence synthesis.

Specialist nurses are one way of providing support for family carers of people with dementia, but relatively little is known about what these roles achieve, or if they are more effective than roles that do not require a clinical qualification. The aim of this review was to synthesise the literature on the scope and effectiveness of specialist nurses, known as Admiral Nurses, and set this evidence in the context of other community-based initiatives to support family carers of people with dementia. We undertook a systematic review of the literature relating to the scope and effectiveness of Admiral Nurses and a review of reviews of interventions to support the family carers of people with dementia. To identify studies, we searched electronic databases, undertook lateral searches and contacted experts. Searches were undertaken in November 2012. Results are reported narratively with key themes relating to Admiral Nurses identified using thematic synthesis. We included 33 items relating to Admiral Nurses (10 classified as research) and 11 reviews evaluating community-based support for carers of people with dementia. There has been little work to evaluate specific interventions provided by Admiral Nurses, but three overarching thematic categories were identified: (i) relational support, (ii) co-ordinating and personalising support and (iii) challenges and threats to the provision of services by Admiral Nurses. There was an absence of clearly articulated goals and service delivery was subject to needs of the host organisation and the local area. The reviews of community-based support for carers of people with dementia included 155 studies but, in general, evidence that interventions reduced caregiver depression or burden was weak, although psychosocial and educational interventions may reduce depression in carers. Community support for carers of people with dementia, such as that provided by Admiral Nurses, is valued by family carers, but the impact of such initiatives is not clearly established