Below the parapet: a phenomenological exploration of adult inter-personal relationships for individuals who grew up with a sibling with a severe mental illness

Siblings of those with severe mental health illness (SMI) have long been overlooked in research and, what interest there has been, seems to have been borne out of the desire to establish how best to engage them in providing care and support for their mentally ill brother or sister when their parents are no longer able to. The present study looks beyond this to how siblings themselves may have been impacted by their childhoods and what support they may need outside of any caregiving role. In particular, the current study focuses on how their childhood experiences may impact their inter-personal relationships in adulthood. Six adult participants gave accounts of their experiences, participating in semistructured interviews. The interview transcripts were then analysed, using Interpretive Phenomenological Analysis. Four superordinate themes are identified: The Stabiliser, The “Me,” The “I” and Surviving and Striving. The superordinate themes explore the experiences of the participants in regards to self and relationships. Many of the siblings in this study display signs of chronic anxiety and insecure avoidant attachment style. In addition, they display a very real difficulty in holding compassion for themselves, having recognition of their needs or managing conflictual situations. Furthermore, an entirely new finding has come out of this research, that these siblings display signs of defence mechanisms of binary thinking, omnipotent control and the creation of a false-self. The present study draws on attachment theory, parentification and post traumatic growth, to highlight clinical and research implications for Counselling Psychology. These include suggestions for supporting siblings in addressing their own suffering in order to restore trust in themselves, in their inter-personal relationships and in the life process itself

Zones of Exclusion: Urban Spatial Policies, Social Justice, and Social Services

Across the United States homeless persons, prostitutes, and drug and alcohol users are subject to policies that severely limit their freedom of movement. These new policies create spatial exclusion zones that deny these groups the right to inhabit or traverse large areas of their cities, particularly in the downtown cores, where treatment centers, shelters, food banks, soup kitchens, government services, and other social services are typically concentrated. In this paper, I examine these new spatial exclusionary policies (with a focus on Washington State\u27s policies), present a brief historical account of socio-spatial practices, contextualize the current spatial laws, and end with the implications of current exclusionary laws for social work practice, policy, and research

The Application of LANDSAT Data from Collection Platforms and LANDSAT Imagery for Fire Management, Everglades National Park, Florida

There are no author-identified significant results in this report

Predicting sexual problems in women: The relevance of sexual excitation and sexual inhibition

This is the post-print version of the article. The official published version can be obtained from the link below.Data from a non-clinical sample of 540 heterosexual women were used to examine the relationships between scores on the Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) and ratings of current sexual problems, lifetime arousal difficulty, lifetime orgasm difficulty, and lifetime problems with low sexual interest. Multiple regression analyses also included several demographic/background variables as predictors: age, full-time employment, completed college, children in household, married, health ratings, importance of sex, and whether the woman was in a sexual relationship. The strongest statistical predictors of both current and lifetime sexual problems were the SESII-W inhibition factors Arousal Contingency and Concerns about Sexual Function. Demographic factors did not feature largely in any of the models predicting sexual problems even when statistically significant relationships were found. If future research supports the predictive utility of the SESII-W in identifying women who are more likely to experience sexual difficulties, these scales may be used as prognostic factors in treatment studies.This study was funded, in part, by a grant from the Lilly Centre for Women's Health

Analysis of Minerals Using Specimen Isolated Secondary Ion Mass Spectrometry

Considerably improved suppression of molecular ions in secondary ion mass spectrometry (SIMS) spectra of nonconductor minerals has been obtained using a CAMECA IMS-3f ion microscope with unconventional operating conditions [so-called specimen isolated (SI) conditions]. In a zircon spectrum close to forty elements are positively identified and molecular ions such as oxides and hydrides have very low intensities. Thus, with a 28Si+ intensity of 106 cps, the Si+/Si0+ ratio is 105, and the 30SiH+ intensity is low enough to enable quantitative analysis using 31P+ down to 0.01 wt % P2O5 in a silicate glass matrix. The SI conditions enable us to follow major, minor and trace element concentrations across a complex alteration zone such as a sphene/hornblende contact. Isotope ratios show reasonable agreement with natural isotopic abundances, but relatively large kinetic energy induced isotopic fractionation is observed due to our analysis of high kinetic energy secondary ions. For zircon, and sphene samples, the isotope fractionation plotted against the mass ratios of the isotopes shows a linear dependence

Utilization of Never-Medicated Bipolar Disorder Patients towards Development and Validation of a Peripheral Biomarker Profile

There are currently no biological tests that differentiate patients with bipolar disorder (BPD) from healthy controls. While there is evidence that peripheral gene expression differences between patients and controls can be utilized as biomarkers for psychiatric illness, it is unclear whether current use or residual effects of antipsychotic and mood stabilizer medication drives much of the differential transcription. We therefore tested whether expression changes in first-episode, never-medicated BPD patients, can contribute to a biological classifier that is less influenced by medication and could potentially form a practicable biomarker assay for BPD. We employed microarray technology to measure global leukocyte gene expression in first-episode (n=3) and currently medicated BPD patients (n=26), and matched healthy controls (n=25). Following an initial feature selection of the microarray data, we developed a cross-validated 10-gene model that was able to correctly predict the diagnostic group of the training sample (26 medicated patients and 12 controls), with 89% sensitivity and 75% specificity (p<0.001). The 10-gene predictor was further explored via testing on an independent cohort consisting of three pairs of monozygotic twins discordant for BPD, plus the original enrichment sample cohort (the three never-medicated BPD patients and 13 matched control subjects), and a sample of experimental replicates (n=34). 83% of the independent test sample was correctly predicted, with a sensitivity of 67% and specificity of 100% (although this result did not reach statistical significance). Additionally, 88% of sample diagnostic classes were classified correctly for both the enrichment (p=0.015) and the replicate samples (p<0.001). We have developed a peripheral gene expression biomarker profile, that can classify healthy controls from patients with BPD receiving antipsychotic or mood stabilizing medication, which has both high sensitivity and specificity. Moreover, assay of three first-episode patients who had never received such medications, to first enrich the expression dataset for disease-related genes independent of medication effects, and then to test the 10-gene predictor, validates the peripheral biomarker approach for BPD

Ocular myasthenia gravis saccades as a measure of extraocular muscle function

BACKGROUND: It is important to understand the pathophysiology of ocular myasthenia gravis (OMG) to improve treatment. AIM: To use modern video-oculography to characterise saccadic eye movements in patients with OMG, including anti-AChR, anti-MuSK, anti-LRP4, and seronegative OMG. METHODS: In total, 21 patients with OMG and five age-matched healthy control subjects underwent video-oculography. Participants performed a sequence of horizontal saccades (3 minutes each) at ±5°, ± 10°, and ±20°, followed by 3 minutes of saccades directed at randomly presented targets at ±5°, ± 10°, and ±15°. We recorded the direction, amplitude, duration, peak, and average velocity of each saccade for each task for each participant. RESULTS: Saccadic amplitude, duration, and average velocity were all lower in OMG patients than in control subjects (p < 0.021). Saccadic amplitude and velocity decreased over time, but this decrease was similar in OMG patients and control subjects. Fixation drift and ocular disparity tended to be greater in OMG patients than in control subjects. Saccadic intrusions occurred more frequently in OMG patients than in control subjects (p < 0.001). No significant effects of time or group by time on fixation drift or ocular disparity were found. DISCUSSION: Saccadic velocities in OMG patients differed from those in normal control subjects, which suggests that OMG affects fast-twitch fibres, although fast-twitch fibres were still able to generate “twitch” or “quiver” movements in the presence of even severe ophthalmoplegia. Slow-twitch muscle fibres involved in gaze holding were also affected, accounting for increased fixation drift following saccades. Our objective finding of increased fixation drift and a larger number of saccadic intrusions mirror our anecdotal experience of patients with OMG who report significant diplopia despite minimal ophthalmoplegia on examination. Such microsaccades may be a surrogate for compensation of a gaze-holding deficit in MG

Calculation and optical measurement of laser trapping forces on non-spherical particles

Optical trapping, where microscopic particles are trapped and manipulated by light is a powerful and widespread technique, with the single-beam gradient trap (also known as optical tweezers) in use for a large number of biological and other applications. The forces and torques acting on a trapped particle result from the transfer of momentum and angular momentum from the trapping beam to the particle. Despite the apparent simplicity of a laser trap, with a single particle in a single beam, exact calculation of the optical forces and torques acting on particles is difficult. Calculations can be performed using approximate methods, but are only applicable within their ranges of validity, such as for particles much larger than, or much smaller than, the trapping wavelength, and for spherical isotropic particles. This leaves unfortunate gaps, since wavelength-scale particles are of great practical interest because they are readily and strongly trapped and are used to probe interesting microscopic and macroscopic phenomena, and non-spherical or anisotropic particles, biological, crystalline, or other, due to their frequent occurance in nature, and the possibility of rotating such objects or controlling or sensing their orientation. The systematic application of electromagnetic scattering theory can provide a general theory of laser trapping, and render results missing from existing theory. We present here calculations of force and torque on a trapped particle obtained from this theory and discuss the possible applications, including the optical measurement of the force and torque.Comment: 10 pages, 5 figure