Compassion Focused Therapy: a systematic review of its effectiveness and acceptability in clinical populations

Introduction: Compassion focused therapy (CFT) is an increasingly popular therapeutic modality. Its holistic and integrative approach to universal human suffering means that it is well placed as a transdiagnostic therapy. Research into its effectiveness and acceptability has increased over the previous 10 years as the therapy has evolved, and to help consider its status as an evidence-based therapy research concerning its treatment outcomes needs evaluating. Areas covered: This paper reviews research investigating the effectiveness of CFT in clinical populations. Expert opinion: CFT shows promise for a range of mental health problems, especially when delivered in a group format over at least 12 hours. This is important for funding bodies and commissioning groups to consider as they allocate healthcare resources in light of current evidence-based practice. CFT is demonstrably well accepted by clients and clinicians and there is now a clear need for an updated, universally deployed, standard manual to direct future research. This will be critical in enabling widespread implementation and further adoption into mainstream clinical practice, will address the lack of standardization in the current research, and pave the way for further randomized control trials aimed at reducing existing methodological limitations

Older adult experiences of reactivated posttraumatic distress: Life stage integration or cognitive disintegration?

This review explores current research on reactivated posttraumatic stress disorder (PTSD) among older adults. Diagnostic system classifications of PTSD and possible trauma-based presentations among the elderly are considered before work concerning prevalence, symptomatology and course, triggers, theoretical explanations of reactivated trauma and treatments is examined. Conceptual and methodological strengths and weaknesses of existing work are highlighted and we conclude that the next phase in research efforts should continue to explore the relative contributions of cognitive/neuropsychological and developmental/social factors in understanding this phenomenon

Access to and adequacy of psychological services for adult patients in UK hospices: a national, cross-sectional survey

Abstract Background Providing psychological support to people living with terminal illness is a fundamental part of hospice care. Recent research on delivery of psychological services in hospices in the United Kingdom (UK) on a national level, including inequalities or variation in practice, is limited. A nationwide survey will highlight any differences in provision and in doing so help focus future research and inform best practice both within the UK, and internationally. The specific objectives of this survey are to (1) chart the types of psychological support available to adult patients in hospices in the UK in line with the National Institute for Health and Care Excellence model; (2) explore how services are organised; and (3) gather service perspectives on adequacy of care, and facilitators and barriers to appropriate practice. Methods A cross-sectional online survey emailed to adult hospices in the UK in November–December 2019. One staff member involved in the delivery and/or organisation of psychological support was invited to participate per hospice. Of 193 invited hospices, 116 took part. Results Sixteen percent rated their hospice psychological service as wholly adequate. The majority reported that services can access specialist professionals, but many relied on external referrals. Barriers to best practice included funding and staff capacity; facilitators included clear referral structures, audit and appropriate needs and outcome assessments. Conclusions Access to psychological professionals has improved since the last survey 15 years ago, but the majority of responders felt their overall service was not wholly adequate. Basic emotional support is largely felt to be sufficient, but our results indicate a need for improvements in access to more specialist care. Partnerships with external mental health services may be key. Our findings highlight core facilitators and barriers to providing good psychological care at the end of life that should be considered by services both within the UK and on an international level. </jats:sec

Some Observations on the Structure of TATB

The recent discovery of second-harmonic light generation (SHG) from 1,3,5-triamino-2,4,6-trinitrobenzene (TATB) has renewed interest in both the crystallography and the identification of defect structures in this material. The accepted crystal structure is triclinic but centrosymmetric (P-1); SHG is not expected from materials of this symmetry. A wide variety of syntheses have been shown to produce SHG-positive materials, including an emulsion technique, two different recrystallization methods, and a variety of combined reaction - precipitation processes. In addition, two standard commercial powders have shown the property after annealing in the 300 C range. We have examined the structures of several of these powders using polarized light microscopy (PLM), scanning electron microscopy (SEM), and powder X-ray diffraction (XRD). We find that SHG-positive materials typically contain crystals both more transparent and more strongly faceted (i.e. ''more perfect'') than weak-SHG ones and that the positive samples show stronger texture in their powder diffraction patterns. These results are compared with predictions from Cady's structure

So close, yet so far away? the effects of city size, density, and growth on local civic participation

Recent studies in the U.S. context have suggested that political participation is a function of the size and concentration of a city’s population. Most of this research focuses on the idea that there is an optimal size and concentration of population that favors active political participation in terms of a higher propensity to vote in local elections, contact local officials, and attend community meetings. The conventional argument suggests a negative relationship between city size and political participation that is mitigated to some extent by the deeper social interactions generated by increased population density. We extend this research by also investigating the influence of population growth on the broader concept of civic participation. Civic participation is a multidimensional concept that requires the use of a broad set of indicators. We expand the number of measures to gauge civic participation at the local level by including data on the formation of volunteer associations, volunteer fire brigades and not-for-profit organizations as well as voter turnout. We test the hypotheses derived from extant research using aggregate data collected from Portuguese cities and discuss the implications of our findings for the literature on local civic participatio

A longitudinal investigation of repressive coping and ageing

This is an Accepted Manuscript of an article published by Taylor & Francis in Aging & Mental Health on October 2016, available online: http://www.tandfonline.com/doi/full/10.1080/13607863.2015.1060941.Two studies investigated the possibility that repressive coping is more prevalent in older adults and that this represents a developmental progression rather than a cohort effect. Study 1 examined repressive coping and mental health cross-sectionally in young and old adults. Study 2 examined whether there was a developmental progression of repressive coping prevalence rates in a longitudinal sample of older adults.Peer reviewedFinal Accepted Versio

A non -verbal test of learning aptitude especially adapted for young deaf children

Abstract not availabl

That's just life: older adult constructs of trauma

Objectives: Researcher, clinical professional and lay understandings of the meaning of trauma may differ. An awareness of older people's perspectives on trauma may be important, given the potential for historical and cultural features to shape how the term is conceptualised among this group, thereby influencing related help-seeking behaviour. Method: Older people living in Essex, Cambridgeshire and Suffolk were interviewed about their perceptions of the term, as was a group of mental health professionals who work with the elderly. Results: Many older people regarded significant adversity as just part of life, with collectively understood methods of avoidance or limited support-seeking pointing to emotional management through non-disclosure. This position seemed further informed by views that disclosure may be self-indulgent, which is in stark contrast to the historical and cultural background in which many older people were raised. The professionals also suggested that some older people may be unused to expressing their emotions. The concept of trauma seems to be relative, with stigma and shame appearing to influence the way that responses to adversity are managed by this age group. Conculsion: We conclude that focused history taking by clinicians may be needed to help elicit symptoms of trauma among elderly patients, while at the same time services might engage in a compassionate dialogue to encourage those suffering in silence to seek help

An Approach To Resource Allocation on Wildlands

This report presents the results of a project conducted for the Rocky Mountain Forest and Range Experiment Station, U.S. Forest Service. This study entitled Natural Resource valuation - the conceptual and operational basis for economic analysis in a mUltiple use context had two objectives: 1) To develop concepts and procedures for determining comparable values of natural resources used in production of goods and services that move through markets. Comparability must be in terms of (a) theoretical framework and (b) stage of production and distribution process. 2) To develop concepts and procedures for determining comparable values of natural resources used in production of goods and services that do not move through markets. Comparability must be in terms of (a) theoretical framework and (b) stage of production and distribution process