An exploration into the client at the heart of therapy : a qualitative perspective

Over 50 years ago Eysenck challenged the existing base of research into psychotherapy. Since that time, a large number of investigations have been conducted to verify the efficacy of therapy. Recently however, an increasing number of studies have cast new doubts on this research base. Instead of therapy being a function of the therapist, it is now becoming ever more apparent that the client plays a prime role in the therapeutic process. The qualitative studies presented in this paper provide some examples of research that demonstrates that clients are actively involved in their therapy, even making counselling work despite their counsellor. These studies suggest that clients may not experience therapy as beneficially as traditional outcome studies indicate. This raises a new challenge to researchers to more fully explore the client's experience of therapy, a challenge to which qualitative methods of inquiry would appear well suited

Using Hubble Space Telescope Imaging of Nuclear Dust Morphology to Rule Out Bars Fueling Seyfert Nuclei

If AGN are powered by the accretion of matter onto massive black holes, how does the gas in the host galaxy lose the required angular momentum to approach the black hole? Gas easily transfers angular momentum to stars in strong bars, making them likely candidates. Although ground-based searches for bars in active galaxies using both optical and near infrared surface brightness have not found any excess of bars relative to quiescent galaxies, the searches have not been able to rule out small-scale nuclear bars. To look for these nuclear bars we use HST WFPC2-NICMOS color maps to search for the straight dust lane signature of strong bars. Of the twelve Seyfert galaxies in our sample, only three have dust lanes consistent with a strong nuclear bar. Therefore, strong nuclear bars cannot be the primary fueling mechanism for Seyfert nuclei. We do find that a majority of the galaxies show an spiral morphology in their dust lanes. These spiral arms may be a possible fueling mechanism.Comment: To be published in the Astronomical Journal, June 1999. 25 pages and 14 figures. Full resolution figures are available at ftp://www.ciw.edu/pub/mregan/fullfigs.tar.g

The Fundamental Plane of Gravitational Lens Galaxies and The Evolution of Early-Type Galaxies in Low Density Environments

Most gravitational lenses are early-type galaxies in relatively low density environments -- a ``field'' rather than a ``cluster'' population. We show that field early-type galaxies with 0 < z < 1, as represented by the lens galaxies, lie on the same fundamental plane as those in rich clusters at similar redshifts. We then use the fundamental plane to measure the combined evolutionary and K-corrections for early-type galaxies in the V, I and H bands. Only for passively evolving stellar populations formed at z > 2 (H_0=65 km/s Mpc, Omega_0=0.3, Lambda_0=0.7) can the lens galaxies be matched to the local fundamental plane. The high formation epoch and the lack of significant differences between the field and cluster populations contradict many current models of the formation history of early-type galaxies. Lens galaxy colors and the fundamental plane provide good photometric redshift estimates with an empirical accuracy of -0.03 +/- 0.11 for the 17 lenses with known redshifts. A mass model dominated by dark matter is more consistent with the data than either an isotropic or radially anisotropic constant M/L mass model, and a radially anisotropic model is better than an isotropic model.Comment: 36 pages, 9 figures, 6 tables. ApJ in press. Final version contains more observational dat

The provision of adult intensive care in Northern Ireland with reference to the role of high dependency care.

In 1991 an audit of Intensive Care Services was carried out by the Northern Ireland Intensive Care Group. In conjunction with this regional overview, all patients in the Regional Intensive Care Unit, (RICU) in the Royal Victoria Hospital were assessed daily, over a 10 month period in 1990-91 and classified as conforming to either intensive care or high dependency status. These data were then used to compare adult intensive care service in Northern Ireland with recent national and international recommendations on intensive care. Ten units in Northern Ireland were surveyed. In regard to national or international guidelines, all ten were deficient to some degree. Four units had significant deficiencies; small patient numbers, lack of 'dedicated' 24 hr medical cover and or deficiencies in the provision of appropriate monitoring and or equipment. There was a large diversity in casemix among the ten units surveyed which suggested differing admission criteria. The bed occupancy of RICU was 100%. Refused admissions constituted a further 13% of unresourced workload. The lack of physically separate, dedicated high dependency unit facilities meant that 26% of bed days were devoted to HDU care (usually for "improved" intensive care unit patients not yet ready for discharge to a general ward. Achieving nationally recommended intensive care standards (on a regional basis) is probably only possible if a number of the smaller intensive care units are redesignated as high dependency units, and patients requiring intensive care are concentrated in a smaller number of larger ICUs. This will increase the frequency of interhospital transfer of critically ill patients

The Hypervelocity Star SDSS J090745.0+024507 is a Short-Period Variable

We present high-precision photometry of the hypervelocity star SDSS J090745.0+024507 (HVS), which has a Galactic rest-frame radial velocity of v=709 km/s, and so has likely been ejected from the supermassive black hole in the Galactic center. Our data were obtained on two nights using the MMT 6.5m telescope, and is supplemented by lower precision photometry obtained on four nights using the FLWO 1.2m telescope. The high-precision photometry indicates that the HVS is a short-period, low-amplitude variable, with period P=0.2-2 days and amplitude A = 2-10%. Together with the known effective temperature of T_eff ~ 10,500 K (spectral type B9), this variability implies that the HVS is a member of the class of slowly pulsating B-type main sequence stars, thus resolving the previously-reported two-fold degeneracy in the luminosity and distance of the star. The HVS has a heliocentric distance of 71 kpc, and an age of ~0.35 Gyr. The time of ejection from the center of the Galaxy is < 100 Myr, and thus the existence of the OS constitutes observational evidence of a population of young stars in the proximity of the central supermassive black hole ~0.1 Gyr ago. It is possible that the HVS was a member of a binary that was tidally disrupted by the central black hole; we discuss constraints on the properties of the companion's orbit.Comment: ApJL, submitted, 4 pages, 4 figure

Correlation effects in Ni 3d states of LaNiPO

The electronic structure of the new superconducting material LaNiPO experimentally probed by soft X-ray spectroscopy and theoretically calculated by the combination of local density approximation with Dynamical Mean-Field Theory (LDA+DMFT) are compared herein. We have measured the Ni L2,3 X-ray emission (XES) and absorption (XAS) spectra which probe the occupied and unoccupied the Ni 3d states, respectively. In LaNiPO, the Ni 3d states are strongly renormalized by dynamical correlations and shifted about 1.5 eV lower in the valence band than the corresponding Fe 3d states in LaFeAsO. We further obtain a lower Hubbard band at -9 eV below the Fermi level in LaNiPO which bears striking resemblance to the lower Hubbard band in the correlated oxide NiO, while no such band is observed in LaFeAsO. These results are also supported by the intensity ratio between the transition metal L2 and L3 bands measured experimentally to be higher in LaNiPO than in LaFeAsO, indicating the presence of the stronger electron correlations in the Ni 3d states in LaNiPO in comparison with the Fe 3d states in LaFeAsO. These findings are in accordance with resonantly excited transition metal L3 X-ray emission spectra which probe occupied metal 3d-states and show the appearance of the lower Hubbard band in LaNiPO and NiO and its absence in LaFeAsO.Comment: 6 pages, 5 figure

Multiple coupling of silanes with imido complexes of Mo

The bis(imido) complexes (tBuNv)2Mo(PMe3)(L) (L = PMe3, C2H4) react with up to three equivalents of silane PhSiH3 to give the imido-bridged disilyl silyl Mo(VI) complex (tBuN){μ-tBuN(SiHPh)2}Mo(H)(SiH2Ph)- (PMe3)2 (3) studied by NMR, IR and X-ray diffraction. NMR data supported by DFT calculations show that complex 3 is an unusual example of a silyl hydride of Mo(VI), without significant Si⋯H interaction. Mechanistic NMR studies revealed that silane addition proceeds in a stepwise manner via a series of Si–H⋯M agostic and silanimine complexes whose structures were further elucidated by DFT calculation