Clinical Psychology Training and Therapist Self-Disclosure: The Role of the Supervisor

There is a wealth of theoretical debate and research on the use of therapist self-disclosure (TSD) within psychotherapy. Research finds that TSD can serve a variety of clinical purposes within the therapeutic relationship, from modelling coping strategies to strengthening the alliance. But findings also indicate therapists need to use TSD appropriately, responding sensitively to the context and with forethought about the purpose of using it. The author knows of no published guidelines or frameworks, specifically regarding TSD, to draw on when working as a Clinical Psychologist in National Health Service mental health settings. This issue is relevant when considering the psychologist-in-training, who makes use of a of variety clinical skills on placement under the supervision of a qualified psychologist. This qualitative study explores the processes by which supervisors approach self-disclosure with Trainee Clinical Psychologists. Ten qualified Clinical Psychologists were interviewed about their views on TSD and how they discuss it with trainees in supervision. Thematic analysis was used to elucidate four dominant themes emerging from the interviews: The supervisor within context; Process of TSD with trainees, Tensions on placement, A desire for something different. Findings revealed that supervisors felt there to be a lack of adequate training around TSD for psychologists, and participants expressed a wish for more teaching and systematic thinking on TSD within training and throughout the profession. Experiences of TSD varied according to the supervisor’s personal and professional context and how they approached it with trainees in supervision varied from direct proactive approaches to a more responsive stance. This was also influenced by the supervisory relationship and power dynamic, as well as the task of supervising within an evaluative context

Loss of hippocampal serine protease BSP1/neuropsin predisposes to global seizure activity

Serine proteases in the adult CNS contribute both to activity-dependent structural changes accompanying learning and to the regulation of excitotoxic cell death. Brain serine protease 1 (BSP1)/neuropsin is a trypsin-like serine protease exclusively expressed, within the CNS, in the hippocampus and associated limbic structures. To explore the role of this enzyme, we have used gene targeting to disrupt this gene in mice. Mutant mice were viable and overtly normal; they displayed normal hippocampal long-term synaptic potentiation (LTP) and exhibited no deficits in spatial navigation (water maze). Nevertheless, electrophysiological studies revealed that the hippocampus of mice lacking this specifically expressed protease possessed an increased susceptibility for hyperexcitability (polyspiking) in response to repetitive afferent stimulation. Furthermore, seizure activity on kainic acid administration was markedly increased in mutant mice and was accompanied by heightened immediate early gene (c-fos) expression throughout the brain. In view of the regional selectivity of BSP1/neuropsin brain expression, the observed phenotype may selectively reflect limbic function, further implicating the hippocampus and amygdala in controlling cortical activation. Within the hippocampus, our data suggest that BSP1/neuropsin, unlike other serine proteases, has little effect on physiological synaptic remodeling and instead plays a role in limiting neuronal hyperexcitability induced by epileptogenic insult

Notorious places: image, reputation, stigma: the role of newspapers in area reputations for social housing estates

This paper reviews work in several disciplines to distinguish between image, reputation and stigma. It also shows that there has been little research on the process by which area reputations are established and sustained through transmission processes. This paper reports on research into the portrayal of two social housing estates in the printed media over an extended period of time (14 years). It was found that negative and mixed coverage of the estates dominated, with the amount of positive coverage being very small. By examining the way in which dominant themes were used by newspapers in respect of each estate, questions are raised about the mode of operation of the press and the communities' collective right to challenge this. By identifying the way regeneration stories are covered and the nature of the content of positive stories, lessons are drawn for programmes of area transformation. The need for social regeneration activities is identified as an important ingredient for changing deprived-area reputations

Control of RelB during dendritic cell activation integrates canonical and noncanonical NF-κB pathways.

The NF-κB protein RelB controls dendritic cell (DC) maturation and may be targeted therapeutically to manipulate T cell responses in disease. Here we report that RelB promoted DC activation not as the expected RelB-p52 effector of the noncanonical NF-κB pathway, but as a RelB-p50 dimer regulated by canonical IκBs, IκBα and IκBɛ. IκB control of RelB minimized spontaneous maturation but enabled rapid pathogen-responsive maturation. Computational modeling of the NF-κB signaling module identified control points of this unexpected cell type-specific regulation. Fibroblasts that we engineered accordingly showed DC-like RelB control. Canonical pathway control of RelB regulated pathogen-responsive gene expression programs. This work illustrates the potential utility of systems analyses in guiding the development of combination therapeutics for modulating DC-dependent T cell responses

Progenitors for the corneal endothelium and trabecular meshwork: a potential source for personalized stem cell therapy in corneal endothelial diseases and glaucoma

Several adult stem cell types have been found in different parts of the eye, including the corneal epithelium, conjunctiva, and retina. In addition to these, there have been accumulating evidence that some stem-like cells reside in the transition area between the peripheral corneal endothelium (CE) and the anterior nonfiltering portion of the trabecular meshwork (TM), which is known as the Schwalbe's Ring region. These stem/progenitor cells may supply new cells for the CE and TM. In fact, the CE and TM share certain similarities in terms of their embryonic origin and proliferative capacity in vivo. In this paper, we discuss the putative stem cell source which has the potential for replacement of lost and nonfunctional cells in CE diseases and glaucoma. The future development of personalized stem cell therapies for the CE and TM may reduce the requirement of corneal grafts and surgical treatments in glaucoma.published_or_final_versio

Prevalence and correlates of adolescent self-injurious thoughts and behaviors: A population-based study in Burkina Faso

Self-injurious thoughts and behaviors (SITBs) are a growing concern among youth in sub-Saharan Africa, but their prevalence and correlates in this region are poorly understood. We therefore examined self-reported SITBs in a population-representative sample of youth in rural Burkina Faso. We used interviews from 1,538 adolescents aged 12 to 20 years living in 10 villages and 1 town in northwestern Burkina Faso. Adolescents were asked about their experiences with suicidal and nonsuicidal SITBs, adverse environmental factors, psychiatric symptoms, and interpersonal-social experiences. SITBs included lifetime prevalence of life is not worth living, passive suicide ideation, active suicide ideation, and nonsuicidal self-injury (NSSI). After describing SITB prevalence, we ran logistic and negative binomial regression models to predict SITBs. Weighted lifetime SITB prevalence estimates were: 15.6% (95% confidence interval [CI]: 13.7-18.0) for NSSI; 15.1% (95% CI: [13.2, 17.0]) for life is not worth living; 5.0% (95% CI [3.9, 6.0]) for passive suicide ideation; and 2.3% (95% CI [1.6, 3.0]) for active suicide ideation. Prevalence of life is not worth living increased with age. All four SITBs were significantly positively associated with mental health symptoms (depression symptoms, probable posttraumatic stress disorder) and interpersonal-social experiences (peer and social connectedness, physical assault, sexual assault and unwanted sexual experiences). Females were significantly more likely to report that their life was not worth living compared to males (aOR = 0.68; 95% CI [0.48, 0.96]). There is a high prevalence of SITBs among youth in rural Burkina Faso, most notably NSSI and life is not worth living, with interpersonal-social factors being the strongest predictors. Our results highlight the need for longitudinal SITB assessment to understand how risk for SITBs operates in resource-constrained settings, and to design interventions to mitigate risk. Given low school enrollment in rural Burkina Faso, it will be important to consider youth suicide prevention and mental health initiatives that are not school-based

Rational bidding using reinforcement learning: an application in automated resource allocation

The application of autonomous agents by the provisioning and usage of computational resources is an attractive research field. Various methods and technologies in the area of artificial intelligence, statistics and economics are playing together to achieve i) autonomic resource provisioning and usage of computational resources, to invent ii) competitive bidding strategies for widely used market mechanisms and to iii) incentivize consumers and providers to use such market-based systems. The contributions of the paper are threefold. First, we present a framework for supporting consumers and providers in technical and economic preference elicitation and the generation of bids. Secondly, we introduce a consumer-side reinforcement learning bidding strategy which enables rational behavior by the generation and selection of bids. Thirdly, we evaluate and compare this bidding strategy against a truth-telling bidding strategy for two kinds of market mechanisms – one centralized and one decentralized

Learn your opponent's strategy (in polynomial time)!

Agents that interact in a distributed environment might increase their utility by behaving optimally given the strategies of the other agents. To do so, agents need to learn about those with whom they share the same world. This paper examines interactions among agents from a game theoretic perspective. In this context, learning has been assumed as a means to reach equilibrium. We analyze the complexity of this learning process. We start with a restricted two-agent model, in which agents are represented by finite automata, and one of the agents plays a fixed strategy. We show that even with this restrictions, the learning process may be exponential in time. We then suggest a criterion of simplicity, that induces a class of automata that are learnable in polynomial time

Scanning electron microscopy and energy-dispersive x-ray spectroscopy (SEM-EDX) confirms shooting of a hen harrier (Circus cyaneus)

The hen harrier (Circus cyaneus) remains severely restricted as a breeding species in England despite sufficient habitat for over 300 breeding pairs. Human persecution is the main limiting factor and in the UK, there have been 45 confirmed incidents of shooting of hen harriers since records began (Royal Society for the Protection of Birds unpublished data). The authors report the pathological examination of a hen harrier, the detection of suspected ballistic fragments by radiograph and explain how scanning electron microscopy and energy-dispersive x-ray spectroscopy (SEM-EDX) was used to confirm (i) the composition of one ballistic remnant and (ii) that the remnant had been projected into and had damaged the bone. The authors report the use of post-analysis software to discriminate apparent anomalies produced by the proprietary SEM-EDX software package and discuss broader uses of SEM-EDX for wildlife crime investigation