Evolving Formulations:sharing complex information with clients

Psychological formulations are central to cognitive behavioural approaches. The use of such formulations presents a number of difficulties when working with clients with psychotic problems. Despite this, sophisticated psychological formulations can be collaboratively developed with psychotic clients. This paper presents one method of developing such formulations through an evolutionary process. Early in the therapeutic process, simple formulations involving straightforward theoretical models are presented, which are systematically elaborated as therapy proceeds. This involves developing, collaboratively with clients, successive layers of formulation. Each of these layers builds on and incorporates the previous one, yet involves an incremental increase in complexity, depth and informational content. The evolutionary process is illustrated with a case example

The Iron K Line Profile of IRAS 18325-5926

IRAS 18325-5926 is an X-ray bright, Compton-thin, type-2 Seyfert galaxy and it was the first Seyfert 2 in which the presence of a broad Fe K-alpha emission line was claimed. However, although the structure of the Fe line appears broad, there is tentative evidence that it may comprise multiple lines. Nevertheless, previous analyses have only consisted of fitting standalone broad components to the Fe K band. Here, we have analyzed all available X-ray CCD data from Suzaku, XMM-Newton and ASCA to fully investigate the nature of the emission complex by testing broad-band physical models and alternative hypotheses. We find that both a model consisting of broad, blurred reflection from an ionized accretion disc and a model consisting of cold, neutral reflection plus narrow emission lines from highly-ionized photoionized gas (log \xi = 3.5) offer statistically comparable fits to the data although the true reality of the Fe line cannot currently be determined with existing data. However, it is hoped that better quality data and improved photon statistics in the Fe K band will allow a more robust distinction between models to be made.Comment: Accepted by MNRAS; 13 pages; 10 figures; 2 table

Group CBT for people with schizophrenia

Individual cognitive behavioural interventions for psychosis are rapidly developing and are being shown to be effective. This paper examines the application of these interventions on a group basis. The nature of the group, treatment outcome and potential benefits of using this format are described. After the group intervention, all patients were less depressed, most had higher self-esteem and greater knowledge of schizophrenia, and half the group felt better able to cope with their symptoms. Patients reported feeling less isolated and two of the four group members stated a preference for group over individual treatment

The impact of beliefs about mental health problems and coping on outcome in schizophrenia.

Background. Using the theoretical framework of the Self Regulation Model (SRM), many studies have demonstrated that beliefs individuals hold about their physical health problems are important in predicting health outcomes. This study tested the SRM in the context of a mental health problem, schizophrenia. Method. One hundred and twenty-four people with a diagnosis of schizophrenia were assessed on measures of symptom severity, beliefs about their mental health problems, coping and appraisal of outcome at two time points, 6 months apart. Results. Using multivariate analyses and controlling for severity of symptoms, beliefs about mental health were found to be significant predictors of outcome. Beliefs about greater negative consequences were the strongest and most consistent predictors of a poorer outcome in both cross-sectional and longitudinal analyses. Conclusions. These results suggest that the SRM is a promising model for mental health problems and may highlight important areas for development in clinical, and especially psychosocial interventions

Protecting the property of the mentally ill: the judicial solution in nineteenth century lunacy law

Author's post-print draft. Final version published by Cambridge University Press; available online at http://journals.cambridge.org/The modern legal framework for the protection of the mentally ill was conceived and developed in the nineteenth century. A substantial growth in the numbers of the mentally ill revealed an absence of effective and accessible legal protection for the property of patients with small estates. This challenge was met through the retention and reform of the ancient jurisdiction of the Lord Chancellor in the Lunacy Court as the sole instrument of protection. The judicial solution was adopted in preference to bureaucratic regulation, despite the strong forces of state intervention and the reform of the legal system and its processes

Black consciousness on trial: The BPC/SASO trial, 1974-1976

African Studies Seminar series. Paper presented August 1990On 25 September 1974, the South African Students' Organisation and the Black People's Convention held two rallies to celebrate independence in Mozambique. Within two weeks, 29 black consciousness leaders were in detention, as the state prepared for a major trial of the black consciousness movement which would see nine leaders of BFC and SASO facing conspiracy charges under the terrorism act. The state sought to put on trial the actions and ideas of the movement since its foundation, in order to portray it as a revolutionary movement led by self-conscious conspirators. In the state’s view, the black consciousness movement sought to go one stage further than the ANC or PAC had. If they had failed, it was because they had reverted to guerrilla movements without preparing the people for mass revolution: it was this that black consciousness would build. The state thus charged the accused with a conspiracy to bring about revolutionary change and/or the promotion of racial hostility. A second count charged seven of them with organizing the rallies with intent to promote racial hostility. These two counts were mutually reinforcing: the rallies were the confrontational fruition of the conspiracy; the conspiracy explained what the rallies were all about. The conspiracy was to be found primarily in the rhetoric of the organisations, its publications calling on even children to "talk, eat, live, cry and play the struggle for liberation," its language talking of ‘infiltration’. The conspiracy was to be inferred from the "cumulative effects" of the actions and words of the groups, seen "in conjunction with the nature and activities of the organisations.

Habeas corpus, imperial rendition, and the rule of law

In the decades which followed the publication of AV Dicey’s Law of the Constitution, most English lawyers felt confident that the rights and liberties of Englishmen were protected by a rule of law, which was secured through ancient common law remedies such as the writ of habeas corpus. In their view, this ensured that no political activists would be detained without trial, unless there were particular emergencies which allowed the writ’s suspension, in order to protect the very rule of law. At the same time that these arguments were being made, however, detention without trial became an increasingly routine feature of colonial governance. This article examines the attempts used by political detainees from different parts of the empire to challenge their rendition and detention, and explores what the judicial response tells us about perceptions of the rule of law in the era when Dicey’s work was establishing itself as the classic text of constitutional law. Focusing on a number of key cases, it examines how courts examined two central issues in habeas corpus cases. The first concerns the legality of the detention. In discussing this issue, courts were presented with rival approaches to the rule of law, one which was more ‘formalist’ (asking whether the legislative instrument ordering the detention had a valid pedigree derived from the sovereign legislature), and another which was more ‘substantive’ (invoking a notion of fundamental rights). The second concerns the question of control, and explores the response of the courts to challenges to the writ by defendants who argued that they no longer had control over the detainee