2,564 research outputs found
âEveryone should do itâ: Client experience of a 12-week dialectical behaviour therapy group programme â An interpretative phenomenological analysis
Objective: There is a dearth of practice-based evidence of adapted or âDBTinformedâ
transdiagnostic models, which could provide services and
clinicians with information of what works and for whom, in which
settings. This paper aims to bridge this gap by exploring the client
experience of a 12-week transdiagnostic dialectical behaviour therapy
(DBT) group programme in a private psychiatric hospital. Method: Five
participants with varied clinical diagnoses and previous therapeutic
experiences were interviewed following completion of one or more of the
same adapted DBT programme, comprising of the standard four modules
over 12 weeks, including a weekly skills group and 1:1 therapy.
Interpretative phenomenological analysis (IPA) was applied to give voice
to the clientsâ lived experience of the group. Results: Three master themes
were identified: âPre DBT: Crisis & Desperationâ; âIn-session: Belongingâ;
and âThe Real World: Livingâ, each characterised by four sub-themes,
highlighting helpful and hindering factors of clientsâ current and previous
therapeutic experiences. Conclusion: Overall this version of DBT in a
transdiagnostic setting was experienced as helpful and positive by
participants; main outcomes included being able to build a life worth
living, feel hope and joy, build DBT skills into a lifestyle, and develop
reflective practice. Implications for clinical practice, service delivery and
policy are also discussed. The article aims to provide clinicians with
practice-based evidence to inform the delivery of DBT as well as
supporting the case for the use of DBT with various disorders, thus paving
the way for future research in this area
Bench-scale synthesis of nanoscale materials
A novel flow-through hydrothermal method used to synthesize nanoscale powders is introduced by Pacific Northwest Laboratory. The process, Rapid Thermal Decomposition of precursors in Solution (RTDS), uniquely combines high-pressure and high-temperature conditions to rapidly form nanoscale particles. The RTDS process was initially demonstrated on a laboratory scale and was subsequently scaled up to accommodate production rates attractive to industry. The process is able to produce a wide variety of metal oxides and oxyhydroxides. The powders are characterized by scanning and transmission electron microscopic methods, surface-area measurements, and x-ray diffraction. Typical crystallite sizes are less than 20 nanometers, with BET surface areas ranging from 100 to 400 sq m/g. A description of the RTDS process is presented along with powder characterization results. In addition, data on the sintering of nanoscale ZrO2 produced by RTDS are included
Little groups of irreps of O(3), SO(3), and the infinite axial subgroups
Little groups are enumerated for the irreps and their components in any basis
of O(3) and SO(3) up to rank 9, and for all irreps of C, C, C, D and D. The results are obtained
by a new chain criterion, which distinguishes massive (rotationally
inequivalent) irrep basis functions and allows for multiple branching paths,
and are verified by inspection. These results are relevant to the determination
of the symmetry of a material from its linear and nonlinear optical properties
and to the choices of order parameters for symmetry breaking in liquid
crystals.Comment: 28 pages and 3 figure
Outcomes for 18 to 25-year-olds with borderline personality disorder in a dedicated young adult only DBT programme compared to a general adult DBT programme for all ages 18
Aim
Targeting young adults with borderline personality disorder (BPD) for treatment may carry significant social and clinical benefits. We aimed to evaluate a communityâbased Dialectical Behaviour Therapy (DBT) programme delivered exclusively to young adults with BPD.
Methods
We describe a naturally occurring nonâequivalent, quasiâexperimental comparison of outcomes for young adults (18â25âyears) with BPD following 1 year of treatment in either a young adult only DBT programme or a general adult DBT programme (18+ years). Twentyâfour young adults enrolled in a communityâbased young adult DBT programme open only to 18â to 25âyearâolds with BPD. Another 13 young adults, also 18â25âyears, enrolled in a general adult DBT programme open to all ages above 18âyears. Both treatment conditions offered all modes of standard DBT for 1 year. Participants completed a battery of selfâreport measures on mental health symptoms at baseline and again at treatment completion after 1 year. Discharge rates at 2 years postâtreatment completion were also recorded.
Results
Better outcomes were found on borderline symptom severity and general psychopathology among completers of young adult DBT, with a large effect size for treatment condition as well as greater clinically significant change. Discharge rates from mental health services 24âmonths later were also higher for completers of young adult DBT.
Conclusions
There may be advantages in delivering DBT to young adults in an ageâspecific programme, possibly due to group cohesion. Methodological limitations apply, such as small sample size and nonârandomization. Further controlled research is needed
Early maladaptive schemas and borderline personality disorder features in a nonclinical sample : a network analysis
Borderline personality disorder (BPD) is a challenging problem. Early maladaptive schemas (EMSs) are considered as important vulnerability factors for the development and maintenance of BPD. Literature suggests a complex relationship between BPD and EMSs. The current study employed network analysis to model the complex associations between central BPD features (i.e., affective instability, identity problems, negative relations, and self-harm) and EMSs in 706 undergraduate students. The severity of BPD symptoms was assessed using the Personality Assessment Inventory-Borderline subscale; the Young Schema Questionnaire-Short Form was used to assess EMSs. Results suggest that specific EMSs show unique associations with different BPD features. Interestingly, affective instability showed no unique associations with EMSs. Identity problems were uniquely associated with abandonment, insufficient self-control, dependence/incompetence, and vulnerability to harm/illness schemas. Negative relations in BPD showed unique connections with mistrust/abuse and abandonment. Finally, BPD self-harm was connected to emotional deprivation and failure. These findings indicate potential pathways between EMSs and specific BPD features that could improve our understanding of BPD theoretically and clinically
Experimental investigation of the initial regime in fingering electrodeposition: dispersion relation and velocity measurements
Recently a fingering morphology, resembling the hydrodynamic Saffman-Taylor
instability, was identified in the quasi-two-dimensional electrodeposition of
copper. We present here measurements of the dispersion relation of the growing
front. The instability is accompanied by gravity-driven convection rolls at the
electrodes, which are examined using particle image velocimetry. While at the
anode the theory presented by Chazalviel et al. describes the convection roll,
the flow field at the cathode is more complicated because of the growing
deposit. In particular, the analysis of the orientation of the velocity vectors
reveals some lag of the development of the convection roll compared to the
finger envelope.Comment: 11 pages, 15 figures, REVTEX 4; reference adde
Reasons for non-suicidal self-harm in adult male offenders with and without borderline personality traits
The presented study aimed to advance understanding of the reasons for non-suicidal self-harm (NSSH) in adult male offenders, with and without borderline personality traits. 179 offenders completed self-report measures of NSSH and other clinical constructs, with 42 being identified as having self-harmed. Results were consistent with past research and supported the relative importance of intrapersonal over interpersonal functions, but also highlight that self-harm is performed rarely for one type of reason. The results also show that the presence of borderline personality traits increases the likelihood of endorsing a range of interpersonal reasons. These findings highlight the importance of understanding the range of reasons for engaging in NSSH to help manage the behaviour within the priso
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