Engaging in group therapy for distressing voice hearing

OBJECTIVE: Person Based Cognitive Therapy (PBCT) is a promising group treatment for distressing psychosis. However, fostering engagement in group therapies can be challenging, and no theory of engagement in PBCT groups exists to guide practice or research. This study employed Grounded Theory Method (GTM) to build a theory of engagement in group PBCT. METHOD: Ten service-users and three therapists were interviewed about their experiences of participating in PBCT groups. GTM, following the procedures outlined by Corbin and Strauss (2008) was used to analyse the interview transcripts and build a theory of engagement. RESULTS: The model that was developed involves a recursive process of investing in change and continually evaluating its usefulness and safety. Barriers were often overcome through individual and group efforts, but sometimes compromised participants’ perceived safety to the point of dropout. For others, participating in the group, and incorporating learning into life, led to rewards, some of which were integrated beyond group termination. CONCLUSIONS: Group engagement can be encouraged by establishing universality around voice-hearing early, reducing uncertainty, communicating with clients between sessions and mapping group progress to create a cohering sense of collaboration on the tasks of therapy

Building a grounded theory of engagement in mindfulness-based group therapy for distressing voices

Mindfulness based group therapy shows promise as a treatment for distressing voice-hearing. However, fostering engagement in groups can be challenging, and no theory of engagement in group therapy for distressing voices exists to guide practice or research. This study employed Grounded Theory Method to build a theory of engagement in mindfulness based groups for distressing voices. Ten service-users and three therapists were interviewed about their experiences of such groups. The model that emerged involves a recursive process of investing in change and continually evaluating its usefulness and safety. Barriers to engagement were often overcome, but sometimes compromised perceived safety, leading to dropout. For others, group participation led to rewards, some of which were integrated beyond group termination. Group engagement can be encouraged by establishing universality around voice-hearing early, reducing uncertainty, sharing difficulties with mindfulness practices and mapping group progress to create a cohering sense of collaboration on therapy tasks

Topography driven spreading

Roughening a hydrophobic surface enhances its nonwetting properties into superhydrophobicity. For liquids other than water, roughness can induce a complete rollup of a droplet. However, topographic effects can also enhance partial wetting by a given liquid into complete wetting to create superwetting. In this work, a model system of spreading droplets of a nonvolatile liquid on surfaces having lithographically produced pillars is used to show that superwetting also modifies the dynamics of spreading. The edge speed-dynamic contact angle relation is shown to obey a simple power law, and such power laws are shown to apply to naturally occurring surfaces

Cholesterol ester hydrolase inhibitors reduce the production of synaptotoxic amyloid-beta oligomers

The production of amyloid-β (Aβ) is the key factor driving pathogenesis in Alzheimer's disease (AD). Increasing concentrations of Aβ within the brain cause synapse degeneration and the dementia that is characteristic of AD. Here the factors that affect the release of disease-relevant forms Aβ were studied in a cell model. 7PA2 cells expressing the human amyloid precursor protein released soluble Aβ oligomers that caused synapse damage in cultured neurons. Supernatants from 7PA2 cells treated with the cholesterol synthesis inhibitor squalestatin contained similar concentrations of Aβ42 to control cells but did not cause synapse damage in neuronal cultures. These supernatants contained reduced concentrations of Aβ42 oligomers and increased concentrations of Aβ42 monomers. Treatment of 7PA2 cells with platelet-activating factor (PAF) antagonists had similar effects; it reduced concentrations of Aβ42 oligomers and increased concentrations of Aβ42 monomers in cell supernatants. PAF activated cholesterol ester hydrolases (CEH), enzymes that released cholesterol from stores of cholesterol esters. Inhibition of CEH also reduced concentrations of Aβ42 oligomers and increased concentrations of Aβ42 monomers in cell supernatants. The Aβ monomers produced by treated cells protected neurons against Aβ oligomer-induced synapse damage. These studies indicate that pharmacological manipulation of cells can alter the ratio of Aβ monomer:oligomer released and consequently their effects on synapses

Porous materials show superhydrophobic to superhydrophilic switching

Switching between superhydrophobicity and superhydrophilicity in porous materials was predicted theoretically and demonstrated experimentally with the example of thermally induced contact angle change; tunability of this system was also demonstrated

Terminal velocity and drag reduction measurements on superhydrophobic spheres

Super water-repellent surfaces occur naturally on plants and aquatic insects and are created in the laboratory by combining micro- or nanoscale surface topographic features with hydrophobic surface chemistry. When such types of water-repellent surfaces are submerged they can retain a film of air (a plastron). In this work, we report measurements of the terminal velocity of solid acrylic spheres with various surface treatments settling under the action of gravity in water. We observed increases in terminal velocity corresponding to drag reduction of between 5% and 15% for superhydrophobic surfaces that carry plastrons

Dielectrophoresis-Driven Spreading of Immersed Liquid Droplets

In recent years electrowetting-on-dielectric (EWOD) has become an effective tool to control partial wetting. EWOD uses the liquid−solid interface as part of a capacitive structure that allows capacitive and interfacial energies to adjust by changes in wetting when the liquid−solid interface is charged due to an applied voltage. An important aspect of EWOD has been its applications in micro fluidics in chemistry and biology and in optical devices and displays in physics and engineering. Many of these rely on the use of a liquid droplet immersed in a second liquid due to the need either for neutral buoyancy to overcome gravity and shield against impact shocks or to encapsulate the droplet for other reasons, such as in microfluidic-based DNA analyses. Recently, it has been shown that nonwetting oleophobic surfaces can be forcibly wetted by nonconducting oils using nonuniform electric fields and an interface-localized form of liquid dielectrophoresis (dielectrowetting). Here we show that this effect can be used to create films of oil immersed in a second immiscible fluid of lower permittivity. We predict that the square of the thickness of the film should obey a simple law dependent on the square of the applied voltage and with strength dependent on the ratio of difference in permittivity to the liquid-fluid interfacial tension, Δε/γLF. This relationship is experimentally confirmed for 11 liquid−air and liquid−liquid combinations with Δε/γLF having a span of more than two orders of magnitude. We therefore provide fundamental understanding of dielectrowetting for liquid-in-liquid systems and also open up a new method to determine liquid−liquid interfacial tensions

Sialylated glycosylphosphatidylinositols suppress the production of toxic amyloid-ß oligomers

The production of amyloid-β (Aβ) is a key factor driving pathogenesis in Alzheimer's disease (AD). Increasing concentrations of soluble Aβ oligomers within the brain lead to synapse degeneration and the progressive dementia characteristic of AD. Since Aβ exists in both disease-relevant (toxic) and non-toxic forms, the factors that affected the release of toxic Aβ were studied in a cell model. 7PA2 cells expressing the human amyloid precursor protein released Aβ oligomers that caused synapse damage when incubated with cultured neurones. These Aβ oligomers had similar potency to soluble Aβ oligomers derived from the brains of Alzheimer's patients. Although the conditioned media from 7PA2 cells treated with the cellular prion protein (PrPC) contained Aβ, it did not cause synapse damage. The loss of toxicity was associated with a reduction in Aβ oligomers and an increase in Aβ monomers. The suppression of toxic Aβ release was dependent on the glycosylphosphatidylinositol (GPI) anchor attached to PrPC, and treatment of cells with specific GPIs alone reduced the production of toxic Aβ. The efficacy of GPIs was structure-dependent and the presence of sialic acid was critical. The conditioned medium from GPI-treated cells protected neurones against Aβ oligomer-induced synapse damage; neuroprotection was mediated by Aβ monomers. These studies support the hypothesis that the ratio of Aβ monomers to Aβ oligomers is a critical factor that regulates synapse damage

Plastron properties of a superhydrophobic surface

Most insects and spiders drown when submerged during flooding or tidal inundation, but some are able to survive and others can remain submerged indefinitely without harm. Many achieve this by natural adaptations to their surface morphology to trap films of air, creating plastrons which fix the water-vapor interface and provide an incompressible oxygen-carbon dioxide exchange surface. Here the authors demonstrate how the surface of an extremely water-repellent foam mimics this mechanism of underwater respiration and allows direct extraction of oxygen from aerated water. The biomimetic principle demonstrated can be applied to a wide variety of man-made superhydrophobic materials