When adolescents stop psychological therapy: rupture-repair in the therapeutic alliance and association with therapy ending

therapeutic alliance consistently predicts dropout from psychological therapy, and ruptures in the therapeutic alliance may also predict dropout, yet there is a dearth of research with adolescents. This study investigated whether markers of rupturerepair in the therapeutic alliance were indicative of different types of treatment ending in adolescents who received psychological treatment for depression. Data were from the IMPACT study, a trial investigating the effectiveness of therapies for adolescent depression. Participants were randomly allocated to receive a psychological therapy: Brief Psychosocial Intervention, Cognitive-Behavioural Therapy or Short-Term Psychoanalytic Psychotherapy. The sample (N=35) comprised adolescents who had either completed their treatment (n=14) or dropped out (n=21) according to their therapist. Dropout cases were further classified as dissatisfied (n=14) or got-whatthey- needed (n=7) based on post-therapy interviews with the adolescent and therapist. Selected audio-recordings of therapy sessions were rated using the Rupture Resolution Rating System and Working Alliance Inventory (observer-version). Therapeutic alliance and rupture-repair during therapy were similar for completers and got-what-they-needed dropouts, while dissatisfied dropouts had poorer therapeutic alliance, more ruptures, ruptures were frequently unresolved, and therapists contributed to ruptures to a greater extent. Qualitative analysis of the sessions led to the construction of three categories of therapist contribution to ruptures: therapist minimal response; persisting with a therapeutic activity; and focus on risk. Results suggest that ruptures, especially when unresolved, could be regarded as warning signs of disengagement and dropout from psychological treatment. Future research should investigate how ruptures may be effectively identified and resolved in treatment with adolescents

Refining structures against reflection rank: an alternative metric for electron crystallography.

A new metric is proposed to improve the fidelity of structures refined against precession electron diffraction data. The inherent dynamical nature of electron diffraction ensures that direct refinement of recorded intensities against structure-factor amplitudes can be prone to systematic errors. Here it is shown that the relative intensity of precessed reflections, their rank, can be used as an alternative metric for refinement. Experimental data from erbium pyrogermanate show that applying precession reduces the dynamical transfer of intensity between reflections and hence stabilizes their rank, enabling accurate and reliable structural refinements. This approach is then applied successfully to an unknown structure of an oxygen-deficient bismuth manganite resulting in a refined structural model that is similar to a calcium analogue.The authors thank the EPSRC for financial support through grant number HO1771

Induced magnetosphere of Venus

Solar wind and ionospheric conductivity studied for role in inducing Venus or Mars magnetosphere

The Herts and Minds study: feasibility of a randomised controlled trial of Mentalizationbased Treatment versus usual care to support the wellbeing of children in foster care

© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.Background: There is a lack of well-designed randomized controlled trials (RCTs) to investigate the efficacy of psychological therapies for children in foster care with emotional and behavioural difficulties. Mentalization-based therapy (MBT) focuses on supporting the carer-child relationship by promoting reflective capacity. This study examined the feasibility and acceptability of an RCT of MBT, delivered in a family-format, for children who are in foster care in the UK. Method: Herts and Minds was a phase II, blinded feasibility RCT with follow-up of at 12 and 24 weeks post-randomisation. Participants were children (age 5-16) in foster care referred to a targeted mental health service, who had some level of difficulty as identified by the Strengths and Difficulties Questionnaire (SDQ). Aims were to assess: the feasibility of recruitment processes and study uptake; capacity to train mental health practitioners to deliver MBT to an acceptable level of treatment integrity; establish acceptability and credibility of MBT as an intervention for children in foster care; establish feasibility and acceptability to participants of conducting an RCT; and estimate the likely treatment efficacy effect size. Participants were randomly allocated to either MBT (n = 15) or Usual Clinical Care (UCC) (n = 21) individually or in sibling groups. A range of qualitative and quantitative data was gathered to assess feasibility. Results: Feasibility was established with regard to: capacity to recruit participants to a study; capacity to train mental health practitioners to deliver MBT to an acceptable level of treatment integrity; acceptability and credibility of MBT; and feasibility and acceptability to participants of conducting an RCT. A number of issues made it difficult to estimate a likely treatment efficacy effect size. Conclusion: With modifications, it is feasible to run an RCT of MBT for children in foster care. Both the therapy and research design were acceptable to participants, but modifications may be needed regarding both the timing of assessments and the identification of appropriate primary outcome measures. Given the lack of evidenced based therapies for this population, such a trial would be a significant contribution to the field. Findings may be useful for other groups planning clinical trials of psychological therapies for children in foster care. Trial registration: ISRCTN 90349442. The trial was retrospectively registered on 6 May 2016.Peer reviewedFinal Published versio

Asymmetric Gaussian steering: when Alice and Bob disagree

Asymmetric steering is an effect whereby an inseparable bipartite system can be found to be described by either quantum mechanics or local hidden variable theories depending on which one of Alice or Bob makes the required measurements. We show that, even with an inseparable bipartite system, situations can arise where Gaussian measurements on one half are not sufficient to answer the fundamental question of which theory gives an adequate description and the whole system must be considered. This phenomenon is possible because of an asymmetry in the definition of the original Einstein-Podolsky-Rosen paradox and in this article we show theoretically that it may be demonstrated, at least in the case where Alice and Bob can only make Gaussian measurements, using the intracavity nonlinear coupler.Comment: 5 Pages, 4 Figure

The origin and function of the earthen long barrows of northern Europe

The earthen long barrow of Northern Europe is one of many elements within a widespread tradition of large-scale monuments of funerary association witnessed in many regions of Europe throughout the Neolithic period. A considerable body of theoretical concepts has arisen from the various attempts to interpret the origins and use of these monumentsThe area of the North European Plain, diverse both geographically and environmentally, was inhabited by a variety of Late Mesolithic hunting and fishing communities, some of which achieved a considerable degree of economic stability. Contemporaneous events to the south of the Plain involved settlement by LBK groups and the introduction of a farming economy to the loess lands and similar environments in Central Europe. Prolonged contacts between these two economically and culturally diverse systems led ultimately to the adoption of a farming economy in Northern Europe, and with it to the emergence of a new cultural complex - the TvichterbeoherkuZtur. One of the characteristic manifestations of this culture was the development of a tradition of large funerary monuments - the earthen long barrows. These barrows have long been a source of interest to antiquarians and from the mid-19th century were regularly, albeit not thoroughly, investigated.The barrows are found in several concentrations across the North European Plain. The monuments are characterised by a number of commonly recognised features. Earthen mounds - occasionally exceeding one hundred metres in length - are set within stoneand/or timber-built enclosures. Complex interior arrangements involve a variety of structures whose purpose may not always be obvious but which nevertheless cannot be regarded as purely utilitarian in character. Recent discoveries in some areas confirm a long-held notion that the barrows contain within them remains of grave chambers, greatly varying in design and construction.Evidence today suggests that a probable prototype of the external form of the earthen long barrow may be found in the local domestic architecture of the Late LBK, while the burial ritual was firmly rooted within the North European Mesolithic tradition. But the interpretation of their function centres equally on their social and symbolic significance within the communities of the TRB cultur

Interactions of Jets with Inhomogeneous Cloudy Media

We present two-dimensional slab-jet simulations of jets in inhomogeneous media consisting of a tenuous hot medium populated with a small filling factor by warm, dense clouds. The simulations are relevant to the structure and dynamics of sources such as Gigahertz Peak Spectrum and Compact Steep Spectrum radio galaxies, High Redshift Radio Galaxies and radio galaxies in cooling flows. The jets are disrupted to a degree depending upon the filling factor of the clouds. With a small filling factor, the jet retains some forward momentum but also forms a halo or bubble around the source. At larger filling factors channels are formed in the cloud distribution through which the jet plasma flows and a hierarchical structure consisting of nested lobes and an outer enclosing bubble results. We suggest that the CSS quasar 3C48 is an example of a low filling factor jet - interstellar medium interaction whilst M87 may be an example of the higher filling factor type of interaction. Jet disruption occurs primarily as a result of Kelvin-Helmholtz instabilities driven by turbulence in the radio cocoon not through direct jet-cloud interactions, although there are some examples of these. In all radio galaxies whose morphology may be the result of jet interactions with an inhomogeneous interstellar medium we expect that the dense clouds will be optically observable as a result of radiative shocks driven by the pressure of the radio cocoon. We also expect that the radio galaxies will possess faint haloes of radio emitting material well beyond the observable jet structure.Comment: 21 pages, 16 figures, submitted to MNRAS. A version with full resolution figures is available at: http://www.mssl.ucl.ac.uk/~cjs2/pdf/cloudy_hue.pd

Spectral Analysis of a Four Mode Cluster State

We theoretically evaluate the squeezed joint operators produced in a single optical parametric oscillator which generates quadripartite entangled outputs, as demonstrated experimentally by Pysher et al. \cite{pysher}[Phys. Rev. Lett. 107, 030505 (2011)]. Using a linearized fluctuation analysis we calculate the squeezing of the joint quadrature operators below threshold for a range of local oscillator phases and frequencies. These results add to the existing theoretical understanding of this potentially important system.Comment: 4 pages, 6 figure