Suggestion, hypnosis and hypnotherapy: a survey of use, knowledge and attitudes of anaesthetists

Publisher's copy made available with the permission of the publisher © Australian Society of AnaesthetistsClinical hypnosis is a skill of using words and gestures (frequently called suggestions) in particular ways to achieve specific outcomes. It is being increasingly recognised as a useful intervention for managing a range of symptoms, especially pain and anxiety. We surveyed all 317 South Australian Fellows and trainees registered with ANZCA to determine their use, knowledge of, and attitudes towards positive suggestion, hypnosis and hypnotherapy in their anaesthesia practice. The response rate was 218 anaesthetists (69%). The majority of respondents (63%) rated their level of knowledge on this topic as below average. Forty-eight per cent of respondents indicated that there was a role for hypnotherapy in clinical anaesthesia, particularly in areas seen as traditional targets for the modality, i.e. pain and anxiety states. Nearly half of the anaesthetists supported the use of hypnotherapy and positive suggestions within clinical anaesthesia. Those respondents who had experience of clinical hypnotherapy were more likely to support hypnosis teaching at undergraduate or postgraduate level when compared with those with no experience.http://www.aaic.net.au/Article.asp?D=200408

Deep-water turbidites as Holocene earthquake proxies: the Cascadia subduction zone and Northern San Andreas Fault systems

New stratigraphic evidence from the Cascadia margin demonstrates that 13 earthquakes ruptured the margin from Vancouver Island to at least the California border following the catastrophic eruption of Mount Mazama. These 13 events have occurred with an average repeat time of ~ 600 years since the first post-Mazama event ~ 7500 years ago. The youngest event ~ 300 years ago probably coincides with widespread evidence of coastal subsidence and tsunami inundation in buried marshes along the Cascadia coast. We can extend the Holocene record to at least 9850 years, during which 18 events correlate along the same region. The pattern of repeat times is consistent with the pattern observed at most (but not all) localities onshore, strengthening the contention that both were produced by plate-wide earthquakes. We also observe that the sequence of Holocene events in Cascadia may contain a repeating pattern, a tantalizing look at what may be the long-term behavior of a major fault system. Over the last ~ 7500 years, the pattern appears to have repeated at least three times, with the most recent A.D. 1700 event being the third of three events following a long interval of 845 years between events T4 and T5. This long interval is one that is also recognized in many of the coastal records, and may serve as an anchor point between the offshore and onshore records. Similar stratigraphic records are found in two piston cores and one box core from Noyo Channel, adjacent to the Northern San Andreas Fault, which show a cyclic record of turbidite beds, with thirty-one turbidite beds above a Holocene/.Pleistocene faunal «datum». Thus far, we have determined ages for 20 events including the uppermost 5 events from these cores. The uppermost event returns a «modern» age, which we interpret is likely the 1906 San Andreas earthquake. The penultimate event returns an intercept age of A.D. 1664 (2 s range 1505-1822). The third event and fourth event are lumped together, as there is no hemipelagic sediment between them. The age of this event is A.D. 1524 (1445-1664), though we are not certain whether this event represents one event or two. The fifth event age is A.D. 1204 (1057-1319), and the sixth event age is A.D. 1049 (981-1188). These results are in relatively good agreement with the onshore work to date, which indicates an age for the penultimate event in the mid-1600’s, the most likely age for the third event of ~ 1500-1600, and a fourth event ~ 1300. We presently do not have the spatial sampling needed to test for synchroneity of events along the Northern San Andreas, and thus cannot determine with confidence that the observed turbidite record is earthquake generated. However, the good agreement in number of events between the onshore and offshore records suggests that, as in Cascadia, turbidite triggers other than earthquakes appear not to have added significantly to the turbidite record along the northernmost San Andreas margin during the last ~ 2000 years

Professionalism and the Millbank Tendency: The Political Sociology of New Labour's employees

This article analyses party employees, one of the most under-researched subjects in the study of British political parties. We draw on a blend of quantitative and qualitative data in order to shed light on the social and political profiles of Labour Party staff, and on the question of their professionalisation. The latter theme is developed through a model derived from the sociology of professions. While a relatively limited proportion of party employees conform to the pure ideal-type of professionalism, a considerably greater number manifest enough of the core characteristics of specialisation, commitment, mobility, autonomy and self-regulation to be reasonably described as 'professionals in pursuit of political outcomes'

From social contract to 'social contrick' : the depoliticisation of economic policy-making under Harold Wilson, 1974–75

The 1974-79 Labour Governments were elected on the basis of an agreement with the TUC promising a redistribution of income and wealth known as the Social Contract. However, the Government immediately began to marginalise these commitments in favour of preferences for incomes policy and public expenditure cuts, which has led the Social Contract to be described as the 'Social Contrick'. These changes were legitimised through a process of depoliticisation, and using an Open Marxist framework and evidence from the National Archives, the paper will show that the Treasury's exchange rate strategy and the need to secure external finance placed issues of confidence at the centre of political debate, allowing the Government to argue there was no alternative to the introduction of incomes policy and the reduction of public expenditure

The Women’s Equality Party: Emergence, Organisation and Challenges

Women's political parties are designed to increase women's representation in politics. More than thirty have been established in Europe since 1987, yet there has been little systematic analysis of why and when they emerge, how they organize, and what challenges they face. We argue that the study of women's parties can offer insights into questions concerning inter and intra-party power relations and the relationship between social movements and political parties, whilst also contributing to broader debates around the 'big questions' of representation, gender (in)equality, and the dynamics of political inclusion and exclusion. This article explores these issues through a case study analysis of the UK's Women's Equality Party. Drawing upon original empirical research undertaken with party activists and officials, we argue that the party's impact has been constrained by wider organizational logics and an unequal party system, whilst it has so far adhered to traditional (male-dominated) patterns of party organisation

Acceptability of temporary suspension of visiting during norovirus outbreaks:investigating patient, visitor and public opinion

Background Noroviruses are a leading cause of outbreaks globally and the most common cause of service disruption due to ward closures. Temporary suspension of visiting (TSV) is increasingly a recommended public health measure to reduce exposure, transmission and impact during norovirus outbreaks; however, preventing patient–visitor contact may contravene the ethos of person-centred care, and public acceptability of this measure is not known. Aim To investigate the acceptability of TSV during norovirus outbreaks from the perspectives of patients, visitors and the wider public. Methods Cross-sectional survey of patients (N = 153), visitors (N = 175) and the public (N = 224) in three diverse areas in Scotland. Health Belief Model constructs were applied to understand ratings of acceptability of TSV during norovirus outbreaks, and to determine associations between these levels and various predictor variables. Findings The majority (84.6%) of respondents indicated that the possible benefits of TSV are greater than the possible disadvantages. Conversely, the majority (70%) of respondents disagreed that TSV ‘is wrong as it ignores people's rights to have contact with family and friends’. The majority (81.6%) of respondents agreed that TSV would be more acceptable if exceptions were made for seriously ill or dying patients. Correlational analysis demonstrated that overall acceptability was positively related to perceived severity (r = 0.65), identified benefits (r = 0.54) and implementing additional communication strategies (r = 0.60); acceptability was negatively related to potential barriers (r = −0.49). Conclusions There is greater service user and public support for the use of TSV than concerns around impinging upon patients' rights to have visitors. TSV should be considered as an acceptable infection control measure that could be implemented consistently during norovirus outbreaks

Aphasia blog talk: How does stroke and aphasia affect a person’s social relationships?

Background: Stroke and aphasia can negatively affect a person’s ability to maintain healthy social relationships, both within the family and also with friends and the wider network. To date, this has been explored predominantly through qualitative interviews and questionnaires. Blogs written by people with aphasia constitute a novel source of data, comprised of people’s own voices on issues that are of concern to them. Aims: To explore the impact of stroke and aphasia on a person’s relationships with family, friends and the wider network through analysing blogs written by people with aphasia. Methods & Procedures: Blog search engines were used to identify blogs sustained by a sole author who had aphasia following a stroke, and which reflected on their social network. The data were analysed qualitatively using framework analysis. Outcomes & Results: The systematic search resulted in 10 relevant blogs. Participants were aged between 26 and 69 years old, lived in the community, were at least 1 year post stroke and included six women and four men. Aphasia was a consistent thread running through the blogs affecting conversations with all parts of a person’s network and impacting on participants’ sense of self. They found it more difficult to take part in family activities and described higher degrees of dependence and changed family dynamics. Contact with friends was reduced, partly due to communication and physical difficulties. While some participants became motivated to become members of groups post stroke, contact with the wider network sometimes diminished, in part because of loss of work and community activities. An additional factor impacting on social relationships was other people’s positive or negative reaction towards the person with aphasia. Finally, the blogs reflected on the importance of support they had received, both from close family and also from the wider community. Conclusions: This study found that social relationships played a crucial role in people’s lives following a stroke and aphasia. Nonetheless, family relationships, friendships and social exchanges within the wider social network were all substantially affected. Exploring this area through online narratives offered a rich and highly authentic source of data. The findings suggest that clinicians should incorporate social approaches in rehabilitation and consider ways to foster the maintenance of social networks. The use of social media by people with aphasia should be further explored, both as a therapeutic outlet and also as a way for people with aphasia to feel connected to a wider community

Nationalism, party political discourse and Scottish independence: comparing discursive visions of Scotland’s constitutional status

This article critically examines the predominant narratives which emanated from party political discourse in relation to the 2014 Scottish independence referendum. Utilising a methodological approach centring on political discourse analysis (Fairclough and Fairclough 2012), this paper analyses party manifestos and constitutional policy documents produced by the three largest political parties represented in the Scottish Parliament, namely the pro-independence Scottish National Party and two pro-union parties, Scottish Labour and the Scottish Conservative and Unionist Party. The emergent discourse of each party is interrogated by drawing upon pertinent theoretical concepts from previous academic analyses of Scottish nationalism, with particular attention given to those which have deployed modernist and ethnosymbolist theoretical approaches when analysing the Scottish context. This facilitates a critical reflection on the contrasting and nuanced narratives of the Scottish nation’s past and future espoused by each political party vis-à-vis modernist and ethnosymbolist theory, illustrating the ways in which contrasting theorisations of nationalism are empirically tangible within political discourse, and are thus not simply theoretical abstractions

Timing and Nature of the Deepening of the Tasmanian Gateway

Tectonic changes that produced a deep Tasmanian Gateway between Australia and Antarctica are widely invoked as the major mechanism for Antarctic cryosphere growth and Antarctic Circumpolar Current (ACC) development during the Eocene/Oligocene (E/O) transition (∼34–33 Ma). Ocean Drilling Program (ODP) Leg 189 recovered near-continuous marine sedimentary records across the E/O transition interval at four sites around Tasmania. These records are largely barren of calcareous microfossils but contain a rich record of siliceous- and organic-walled marine microfossils. In this study we integrate micropaleontological, sedimentological, geochemical, and paleomagnetic data from Site 1172 (East Tasman Plateau) to identify four distinct phases (A–D) in the E/O Tasmanian Gateway deepening that are correlative among ODP Leg 189 sites. Phase A, prior to ∼35.5 Ma: minor initial deepening characterized by a shallow marine prodeltaic setting with initial condensation episodes. Phase B, ∼35.5–33.5 Ma: increased deepening marked by the onset of major glauconitic deposition and inception of energetic bottom-water currents. Phase C, ∼33.5–30.2 Ma: further deepening to bathyal depths, with episodic erosion by increasingly energetic bottom-water currents. Phase D, \u3c30.2 Ma: establishment of stable, open-ocean, warm-temperate, oligotrophic settings characterized by siliceous-carbonate ooze deposition. Our combined evidence indicates that this early Oligocene Tasmanian Gateway deepening initially produced an eastward flow of relatively warm surface waters from the Australo-Antarctic Gulf into the southwestern Pacific Ocean. This “proto-Leeuwin” current fundamentally differs from previous regional reconstructions of eastward flowing cool water (e.g., a “proto-ACC”) during the early Oligocene and thereby represents an important new constraint for reconstructing regional- to global-scale dynamics for this major global change event