355 research outputs found

    Surplus consiousness: Houellebecq's novels of ideas

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    Histories of cultural populism

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    For pleasure and enlightenment

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    Review of: Rose, J., 2001. 'The Intellectual Life of the British Working Classes'. Yale University Press, New Haven

    Vélorutionary?

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    The article summarises the case for 'velorution' and cosniders the case that the riding of bicyles is connected with a broader radical or utopian project

    The development of a change model of "exits" during cognitive analytic therapy for the treatment of depression.

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    OBJECTIVES: "Exits" in cognitive analytic therapy (CAT) are methods that change unhelpful patterns or roles during the final "revision" phase of the therapy. How exits are conceived and achieved is currently poorly understood. This study focussed on the revision stage to explore and define how change is accomplished in CAT. METHODS: Qualitative content analysis studied transcripts of sessions 6 and 7 of a protocol delivered 8-session CAT treatment for depression. Eight participants met the study inclusion criteria, and therefore, 16 sessions were analysed. RESULTS: The exit model developed contained 3 distinct (but interacting) phases: (a) developing an observing self via therapist input or client self-reflection, (b) breaking out of old patterns by creating new roles and procedures, and (c) utilisation of a range of methods to support and maintain change. Levels of interrater reliability for the exit categories that formed the model were good. CONCLUSIONS: The revision stage of CAT emerged as a complex and dynamic process involving 3 interacting stages. Further research is recommended to understand how exits relate to durability of change and whether change processes differ according to presenting problem. KEY PRACTITIONER MESSAGES: Exit work in cognitive analytic therapy is a dynamic process that requires progression through stages of insight, active change, and consolidation. Development of an "observing self" is an important foundation stone for change, and cognitive analytic therapists need to work within the client's zone of proximal development. A number of aspects appear important in facilitating change, such as attending to the process and feelings generated by change talk
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