2,701 research outputs found

    Hegelian Spirits in Sellarsian Bottles

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    Though Wilfrid Sellars portrayed himself as a latter-day Kantian, I argue here that he was at least as much a Hegelian. Several themes Sellars shares with Hegel are investigated: the sociality and normativity of the intentional, categorial change, the rejection of the given, and especially their denial of an unknowable thing-in-itself. They are also united by an emphasis on the unity of things—the belief that things do ‘‘hang together.’’ Hegel’s unity is idealist; Sellars’ is physicalist; the differences are substantial, but so are the resonances

    Family-inclusive practice in a psychiatric intensive care unit

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    Aims and Method: The National Institute for Health and Care Excellence recommends involving the families of patients admitted to psychiatric hospital care, without specific guidance on how to do it. To improve family involvement in a National Health Service psychiatric intensive care unit, a relatives’ and carers’ clinic was set up. Fifty family members attended and completed questionnaires. Nine went on to take part in interviews, the results of which were analysed using thematic analysis. Results: Families felt more informed and found the increased access to information useful. They felt that the process showed respect for them and their family member, and that their contribution was valued. Running throughout the interviews was the contrast with previous experiences; families reported feeling heard and understood and attributed this in part to timing and environment. Clinical implications: The clinic was viewed positively by families and met the trust’s commitment to including carers, as well as national guidance which suggests it should be part of routine practice

    Harm minimisation for the management of self-harm: a mixed-methods analysis of electronic health records in secondary mental healthcare

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    BACKGROUND: Prevalence of self-harm in the UK was reported as 6.4% in 2014. Despite sparse evidence for effectiveness, guidelines recommend harm minimisation; a strategy in which people who self-harm are supported to do so safely. AIMS: To determine the prevalence, sociodemographic and clinical characteristics of those who self-harm and practise harm minimisation within a London mental health trust. METHOD: We included electronic health records for patients treated by South London and Maudsley NHS Trust. Using an iterative search strategy, we identified patients who practise harm minimisation, then classified the approaches using a content analysis. We compared the sociodemographic characteristics with that of a control group of patients who self-harm and do not use harm minimisation. RESULTS: In total 22 736 patients reported self-harm, of these 693 (3%) had records reporting the use of harm-minimisation techniques. We coded the approaches into categories: (a) ‘substitution’ (>50% of those using harm minimisation), such as using rubber bands or using ice; (b) ‘simulation’ (9%) such as using red pens; (c) ‘defer or avoid’ (7%) such as an alternative self-injury location; (d) ‘damage limitation’ (9%) such as using antiseptic techniques; the remainder were unclassifiable (24%). The majority of people using harm minimisation described it as helpful (>90%). Those practising harm minimisation were younger, female, of White ethnicity, had previous admissions and were less likely to have self-harmed with suicidal intent. CONCLUSIONS: A small minority of patients who self-harm report using harm minimisation, primarily substitution techniques, and the large majority find harm minimisation helpful. More research is required to determine the acceptability and effectiveness of harm-minimisation techniques and update national clinical guidelines

    Modelling the evaporation of thin films of colloidal suspensions using Dynamical Density Functional Theory

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    Recent experiments have shown that various structures may be formed during the evaporative dewetting of thin films of colloidal suspensions. Nano-particle deposits of strongly branched `flower-like', labyrinthine and network structures are observed. They are caused by the different transport processes and the rich phase behaviour of the system. We develop a model for the system, based on a dynamical density functional theory, which reproduces these structures. The model is employed to determine the influences of the solvent evaporation and of the diffusion of the colloidal particles and of the liquid over the surface. Finally, we investigate the conditions needed for `liquid-particle' phase separation to occur and discuss its effect on the self-organised nano-structures

    Judging distance across texture discontinuities

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    Sinai et al (1998 Nature 395 497 - 500) showed that less distance is perceived along a ground surface that spans two differently textured regions than along a surface that is uniformly textured. We examined the effect of texture continuity on judged distance using computer-generated displays of simulated surfaces in five experiments. Discontinuities were produced by using different textures, the same texture reversed in contrast, or the same texture shifted horizontally. The simulated surface was either a ground plane or a frontoparallel plane. For all textures and both orientations, less distance was judged in the discontinuous conditions than in continuous conditions. We propose that when a surface contains a texture discontinuity, a small area adjacent to the perceived boundary is excluded from judged distances

    Poor school attendance and exclusion: A systematic review protocol on educational risk factors for self-harm and suicidal behaviours

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    This is the final version. Available from BMJ Publishing Group via the DOI in this record.Introduction Schools have an important role in recognising and preventing self-harm and suicidal behaviour in their students, however little is known about which educational factors are associated with heightened risk We will systematically review the existing evidence on two key educational performance indicators that are routinely collected by school administrative systems: School attendance and exclusion We will investigate their association with self-harm and suicidal behaviour in school-age children and adolescents Knowledge of this association could help inform suicide prevention strategies at clinical, school and population levels Methods and analysis We will conduct a systematic search of Medline, EMBASE, PsycINFO, British Education Index and Education Resources Information Centre (ERIC) from 1 January 1990, and conduct a manual search for additional references We aim to identify studies that explore the association between poor school attendance or exclusion and self-harm or suicidal behaviours in school-age children and adolescents Two independent reviewers will screen titles, abstracts and full-text documents and independently extract relevant data for analysis Study quality will be assessed using a modified Newcastle-Ottawa Scale A descriptive analysis will be performed, and where appropriate, results will be combined in meta-analyses Ethics and dissemination This is a systematic review of published literature, and therefore ethical approval will not be sought We will publish reports in health and education journals, present our work at conferences focused on school mental health and communicate our findings to practitioners and managers in public health, education and child mental health.Wellcome TrustMedical Research Council (MRC)National Institute of Health Research (NIHR
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