2,269 research outputs found

    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

    Theory and simulation of gelation, arrest and yielding in attracting colloids

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    We present some recent theory and simulation results addressing the phenomena of colloidal gelation at both high and low volume fractions, in the presence of short-range attractive interactions. We discuss the ability of mode-coupling theory and its adaptations to address situations with strong heterogeneity in density and/or dynamics. We include a discussion of the effect of attractions on the shear-thinning and yield behaviour under flow.Comment: 17 pages, 6 figure

    Psychopolitics: Peter Sedgwick’s legacy for mental health movements

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    This paper re-considers the relevance of Peter Sedgwick's Psychopolitics (1982) for a politics of mental health. Psychopolitics offered an indictment of ‘anti-psychiatry’ the failure of which, Sedgwick argued, lay in its deconstruction of the category of ‘mental illness’, a gesture that resulted in a politics of nihilism. ‘The radical who is only a radical nihilist’, Sedgwick observed, ‘is for all practical purposes the most adamant of conservatives’. Sedgwick argued, rather, that the concept of ‘mental illness’ could be a truly critical concept if it was deployed ‘to make demands upon the health service facilities of the society in which we live’. The paper contextualizes Psychopolitics within the ‘crisis tendencies’ of its time, surveying the shifting welfare landscape of the subsequent 25 years alongside Sedgwick's continuing relevance. It considers the dilemma that the discourse of ‘mental illness’ – Sedgwick's critical concept – has fallen out of favour with radical mental health movements yet remains paradigmatic within psychiatry itself. Finally, the paper endorses a contemporary perspective that, while necessarily updating Psychopolitics, remains nonetheless ‘Sedgwickian’

    Clubbing masculinities: Gender shifts in gay men's dance floor choreographies

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    This is an Author's Accepted Manuscript of an article published in Journal of Homosexuality, 58(5), 608-625, 2011 [copyright Taylor & Francis], available online at: http://www.tandfonline.com/10.1080/00918369.2011.563660This article adopts an interdisciplinary approach to understanding the intersections of gender, sexuality, and dance. It examines the expressions of sexuality among gay males through culturally popular forms of club dancing. Drawing on political and musical history, I outline an account of how gay men's gendered choreographies changed throughout the 1970s, 80s, and 90s. Through a notion of “technologies of the body,” I situate these developments in relation to cultural levels of homophobia, exploring how masculine expressions are entangled with and regulated by musical structures. My driving hypothesis is that as perceptions of cultural homophobia decrease, popular choreographies of gay men's dance have become more feminine in expression. Exploring this idea in the context of the first decade of the new millennium, I present a case study of TigerHeat, one of the largest weekly gay dance club events in the United States

    The racist bodily imaginary: the image of the body-in-pieces in (post)apartheid culture

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    This paper outlines a reoccurring motif within the racist imaginary of (post)apartheid culture: the black body-in-pieces. This disturbing visual idiom is approached from three conceptual perspectives. By linking ideas prevalent in Frantz Fanon’s description of colonial racism with psychoanalytic concepts such as Lacan’s notion of the corps morcelĂ©, the paper offers, firstly, an account of the black body-in-pieces as fantasmatic preoccupation of the (post)apartheid imaginary. The role of such images is approached, secondly, through the lens of affect theory which eschews a representational ‘reading’ of such images in favour of attention to their asignifying intensities and the role they play in effectively constituting such bodies. Lastly, Judith Butler’s discussion of war photography and the conditions of grievability introduces an ethical dimension to the discussion and helps draw attention to the unsavory relations of enjoyment occasioned by such images

    The North Ecliptic Pole Wide survey of AKARI: a near- and mid-infrared source catalog

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    We present a photometric catalog of infrared (IR) sources based on the North Ecliptic PoleWide field (NEP-Wide) survey of AKARI, which is an infrared space telescope launched by Japan. The NEP-Wide survey covered 5.4 deg2 area, a nearly circular shape centered on the North Ecliptic Pole, using nine photometric filter-bands from 2 - 25 {\mu}m of the Infrared Camera (IRC). Extensive efforts were made to reduce possible false objects due to cosmic ray hits, multiplexer bleeding phenomena around bright sources, and other artifacts. The number of detected sources varied depending on the filter band: with about 109,000 sources being cataloged in the near-IR bands at 2 - 5 {\mu}m, about 20,000 sources in the shorter parts of the mid-IR bands between 7 - 11 {\mu}m, and about 16,000 sources in the longer parts of the mid-IR bands, with \sim 4,000 sources at 24 {\mu}m. The estimated 5? detection limits are approximately 21 magnitude (mag) in the 2 - 5 {\mu}m bands, 19.5 - 19 mag in the 7 - 11 {\mu}m, and 18.8 - 18.5 mag in the 15 - 24 {\mu}m bands in the AB magnitude scale. The completenesses for those bands were evaluated as a function of magnitude: the 50% completeness limits are about 19.8 mag at 3 {\mu}m, 18.6 mag at 9 {\mu}m, and 18 mag at 18 {\mu}m band, respectively. To construct a reliable source catalog, all of the detected sources were examined by matching them with those in other wavelength data, including optical and ground-based near-IR bands. The final band-merged catalog contains about 114,800 sources detected in the IRC filter bands. The properties of the sources are presented in terms of the distributions in various color-color diagrams.Comment: Accepted for publication in A&A, 23 pages, 27 figure
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