What Do Supervisors’ and Supervisees’ Think About Mindfulness-Based Supervision? A Grounded Theory Study

ObjectivesMindfulness-based supervision (MBS) is a vital support for teachers of mindfulness-based programmes (MBPs), and good practice guidance requires mindfulness teachers to have at least 4 hr of MBS a year. Despite this, underpinning theory and research on MBS is sparse. This study explores the perspectives of supervisors and supervisees to identify helpful and unhelpful processes within MBS.MethodA total of 12 supervisors and supervisees participated. Two phases of semi-structured interviews took place, the first with all 12 and the second phase with a selected six participants. A conceptual model of how MBS affects the teaching of MBPs was developed using a constructivist grounded theory approach.ResultsAll participants spoke of how MBS is a highly experiential way of developing skills to competently teach MBPs, supported through the relationship between supervisor and supervisee. MBS uses a mindfulness-based relational inquiry process characterised by specific ways of speaking, listening, and pausing. This inquiry supports the supervisee to cultivate an embodied way of knowing, a deliberate stance of “not knowing”, and to take an approach mode rather than avoidance mode towards vulnerability. During the interviews, participants emphasised the collaborative approach within MBS, but showed little acknowledgement or recognition of the inherent power with the role. Potential tensions in the holding of professional and ethical frameworks within MBS were identified.ConclusionsRecommendations are made about how the key findings can be brought into the ongoing good practice within MBS. Future changes within MBS should address issues of bias, diversity, and inclusivity.<br/

Cómo reconocer y leer un mat-building

Peer Reviewe

Discourses in stone: Dialogues with the dissenting dead 1830-1919

Graveyard studies have been rich sources for archaeologists, historians, social scientists, anthropologists, genealogists, art historians and others to investigate a diverse range of interests in death and the mortuary practices of former societies. Evidence from the size, material properties of gravestones and other memorials has advanced theories about characteristics of the lives of earlier people; the environment they lived in; their health; domestic situations; familial and social relationships; status; employment history and personal religious observations and beliefs. Rather fewer are studies that consider what memorial epitaphs and inscriptions can convey about some of these factors, and particularly the meaning and expression of emotion conveyed by choice of text chosen to commemorate the dead. This thesis engages with the ‘conversations’ on gravestones: salutations (‘In loving memory’ etc.); inscriptions and epitaphs, and imagery (motifs and carvings) on nineteenthand twentieth-century memorials of four religious Nonconforming denominations. Sample locations offer contrasting social, linguistic, economic and religious environments, and suggest comparisons between practices in west Cheshire and north-east Wales. The research questions are as follows: • is there a consistently characteristic style of Nonconformist epitaphic and decorative memorialisation in the sample area? if not, are there recognisably distinct denominational characteristics? This study has concluded that each denomination exhibited a number of distinct characteristics earlier in the study period, but these distinctions eroded over time, in particular after the 1880 Burials Act, and under the influences of commercialisation of memorial media; increasing secularisation, and the effects of religious union

Refining the Primrose syndrome phenotype: A study of five patients with ZBTB20 de novo variants and a review of the literature

Primrose syndrome is a rare autosomal dominant condition caused by heterozygous missense variants within ZBTB20. Through an exome sequencing approach (as part of the Deciphering Developmental Disorders [DDD] study) we have identified five unrelated individuals with previously unreported, de novo ZBTB20 pathogenic missense variants. All five missense variants targeted the C2H2 zinc finger domains. This genotype‐up approach has allowed further refinement of the Primrose syndrome phenotype. Major characteristics (>90% individuals) include an intellectual disability (most frequently in the moderate range), a recognizable facial appearance and brain MRI abnormalities, particularly abnormalities of the corpus callosum. Other frequent clinical associations (in 50–90% individuals) include sensorineural hearing loss (83%), hypotonia (78%), cryptorchidism in males (75%), macrocephaly (72%), behavioral issues (56%), and dysplastic/hypoplastic nails (57%). Based upon these clinical data we discuss our current management of patients with Primrose syndrom

UK guideline for the use of HIV post-exposure prophylaxis 2021

We present the updated British Association for Sexual Health and HIV (BASHH) guidelines for post-exposure prophylaxis (PEP) to HIV following sexual exposures, occupational exposures and other nonoccupational exposures in the community. This serves as an update to the 2015 BASHH guideline on PEP following sexual exposures and the 2008 Expert Advisory Group on AIDS guidelines on HIV PEP. We aim to provide evidence-based guidance on best clinical practice in the provision, monitoring and support of PEP for the prevention of HIV acquisition following sexual, occupational and other nonoccupational exposures in the community. The guideline covers when to prescribe PEP, what antiretroviral agents to use and how to manage PEP. This includes (i) evidence of PEP efficacy; (ii) evidence relating to individual-level efficacy of antiretroviral therapy to prevent the sexual transmission of HIV; (iii) data on the detectable (transmissible) prevalence of HIV in specific populations; (iv) risk of HIV transmission following different types of sexual and occupational exposure; (v) baseline risk assessment; (vi) drug regimens and dosing schedules; (vii) monitoring PEP; (viii) baseline and follow-up blood-borne virus testing; (ix) the role of PEP within broader HIV prevention strategies, for example, HIV pre-exposure prophylaxis (PrEP). The guideline also covers special scenarios such as PEP in pregnancy, breastfeeding and chronic hepatitis B virus infection, and when PEP should be considered in people using HIV PrEP. The guidelines are aimed at clinical professionals directly involved in PEP provision and other stakeholders in the field. A proforma to assist PEP consultations is included. A public consultation process was undertaken prior to finalizing the recommendations

Corrigendum: The Effect of COVID-19 on Mental Health and Wellbeing in a Representative Sample of Australian Adults

In the original article, there was an error in Table 3 as published. The prevalence of depression and generalized anxiety in our sample appeared in the wrong rows. The main text of the original article did however report the prevalence rates correctly, i.e., the statement “Overall, 20.3% and 16.4% of our sample scored above the clinical cut-offs on our depression (PHQ-9) and anxiety (GAD-7) measures respectively.” (p. 4 of original article) is correct. The corrected Table 3 appears below. The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated. The original article: by Dawel, A., Shou, Y., Smithson, M., Cherbuin, N., Banfield, M., Calear, A. L., et al. (2020). Front. Psychiatry 11:579985. doi: 10.3389/fpsyt.2020.57998

The Effect of COVID-19 on Mental Health and Wellbeing in a Representative Sample of Australian Adults

There is minimal knowledge about the impact of large-scale epidemics on community mental health, particularly during the acute phase. This gap in knowledge means we are critically ill-equipped to support communities as they face the unprecedented COVID-19 pandemic. This study aimed to provide data urgently needed to inform government policy and resource allocation now and in other future crises. The study was the first to survey a representative sample from the Australian population at the early acute phase of the COVID-19 pandemic. Depression, anxiety, and psychological wellbeing were measured with well-validated scales (PHQ-9, GAD-7, WHO-5). Using linear regression, we tested for associations between mental health and exposure to COVID-19, impacts of COVID-19 on work and social functioning, and socio-demographic factors. Depression and anxiety symptoms were substantively elevated relative to usual population data, including for individuals with no existing mental health diagnosis. Exposure to COVID-19 had minimal association with mental health outcomes. Recent exposure to the Australian bushfires was also unrelated to depression and anxiety, although bushfire smoke exposure correlated with reduced psychological wellbeing. In contrast, pandemic-induced impairments in work and social functioning were strongly associated with elevated depression and anxiety symptoms, as well as decreased psychological wellbeing. Financial distress due to the pandemic, rather than job loss per se, was also a key correlate of poorer mental health. These findings suggest that minimizing disruption to work and social functioning, and increasing access to mental health services in the community, are important policy goals to minimize pandemic-related impacts on mental health and wellbeing. Innovative and creative strategies are needed to meet these community needs while continuing to enact vital public health strategies to control the spread of COVID-19.This study was funded by the ANU College of Health andMedicine, ANU Research School of Psychology, and ANU Research School of Population Health. PJB is supported by National Health and Medical Research Council (NHMRC) Fellowship 1158707. ALC is supported byNHMRC Fellowships 1122544 and 1173146. LMFis supported by Australian Research Council Discovery Early Career Researcher Award (ARC DECRA) DE190101382. YS is supported by ARC DECRA DE180100015. AG and ARM are supported by funding provided by the ACT Health Directorate for ACACIA: The ACT Consumer and Carer Mental Health Research Unit

Clinical and genetic aspects of KBG syndrome.

KBG syndrome is characterized by short stature, distinctive facial features, and developmental/cognitive delay and is caused by mutations in ANKRD11, one of the ankyrin repeat-containing cofactors. We describe 32 KBG patients aged 2-47 years from 27 families ascertained via two pathways: targeted ANKRD11 sequencing (TS) in a group who had a clinical diagnosis of KBG and whole exome sequencing (ES) in a second group in whom the diagnosis was unknown. Speech delay and learning difficulties were almost universal and variable behavioral problems frequent. Macrodontia of permanent upper central incisors was seen in 85%. Other clinical features included short stature, conductive hearing loss, recurrent middle ear infection, palatal abnormalities, and feeding difficulties. We recognized a new feature of a wide anterior fontanelle with delayed closure in 22%. The subtle facial features of KBG syndrome were recognizable in half the patients. We identified 20 ANKRD11 mutations (18 novel: all truncating) confirmed by Sanger sequencing in 32 patients. Comparison of the two ascertainment groups demonstrated that facial/other typical features were more subtle in the ES group. There were no conclusive phenotype-genotype correlations. Our findings suggest that mutation of ANKRD11 is a common Mendelian cause of developmental delay. Affected patients may not show the characteristic KBG phenotype and the diagnosis is therefore easily missed. We propose updated diagnostic criteria/clinical recommendations for KBG syndrome and suggest that inclusion of ANKRD11 will increase the utility of gene panels designed to investigate developmental delay. © 2016 The Authors. American Journal of Medical Genetics Part A Published by Wiley Periodicals, Inc.This article is freely available via Open Access. Click on the Additional Link above to access the full-text via the publisher's site