Relating therapy for voices (the R2V study): study protocol for a pilot randomized controlled trial

Background Evidence exists for the effectiveness of cognitive behaviour therapy for psychosis with moderate effect sizes, but the evidence for cognitive behaviour therapy specifically for distressing voices is less convincing. An alternative symptom-based approach may be warranted and a body of literature has explored distressing voices from an interpersonal perspective. This literature has informed the development of relating therapy and findings from a case series suggested that this intervention was acceptable to hearers and therapists. Methods/Design An external pilot randomized controlled trial (RCT) comparing outcomes for 15 patients receiving 16 hours (weekly sessions of one hour) of relating therapy and their usual treatment with 15 patients receiving only their usual treatment. Participants will be assessed using questionnaires at baseline, 16 weeks (post-intervention), and 36 weeks (follow-up). Discussion Expected outcomes will include a refined study protocol and an estimate of the effect size to inform the sample size of a definitive RCT. If evidence from a fully powered RCT suggests that relating therapy is effective, the therapy will extend the range of evidence-based psychological therapies available to people who hear distressing voices

Em-‘powering' niche innovations: learning from cycling inequalities

This paper aims to situate power in ‘niche innovations’ through an investigation of cycling inequalities in the city of Birmingham. Much research has focused on the sustainability and innovation potential of cycling. However, debates usually revolve around the power relations between cycling and the dominant automobility regime, thus ignoring the possible inequalities embedded within niches. This paper aims to contribute to such analyses by unfolding the multiple inequalities and relations of exclusion that can be embedded in the practice of cycling. Drawing on Mobilities research for the EPSRC Liveable Cities programme, it focuses on the car-dependent city of Birmingham, in order to explore cycling as a practice with various socio-material, infrastructural, political and economic entanglements that can embed, reproduce or generate new socio-spatial inequalities, processes of gentrification and immobilities. Through such analysis, this paper aims to situate power in examining niche innovations. However, it also aims to underline that understanding and addressing such inequalities are central for not only locating cycling in the centre of developing a more sustainable mobility future, but also enabling a more sustainable future for cycling itself

Marketing Planning of Small-Sized Farms by the Fuzzy Game Theory

Walking fosters self‐efficacy, empathy, and connection, and large and small democratic actions. Such capacity seems especially the case when walking is attended by certain spatial qualities that engender, for instance, physical accessibility, a capacity to socialise, a sense of safety, or a pleasing aesthetic. Sometimes, adverse spatial alternatives dominate and then – at very least – indifference seems to loom large and spatial injustices prevail. And in the worst conditions, indifference and injustice tip over into fear and danger. This paper's orientation is towards optimism, however. Our conceptual focus is on the relationship of walking to geography and philosophical pragmatism, and on small and effective antidotes to indifference and injustice. Our empirical contributions come from a qualitative research project in Wollongong, Australia, and specifically from conversations with 25 adult residents who shared with us their experiences of regular walks in the city centre. We interpret those experiences in pragmatic terms as transactions – or experiments in what to do and how – in relation to self, others, and environs. We show how participants are affected by walks and the transactional spaces created by them, and consider how they come to care for things that might not directly concern or affect them. In the process, we discern that they experience how their actions shape and can enrich life in the city – findings that have wider salience for those interested in spatial qualities, spatial justice, and democratising impulses

Forging volumetric methods

The last two decades have seen a “volumetric turn” within Anglophone social sciences and humanities scholarship. This turn is premised on the idea that space may be better understood in three-dimensional terms – with complex heights and depths – rather than as a series of two-dimensional areas or surfaces. While there is an increasingly diverse and rich set of scholarship accounting for voluminous complexities in the air, oceans, ice, mountains, and undergrounds, all too often this work foregrounds state and military-led approaches to volume. This has resulted in a limited methodological toolkit through which to explore voluminous complexities as they emerge and extend beyond military and state contexts. Often reliant on elite interviews, archives, and cartographies, there has been little critical discussion of both methodological practice and the “flatness” of research outputs articulating three-dimensional worlds. In this paper we address this by foregrounding the role of immersive and multisensory methodologies (sounding volumes, seeing-sensing drone volumes, and object volumes). To conclude, we offer avenues for further inquiry, including attending to shifting everyday voluminous experiences in the Anthropocene, and the need to diversify the communication of “volume” research