Psychiatric Advance Directives and Social Workers: An Integrative Review

Psychiatric Advance Directives (PADs) are legal documents that allow individuals to express their wishes for future psychiatric care and to authorize a legally appointed proxy to make decisions on their behalf during incapacitating crises. PADs are viewed as an alternative to the coercive interventions that sometimes accompany mental health crises for persons with mental illness. Insofar as coercive interventions can abridge clients’ autonomy and self-determination -- values supported by the Profession’s Code of Ethics -- social workers have a vested interest in finding ways to reduce coercion and increase autonomy and self-determination in their practice. However, PADs are also viewed as having the potential to positively affect a variety of other clinical outcomes, including but not limited to treatment engagement, treatment satisfaction, and working alliance. This article reviews the clinical and legal history of PADs and empirical evidence for their implementation and effectiveness. Despite what should be an inherent interest in PADs, and the fact that laws authorizing PADs have proliferated in the past decade, there is little theoretical or empirical research in the social work literature

On The Interaction Of D0-Brane Bound States And RR Photons

We consider the problem of the interaction between D0-brane bound state and 1-form RR photons by the world-line theory. Based on the fact that in the world-line theory the RR gauge fields depend on the matrix coordinates of D0-branes, the gauge fields also appear as matrices in the formulation. At the classical level, we derive the Lorentz-like equations of motion for D0-branes, and it is observed that the center-of-mass is colourless with respect to the SU(N) sector of the background. Using the path integral method, the perturbation theory for the interaction between the bound state and the RR background is developed. We discuss what kind of field theory may be corresponded to the amplitudes which are calculated by the perturbation expansion in world-line theory. Qualitative considerations show that the possibility of existence of a map between the world-line theory and the non-Abelian gauge theory is very considerable.Comment: LaTeX, 28 pages, 4 eps figures. v2 and v3: eqs. (3.18) and (B.2) are corrected, very small change

Efficient coupling of photons to a single molecule and the observation of its resonance fluorescence

Single dye molecules at cryogenic temperatures display many spectroscopic phenomena known from free atoms and are thus promising candidates for fundamental quantum optical studies. However, the existing techniques for the detection of single molecules have either sacrificed the information on the coherence of the excited state or have been inefficient. Here we show that these problems can be addressed by focusing the excitation light near to the absorption cross section of a molecule. Our detection scheme allows us to explore resonance fluorescence over 9 orders of magnitude of excitation intensity and to separate its coherent and incoherent parts. In the strong excitation regime, we demonstrate the first observation of the Mollow triplet from a single solid-state emitter. Under weak excitation we report the detection of a single molecule with an incident power as faint as 150 attoWatt, paving the way for studying nonlinear effects with only a few photons.Comment: 6 figure

Local Commutativity and Causality in Interacting PP-wave String Field Theory

In this paper, we extend our previous study of causality and local commutativity of string fields in the pp-wave lightcone string field theory to include interaction. Contrary to the flat space case result of Lowe, Polchinski, Susskind, Thorlacius and Uglum, we found that the pp-wave interaction does not affect the local commutativity condition. Our results show that the pp-wave lightcone string field theory is not continuously connected with the flat space one. We also discuss the relation between the condition of local commutativity and causality. While the two notions are closely related in a point particle theory, their relation is less clear in string theory. We suggest that string local commutativity may be relevant for an operational defintion of causality using strings as probes.Comment: Latex, JHEP3.cls, 18 pages, no figures. v2: add comments about the UV-IR mixing effect displayed in our result. version to appear in JHE

Generation of a wave packet tailored to efficient free space excitation of a single atom

We demonstrate the generation of an optical dipole wave suitable for the process of efficiently coupling single quanta of light and matter in free space. We employ a parabolic mirror for the conversion of a transverse beam mode to a focused dipole wave and show the required spatial and temporal shaping of the mode incident onto the mirror. The results include a proof of principle correction of the parabolic mirror's aberrations. For the application of exciting an atom with a single photon pulse we demonstrate the creation of a suitable temporal pulse envelope. We infer coupling strengths of 89% and success probabilities of up to 87% for the application of exciting a single atom for the current experimental parameters.Comment: to be published in Europ. Phys. J.

Multiloop Calculations in the String-Inspired Formalism: The Single Spinor-Loop in QED

We use the worldline path-integral approach to the Bern-Kosower formalism for developing a new algorithm for calculation of the sum of all diagrams with one spinor loop and fixed numbers of external and internal photons. The method is based on worldline supersymmetry, and on the construction of generalized worldline Green functions. The two-loop QED $\beta$ -- function is calculated as an example.Comment: uuencoded ps-file, 20 pages, 2 figures, final revised version to appear in Phys. Rev.

The index of the overlap Dirac operator on a discretized 2d non-commutative torus

The index, which is given in terms of the number of zero modes of the Dirac operator with definite chirality, plays a central role in various topological aspects of gauge theories. We investigate its properties in non-commutative geometry. As a simple example, we consider the U(1) gauge theory on a discretized 2d non-commutative torus, in which general classical solutions are known. For such backgrounds we calculate the index of the overlap Dirac operator satisfying the Ginsparg-Wilson relation. When the action is small, the topological charge defined by a naive discretization takes approximately integer values, and it agrees with the index as suggested by the index theorem. Under the same condition, the value of the index turns out to be a multiple of N, the size of the 2d lattice. By interpolating the classical solutions, we construct explicit configurations, for which the index is of order 1, but the action becomes of order N. Our results suggest that the probability of obtaining a non-zero index vanishes in the continuum limit, unlike the corresponding results in the commutative space.Comment: 22 pages, 8 figures, LaTeX, JHEP3.cls. v3:figures 1 and 2 improved (all the solutions included),version published in JHE

The role of fear in mental health service users' experiences: a qualitative exploration

Purpose Although studies suggest that fear plays an important role in shaping mental health service users’ experiences, evidence is patchy and the contexts, conditions and consequences of fear have rarely been researched. This paper explores the role of fear in adult mental health service users’ lives and describes its implications for mental health services. Methods Four community health service user focus groups (N32) were held. Each group was reconvened after 7–14 days. An initial thematic analysis generated a service user definition of continuity of care (reported elsewhere). A Straussian ‘secondary grounded theory analysis’ was conducted to gain a deeper understanding of participants’ experiences. Results ‘Being afraid’ was identified as a core process, with power and control, and stigma and discrimination found to have explanatory power in determining how and why fear manifests. Consequences included distrusting staff, cooperating reluctantly, learning reticence, delaying help-seeking, avoiding services, feeling unsafe in the community and avoiding exposure as a service user. Conclusions Our model suggests that fear plays a substantial role in the lives of adult mental health service users. This has particular consequences for therapeutic relationships, engagement with services and engagement with the wider community. This lack of engagement is associated with adverse outcomes. Further research into the role of fear and the factors that mediate against it is warranted

Probability distribution of the index in gauge theory on 2d non-commutative geometry

We investigate the effects of non-commutative geometry on the topological aspects of gauge theory using a non-perturbative formulation based on the twisted reduced model. The configuration space is decomposed into topological sectors labeled by the index nu of the overlap Dirac operator satisfying the Ginsparg-Wilson relation. We study the probability distribution of nu by Monte Carlo simulation of the U(1) gauge theory on 2d non-commutative space with periodic boundary conditions. In general the distribution is asymmetric under nu -> -nu, reflecting the parity violation due to non-commutative geometry. In the continuum and infinite-volume limits, however, the distribution turns out to be dominated by the topologically trivial sector. This conclusion is consistent with the instanton calculus in the continuum theory. However, it is in striking contrast to the known results in the commutative case obtained from lattice simulation, where the distribution is Gaussian in a finite volume, but the width diverges in the infinite-volume limit. We also calculate the average action in each topological sector, and provide deeper understanding of the observed phenomenon.Comment: 16 pages,10 figures, version appeared in JHE