'Better as a Buddhist': an interpretative phenomenological analysis of the reflections on the religious beliefs of Buddhist men serving a prison sentence for a sexual offence

This paper presents a qualitative analysis of the accounts offered by individuals (n=7) convicted of a sexual offence who describe themselves as Buddhists. Data were collected through semi-structured interviews within a custodial environment and analysed using interpretative phenomenological analysis (IPA). This paper presents the two superordinate themes that emerged from the data: (i) Better as a Buddhist and (ii) Ebb and Flow. Reflections and analysis from the Buddhist prison chaplain are integrated within the analysis of prisoner-participant data. Implications of the analysis are discussed with reference to interventions that use Buddhist principles, factors that underpin factors that help reduce reoffending and those that fit with the formation of a desistance narrative for religious individuals who have committed sexual offences

Primary and secondary prevention of child sexual abuse

The high prevalence rates and numerous consequences associated with child sexual abuse makes preventing these offences a societal priority. Prevention strategies have traditionally involved only tertiary interventions, implemented by the criminal justice system after an offence has occurred. More recently, some have argued for a public health approach to preventing child sexual abuse, which includes interventions at the primary and secondary levels. Secondary prevention aims to provide treatment and support to those at-risk of sexually offending before any involvement with the legal system. Increased demand for secondary prevention services and early results from current initiatives demonstrate that at-risk individuals are willing to seek treatment without external pressure from the legal system, and often report numerous treatment-related benefits. These findings support the need for wide-spread implementation of primary and secondary prevention initiatives. The safety of children requires that we, as a society, stop merely reacting to sexual offences, and instead begin implementing proactive evidence-based strategies that can prevent even initial incidents of child sexual abuse. This article explores some of the many benefits and barriers associated with primary and secondary prevention, as well as strategies for overcoming these barriers. Recommendations for the development and implementation of prevention initiatives are also included

Circles of support and accountability (CoSA): a review of the development of CoSA and its international implementation

Circles of Support and Accountability (CoSA) was initially developed in Canada as a community-based program designed to assist in the community reintegration of individuals who are deemed a high or very high risk of sexual recidivism. This article outlines the historical foundations and frameworks of the CoSA model and examines the recruitment and training of CoSA volunteers. It reviews the impact that CoSA has on recidivism, as well as the psychosocial implications of the model on the former offenders participating in CoSA (the ‘Core Members’), volunteers, and the community at large. International implementation of CoSA is addressed by a review of project initiatives undertaken around the world. This article concludes by addressing the future directions of CoSA, both within Canada and internationally

Supporting desistance through ambiguous practice: what can be learned from the first prison-based model of CoSA in England and Wales?

Circles of Support and Accountability (CoSA) are an initiative designed to support those previously convicted of sexual offences as they reintegrate back in to society, whilst still holding them accountable for their thoughts and behaviour (Cesaroni, 2002). The aim of the research was to explore the Core Member and volunteer experience of being involved in a CoSA that transitions from prison to community, with the objective being to focus upon what can be learnt from these initial experiences. The study included qualitative interviews with two separate groups of participants; Core Members (n=7) and volunteers (n=10) involved in the prison-model CoSA. Interpretative Phenomenological Analysis of the data was undertaken to consider the individual’s subjective experience of being involved in this initiative. A superordinate theme of ambiguous practice was identified, whereby volunteers appeared to overlook the importance of expressive support, described a lack of commitment from other fellow volunteers and demonstrated a confusion surrounding the accountability aspect of their role. Despite the confusion highlighted, however, the accountability aspect of the volunteers’ role was identified through their indirect support of Core members’ desistance. The second superordinate theme outlined the volunteers’ encouragement of the Core Members new pro-social lifestyle, thus helping to reinforce their crime -free identity. This led to a concern, however, of what would happen once the CoSA journey had come to an end. The learning derived from these findings can now be used to continue to develop and improve the use of prison-model CoSA across England and Wales

Norovirus: an overview of virology and preventative measures

Norovirus (NoV) is an enteric non-enveloped virus which is the leading cause of gastroenteritis across all age groups. It is responsible for around 200,000 deaths annually and outbreaks are common in small communities such as educational and care facilities. 40% of all NoV outbreaks occur in long-term and acute-care facilities, forming the majority of outbreaks. Nosocomial settings set ideal environments for ease of transmission, especially due to the presence of immunocompromised groups. It is estimated to cost global economies around £48 billion a year, making it a global issue. NoV is transmitted via the faecal-oral route and infection with it results in asymptomatic cases or gastrointestinal disease. It has high mutational rates and this allows for new variants to emerge and be more resistant. The classification system available divides NoV into 10 genogroups and 49 genotypes based on whole amino acid sequencing of VP1 capsid protein and partial sequencing of RdRp, respectively. The most predominant genotypes which cause gastroenteritis in humans include GI.1 and GII.4, where GII.4 is responsible for more extreme clinical implications such as hospitalisation. In addition, GII.4 has been responsible for 6 pandemic strains, the last of which is the GII.4 Sydney (2012) variant. In recent years, the successful cultivation of HuNoV was reported in stem cell-derived human intestinal enteroids (HIEs), which promises to assist in giving a deeper understanding of its underlying mechanisms of infection and the development of more personalized control measures. There are no specific control measures against NoV, therefore common practices are used against it such as hand washing. No vaccine is available, but the HIL-214 candidate passed clinical phase 2b and shows promise

'Because you’ve got faith it doesn’t mean that you’ve got wings on your back’: a qualitative analysis of the accounts of Christian prisoners serving time for a sexual offence

Religious beliefs have been variously promulgated as both protective and risk factors for sexual reoffending. Moreover, therapists working with religious prisoners struggle with unravelling cognitive distortions embedded within religious views, with concerns about accusations of prejudice salient in their mindset. This paper presents a novel contribution to research by combining the qualitative analysis of the accounts offered by individuals (n=12) convicted of sexual offences who describe themselves as Christians. Data were collected through semi-structured interviews and analysed using Interpretative Phenomenological Analysis. This paper focuses on two superordinate themes: (i) The God Effect and (ii) The Shadow Side of Religion. Implications of this research are discussed with reference to the assessment of dynamic risk and protective factors with religious individuals who have been convicted of a sexual offence

Oncolytic virotherapy treatment of breast cancer : barriers and recent advances

Oncolytic virotherapy (OV) is an emerging class of immunotherapeutic drugs. Their mechanism of action is two-fold: direct cell lysis and unmasking of the cancer through immunogenic cell death, which allows the immune system to recognize and eradicate tumours. Breast cancer is the most common cancer in women and is challenging to treat with immunotherapy modalities because it is classically an immunogenically “cold” tumour type. This provides an attractive niche for OV, given viruses have been shown to turn “cold” tumours “hot,” thereby opening a plethora of treatment opportunities. There has been a number of pre-clinical attempts to explore the use of OV in breast cancer; however, these have not led to any meaningful clinical trials. This review considers both the potential and the barriers to OV in breast cancer, namely, the limitations of monotherapy and the scope for combination therapy, improving viral delivery and challenges specific to the breast cancer population (e.g., tumour subtype, menopausal status, age)

'I've got the energy to change, but I haven’t got the energy for this kinda therapy': a qualitative analysis of the motivations behind democratic therapeutic community drop-out for men with sexual convictions

Prison-based democratic therapeutic communities (TCs) provide an alternative to mainstream prison, where prisoners can work on psychological difficulties and address offending behaviour. Research demonstrates TCs are effective at reducing reoffending rates for residents who stay in therapy 18+ months, and those who drop out of TCs offend at a significantly higher rate than those who complete therapy. Thus, it is important to reduce attrition in TCs. No research has yet explored the explanations for TC drop out offered by those with sexual convictions. The present study uses Interpretive Phenomenological Analysis to qualitatively explore the accounts of men with sexual convictions (n=7) who dropped out of a TC in a UK prison. Results highlight that issues surrounding external responsivity, therapeutic relationships and treatment readiness were salient in the participants' accounts of drop out. This research has implications for TCs seeking to better understand and address attrition of people with sexual convictions