“The hope – the one hope – is that your generation will prove wiser and more responsible than mine.” Constructions of guilt in a selection of disaster texts for young adults

This paper explores a range of definitions of guilt, and argues that fiction for young adults which is set after a major disaster that has been caused by humans has surprisingly little emphasis on guilt. Focusing on Brother in the Land by Robert Swindells, Nuclear War Diary by James E. Sanford (Jr), The Last Children by Gudrun Pausewang, The Carbon Diaries 2015 by Saci Lloyd and its sequel, The Carbon Diaries 2017, and Days Like This by Alison Stewart, the paper argues that in post-nuclear texts for young adults the emphasis tends to be on the perceived responsibility of the young adult reader&amp;apos;s generation to work towards preventing the disaster from becoming reality, rather than on the guilt of the adult generation that caused the disaster. However, in texts dealing with environmental disaster, the young adult reader&amp;apos;s generation can be seen to have some measure of culpability, and so the issues of guilt and responsibility become more complex<br /

Transient Excitation of an Elastic Half-Space by a Point Load Traveling on the Surface

The propagation of transient waves in a homogeneous, isotropic, linearly elastic half-space excited by a traveling normal point load is investigated. The load is suddenly applied and then it moves rectilinearly at a constant speed along the free surface. The displacements are derived for the interior of the half-space and for all load speeds. Wave front expansions are obtained from the exact solution, in addition to results pertaining to the steady-state displacement field. The limit case of zero load speed is considered, yielding new results for Lamb's point load problem

Relatives’ emotional involvement moderates the effects of family therapy for bipolar disorder.

The “critical comments” dimension of the expressed emotion (EE) construct has been found to predict the illness course of patients with bipolar disorder, but less is known about the “emotional overinvolvement” (EOI) component. The goal of this study was to evaluate whether relatives’ observed appropriate and inappropriate emotional involvement (intrusiveness, self-sacrifice, and distress about patients’ well-being) moderated the effectiveness of a family-based intervention for bipolar disorder

Feasibility randomised controlled trial of Recovery-focused Cognitive Behavioural Therapy for Older Adults with bipolar disorder (RfCBT-OA): study protocol

Introduction: Bipolar disorder is a severe and chronic mental health problem that persists into older adulthood. The number of people living with this condition is set to rise as the UK experiences a rapid ageing of its population. To date, there has been very little research or service development with respect to psychological therapies for this group of people. Methods and analysis: A parallel two-arm randomised controlled trial comparing a 14-session, 6-month Recovery-focused Cognitive-Behavioural Therapy for Older Adults with bipolar disorder (RfCBT-OA) plus treatment as usual (TAU) versus TAU alone. Participants will be recruited in the North-West of England via primary and secondary mental health services and through self-referral. The primary objective of the study is to evaluate the feasibility and acceptability of RfCBT-OA; therefore, a formal power calculation is not appropriate. It has been estimated that randomising 25 participants per group will be sufficient to be able to reliably determine the primary feasibility outcomes (eg, recruitment and retention rates), in line with recommendations for sample sizes for feasibility/pilot trials. Participants in both arms will complete assessments at baseline and then every 3 months, over the 12-month follow-up period. We will gain an estimate of the likely effect size of RfCBTOA on a range of clinical outcomes and estimate parameters needed to determine the appropriate sample size for a definitive, larger trial to evaluate the effectiveness and cost-effectiveness of RfCBT-OA. Data analysis is discussed further in the Analysis section in the main paper. Ethics and dissemination: This protocol was approved by the UK National Health Service (NHS) Ethics Committee process (REC ref: 15/NW/0330). The findings of the trial will be disseminated through peerreviewed journals, national and international conference presentations and local, participating NHS trusts. Trial registration number: ISRCTN13875321; Preresults

Family-Focused Treatment for Children and Adolescents with Bipolar Disorder

ABSTRACT The course of bipolar disorder in children and adolescents is highly recurrent and impairing. This article describes the adaptation of family-focused treatment (FFT) for children and adolescents with bipolar disorder. FFT is given in 21 sessions over 9 months, and is usually initiated during the recovery period following an acute episode of depression or (hypo)mania. The treatment consists of an engagement phase followed by psychoeducation, communication enhancement training, and problem-solving skills training. Results of randomized trials in adults and adolescents find that patients with bipolar disorder who receive FFT and pharmacotherapy recover from episodes more quickly and have longer periods of sustained remission than patients who receive briefer forms of therapy and pharmacotherapy. The application of FFT to youth who are genetically at risk for bipolar disorder is described. Problems in disseminating empirically supported family interventions in community settings are discussed

Near-field transient waves in anisotropic elastic plates for two and three dimensional problems

The formal solutions to a class of non-axisymmetric problems involving a transversely isotropic elastic plate are derived. The Cagniard-deHoop method of inversion is used to Obtain explicit solutions on the epicentral axis for certain materials, when a point shear load, with a "ramp" time-dependence, is applied to one face of the plate. Also treated is a problem involving plane-strain type motions, namely, the impulsive application of a normal line load to one face of an anisotropic plate, inversion for certain materials again being carried out on the epicentral axis. In both cases a numerical analysis of the solutions is presented.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/32894/1/0000273.pd

Thought Suppression in Patients With Bipolar Disorder

Suppression of negative thoughts has been observed under experimental conditions among patients with major depressive disorder (MDD) but has never been examined among patients with bipolar disorder (BD). Patients with BD (n = 36), patients with MDD (n = 20), and healthy controls (n = 20) completed a task that required unscrambling 6-word strings into 5-word sentences, leaving out 1 word. The extra word allowed the sentences to be completed in a negative, neutral, or “hyperpositive” (manic/goal-oriented) way. Participants completed the sentences under conditions of cognitive load (rehearsing a 6-digit number), reward (a bell tone), load and reward, or neither load nor reward. We hypothesized that patients with BD would engage in more active suppression of negative and hyperpositive thoughts than would controls, as revealed by their unscrambling more word strings into negative or hyperpositive sentences. Under conditions of load or reward and in the absence of either load or reward, patients with BD unscrambled more negative sentences than did controls. Under conditions of reward, patients with BD unscrambled more negative sentences than did patients with MDD. Patients with BD also reported more use of negative thought suppression than did controls. These group differences in negative biases were no longer significant when current mood states were controlled. Finally, the groups did not differ in the proportion of hyperpositive sentence completions in any condition. Thought suppression may provide a critical locus for psychological interventions in BD

Wavelet approach to vibratory analysis of surface due to a load moving in the layer

This article is available open access through the publisher’s website at the link below. Copyright @ 2007 Elsevier B.V.The paper analyses theoretically the surface vibration induced by a point load moving uniformly along a infinitely long beam embedded in a two-dimensional viscoelastic layer. The beam is placed parallel to the traction-free surface and the layer under the beam is assumed to be a half space. The response due to a harmonically varying load is investigated for different load frequencies. The influence of the layer damping and moving load speed on the level of vibrations at the surface is analysed and analytical closed form solutions in the integral form for the displacement amplitude and the amplitude spectra are derived. Approximate displacement values depending on Young’s modulus and mass density of layers are obtained. The mathematical model is described by the Euler–Bernoulli beam equation, Navier’s elastodynamic equation of motion for the elastic medium and appropriate boundary and continuity conditions. A special approximation method based on the wavelet theory is used for calculation of the displacements at the surface

The Reciprocal Relationship between Bipolar Disorder and Social Interaction: A Qualitative Investigation

Copyright © 2016 John Wiley & Sons, Ltd. Background: Evidence suggests that social support can influence relapse rates, functioning and various clinical outcomes in people with bipolar disorder. Yet ‘social support’ is a poorly defined construct, and the mechanisms by which it affects illness course in bipolar disorder remain largely unknown. Key aims of this study were to ascertain which facets of social interaction affect mood management in bipolar disorder, and how symptoms of bipolar disorder can influence the level of support received. Method: Semi-structured qualitative interviews were conducted with 20 individuals with bipolar disorder. Questions were designed to elicit: the effects of social interaction upon the management and course of bipolar disorder; and the impact of bipolar disorder upon social relationships. An inductive thematic analysis was used to analyse the data. Results: Empathy and understanding from another person can make it easier to cope with bipolar disorder. Social interaction can also provide opportunities to challenge negative ruminative thoughts and prevent the onset of a major mood episode. The loss of social support, particularly through bereavement, creates a loss of control and can trigger mania or depression. Hypomanic symptoms can facilitate new social connections, whereas disinhibited and risky behaviour exhibited during mania can cause the breakdown of vital relationships. Conclusions: An in-depth clinical formulation of an individual's perceptions of how their illness affects and is affected by social interaction is crucial to understanding psychosocial factors which influence mood management. These results have clear application in interventions which aim to promote improved wellbeing and social functioning in bipolar disorder. Copyright © 2016 John Wiley & Sons, Ltd. Key Practitioners Messages: The relationship between bipolar-related experiences and social interaction is complex and multi-faceted. Bipolar disorder can damage social relationships and create a loss of social control via extreme mood states, but it can also offer a social advantage through elevated self-confidence during hypomania and enhanced resilience post-recovery. Positive social experiences can facilitate better personal coping and enhanced mood management, whilst negative social experiences can trigger the onset of acute mood episodes. A comprehensive formulation of the reciprocal links between facets of bipolar disorder and characteristics of interpersonal relationships should be used to guide psychosocial interventions that aim to enhance emotion regulation and improve functioning