Cue-Reactive Altered State of Consciousness Mediates the Relationship Between Problem-Gambling Severity and Cue-Reactive Urge in Poker-Machine Gamblers

In order to enhance our understanding of the nature of poker-machine problem-gambling, a community sample of 37 poker-machine gamblers (M _age = 32 years, M _PGSI = 5; PGSI = Problem Gambling Severity Index) were assessed for urge to gamble (responses on a visual analogue scale) and altered state of consciousness (assessed by the Altered State of Awareness dimension of the Phenomenology of Consciousness Inventory) at baseline, after a neutral cue, and after a gambling cue. It was found that (a) problem-gambling severity (PGSI score) predicted increase in urge (from neutral cue to gambling cue, controlling for baseline; sr ² = .19, p = .006) and increase in altered state of consciousness (from neutral cue to gambling cue, controlling for baseline; sr ² = .57, p < .001), and (b) increase in altered state of consciousness (from neutral cue to gambling cue) mediated the relationship between problem-gambling severity and increase in urge (from neutral cue to gambling cue; κ² = .40, 99 % CI [.08, .71]). These findings suggest that cue-reactive altered state of consciousness is an important component of cue-reactive urge in poker-machine problem-gamblers.     

Time for Each Other: Work and Family Constraints Among Couples

Little is known about couples' shared time and how actual time spent together is associated with well‐being. In this study, the authors investigated how work and family demands are related to couples' shared time (total and exclusive) and individual well‐being (happiness, meaningfulness, and stress) when with one's spouse. They used individual‐level data from the 2003–2010 American Time Use Survey (N = 46,883), including the 2010 Well‐Being Module. The results indicated that individuals in full‐time working dual‐earner couples spend similar amounts of time together as individuals in traditional breadwinner–homemaker arrangements on weekdays after accounting for daily work demands. The findings also show that parents share significantly less total and exclusive spousal time together than nonparents, though there is considerable variation among parents by age of the youngest child. Of significance is that individuals experience greater happiness and meaning and less stress during time spent with a spouse opposed to time spent apart.     

Transfer of learning: concept and process

This article will present findings from a doctoral study exploring the impact of 'SVQ Care: Promoting Independence (level III)' within children's homes. The study focuses on the extent to which SVQs enhance practice and their function within a 'learning society'. A total of 30 staff were selected from seven children's homes in two different local authority social work departments in Scotland. Each member of staff was interviewed on four separate occasions over a period of 9 months. Interviews were structured using a combination of repertory grids and questions. Particular focus was given to the assessment process, the extent to which SVQs enhance practice and the learning experiences of staff. The findings suggest that there are considerable deficiencies both in terms of the SVQ format and the way in which children's homes are structured for the assessment of competence. Rather than address the history of failure within residential care, it appears that SVQs have enabled the status quo to be maintained whilst creating an 'illusion' of change within a learning society.     

Fighting Battles with History: The Novelist Louis Golding and the Story of the ‘Doomington Wanderer’

This article explores the writing of Louis Golding in the context of existing scholarship on the Anglo-Jewish novel. It assesses the importance of Golding's background and beliefs in shaping his fiction. Golding's views bridge the cultural gap between eastern European Jewish schtetl life and interwar British society. On one hand, he was a militant supporter of Jewish/non-Jewish intermarriage, of secular Judaism and religious freedom. At the same time his writing reveals a sustained belief in Jewish ‘race’ and Jewish spirituality. Golding's writing on ‘race’ will receive particular attention. Like so many other British Jews in the period, the author seems to have been caught between his desire to fight the racism of the Third Reich and his own confused ‘racial’ attitudes.     

Physically constrained spatiotemporal modeling: generating clear-sky constructions of land surface temperature from sparse,remotely sensed satellite data

Satellite remote-sensing is used to collect important atmospheric and geophysical data at various spatial resolutions, providing insight into spatiotemporal surface and climate variability globally. These observations are often plagued with missing spatial and temporal information of Earth''s surface due to (1) cloud cover at the time of a satellite passing and (2) infrequent passing of polar-orbiting satellites. While many methods are available to model missing data in space and time, in the case of land surface temperature (LST) from thermal infrared remote sensing, these approaches generally ignore the temporal pattern called the ‘diurnal cycle’ which physically constrains temperatures to peak in the early afternoon and reach a minimum at sunrise. In order to infill an LST dataset, we parameterize the diurnal cycle into a functional form with unknown spatiotemporal parameters. Using multiresolution spatial basis functions, we estimate these parameters from sparse satellite observations to reconstruct an LST field with continuous spatial and temporal distributions. These estimations may then be used to better inform scientists of spatiotemporal thermal patterns over relatively complex domains. The methodology is demonstrated using data collected by MODIS on NASA''s Aqua and Terra satellites over both Houston, TX and Phoenix, AZ USA.     

Monitoring postpartum haemorrhage in Australia: Opportunities to improve reporting

Problem

The rate and severity of postpartum haemorrhage (PPH) are increasing, according to research reports and clinical anecdote, causing a significant health burden for Australian women giving birth. However, reporting a national Australian rate is not possible due to inconsistent reporting of PPH.

Legal capacity and the mental health social worker role: an international comparison

ABSTRACT

New capacity laws have been introduced to many jurisdictions over the last decade. These laws have substantially changed the way in which mental health social workers and other professionals approach decisions about, and for, clients. Most notably, there is now an expectation that mental health social workers engage more in supported decision-making to prevent the need for substitute decision-making. This article describes the legal and policy drivers that have led to these changes in practice, with a particular emphasis on the significance of the United Nations Convention on the Rights of Persons with Disabilities (the UNCRPD) and the importance of recovery approaches in mental health services. It then uses selected literature to explore the efficacy of the laws and decision-making in this area. The second part of the article identifies the role that mental health social workers can play in supporting legal capacity, drawing from the authors’ experience and knowledge of mental health social work and law in four jurisdictions: Victoria, Australia; Ontario, Canada; England and Wales; and Northern Ireland. It is concluded that mental health and other social workers need to refine skills, knowledge and values to accommodate this paradigm shift in law, policy and practice.     

'They don't quite fit the way we organise our services'—results from a UK field study of marginalised groups and dementia care

The accessibility of dementia services to two groups of marginalised service users (people under 65 years of age and people from minority ethnic groups) was examined as part of a UK field study. In 61 interviews with a purposeful sample of professionals and paid carers in dementia care, the main issue in service access related to the small numbers of potential service users and their geographical dispersal. Other issues reflected those faced by people with dementia in general. At present, it seems as though decisions on care are based mainly on financial considerations and perceptions of the risk and dangerousness posed by people with dementia. These findings are linked to broader debates within the social model of disability about the need to address issues relating to people with learning impairments.     

Reliability,Validity, and Variability of the Subjective Well-Being Questions in the 2010 American Time Use Survey

Part of a wider range of investigations to produce generally acceptable standards for measuring affective well-being, time diary surveys have tested several approaches to measuring subjective well-being during diary days. As an alternative to the standard approach of asking a single question about each activity reported in time diary surveys, the 2010 module of the American Time Use Survey asked six emotion questions about three activities. The perception questions captured how happy, meaningful, sad, tired, stressed, or in pain respondents felt on a 7-point scale. To evaluate this approach, our research examined the reliability and validity of the six emotion questions, and assessed their variability across activities. Using principal component analysis, we assessed the associations among items and obtained two activity-level components with Cronbach’s alphas of 0.68 and 0.59 and two respondent-level components with Cronbach’s alphas of 0.74 and 0.65. To test validity, we regressed self-rated health on the underlying components and socio-demographic controls. Both of the respondent level components were significantly associated with better health (odds ratio 1.81, 1.27). Using each of the perceptions individually, we found that happiness, meaningfulness, and lack of fatigue, stress, and pain were related to better health, but none as strongly as the first component. Finally, we examined the coefficients of variation to assess the variability in the well-being measures across activities. Measurement implications and limitations of this study are discussed.     

Risk,Recovery and Capacity: Competing or Complementary Approaches to Mental Health Social Work

Mental health social workers have a central role in providing support to people with mental health problems and in the use of coercion aimed at dealing with risk. Mental health services have traditionally focused on monitoring symptoms and ascertaining the risks people may present to themselves or others. This well-intentioned but negative focus on deficits has contributed to stigma, discrimination, and exclusion experienced by service users. Emerging understandings of risk also suggest that our inability to accurately predict the future makes risk a problematic foundation for compulsory intervention. Therefore it is argued that alternative approaches are needed to make issues of power and inequality transparent. This article focuses on two areas of practice: the use of recovery-based approaches, which promote supported decision-making and inclusion; and the assessment of a person's ability to make decisions, their mental capacity, as a less discriminatory gateway criterion than risk for compulsory intervention.