Building on recent work that used the ideas of sociologist Pierre Bourdieu to construct a theoretical framework for considering military to civilian transition (MCT), this article introduces a ...practical approach to develop the use of this theory into an adaptable framework to explore factors that affect MCT. We have devised a model of MCT called the Model of Transition in Veterans (MoTiVe) to explore why an enduring attachment to the military exists for Veterans and to develop an understanding of how “looking back” on life events experienced in the military may cause difficulty for some in transition. We use Bourdieusian theory to consider the adjustment of military personnel back into civilian life, taking into account the importance of individual variances in socio-economic trajectories, life stories, and subsequent discrepancies between the norms of the military and civilian environments. We suggest that MoTiVe is a useful tool to reflect on how life experiences, both within and outside of the Armed Forces, affect the transition process, which can also be adapted to consider periods of transition in all walks of life.
Make the Bradley review work Fossey, Matt
Mental Health Practice (through 2013),
09/2009, Letnik:
13, Številka:
1
Journal Article, Book Review
Recenzirano
LORD BRADLEY’S long-awaited report into the care of people with mental health problems and people with learning disabilities in the criminal justice system makes 82 proposals.
Despite the emergence of NICE guidelines regarding the effectiveness and appropriateness of psychological therapies for the majority of common mental health problems, access to these services is ...still dramatically underdeveloped and uneven. Estimates of untreated problems such as depression and anxiety in primary care signal the extent of these problems and the scale of investment in new services, if these needs are to be adequately met in the future.The Department of Health's and the Care Services Improvement Partnership's (CSIP) Improving Access to Psychological Therapies (IAPT) programme sets out a framework and a series of co-ordinated actions, including two national demonstration sites, to begin to address these issues in England.This paper examines the origins and policy drivers that have given rise to the IAPT programme, outlines the progress to date and specifically assesses the implications for the mental health workforce of this programme. Issues addressed include the workforce profiles of existing services, career frameworks for psychological therapists, the capacity of training providers to train new and existing staff in psychological therapies and the challenges implicit in devising a workforce delivery plan to support the IAPT programme.
MHT Insight supplement. Impact of being in prison on the mental health of women with borderline personality disorder (BPD), and the consequences for the mental health of prisoners' children. ...Recommendations are given for identifying women with BPD and avoidance of the use of prison. Training for prison staff in the screening and treatment of women with BPD is discussed. (BNI unique abstract) 13 references
Spinal cord injury chronically alters cardiac structure and function and is associated with increased odds for cardiovascular disease. Here, we investigate the cardiac consequences of spinal cord ...injury on the acute-to-chronic continuum, and the contribution of altered bulbospinal sympathetic control to the decline in cardiac function following spinal cord injury. By combining experimental rat models of spinal cord injury with prospective clinical studies, we demonstrate that spinal cord injury causes a rapid and sustained reduction in left ventricular contractile function that precedes structural changes. In rodents, we experimentally demonstrate that this decline in left ventricular contractile function following spinal cord injury is underpinned by interrupted bulbospinal sympathetic control. In humans, we find that activation of the sympathetic circuitry below the level of spinal cord injury causes an immediate increase in systolic function. Our findings highlight the importance for early interventions to mitigate the cardiac functional decline following spinal cord injury.
Introduction
Chronic high‐thoracic spinal cord injury (SCI) is associated with systolic dysfunction, cardiomyocyte atrophy and the upregulation of major proteolytic pathways in the heart. How such ...dysfunction manifests with time is presently unknown.
Methods
Male Wistar rats underwent complete SCI at the 3rd thoracic spinal level (T3‐SCI; n=10) or dorsal durotomy (SHAM; n=5). T3‐SCI rats were terminated at different time points: three days post‐SCI (3‐day SCI; n=5) or seven days post‐SCI (7‐day SCI; n=5). SHAM rats were terminated at seven days post‐durotomy. On termination day, prior to euthanasia, left‐ventricular (LV) catheterization was performed to assess cardiac function. Additionally, cardiac tissue was collected for histological analysis to quantify cardiomyocyte dimensions (standardized to femur length).
Results
Relative to SHAM, T3‐SCI rats at both 3‐day and 7‐day post‐SCI exhibited reduced stroke work (SW; p=0.036), load‐independent contractile function (inferred with end‐systolic pressure‐volume relationship, ESPVR; p=0.0013) and maximal rate of LV systolic pressure increment (dP/dtmax; p=0.0070). The maximal rate of LV relaxation (i.e. ‐dP/dtmin; p=0.019) was reduced at 3‐day and 7‐day post‐SCI vs. SHAM; however, tau (time constant of isovolumic relaxation) was not different (p=0.15). There were no differences for any functional indices between 3‐day vs. 7‐day SCI. Histological analysis of cardiomyocytes indicates no significant differences in length and width in SCI groups vs. SHAM (length p=0.20; width p=0.24).
Conclusion
Systolic cardiac function decreased significantly in both 3‐day and 7‐day SCI rats vs. SHAM. This indicates a rapid onset of cardiac dysfunction following T3‐SCI. Cardiomyocyte atrophy was not present in either 3‐day or 7‐day SCI rats, implying a reduction in cardiac function precedes structural remodeling.
Support or Funding Information
Heart and Stroke Foundation of Canada (HSFC), International Collaboration on Repair Discoveries (ICORD) and Blusson Integrated Cure Partnership (BICP).
This is from the Experimental Biology 2019 Meeting. There is no full text article associated with this published in The FASEB Journal.
PDF