• Violence, control and restraint: The harms to young adults particularly upon transition

      Price, Jayne; University of Chester (Wiley, 2021-06-15)
      The transition into the young adult/adult estate at age 18 years is marked by a significant loss of provision and shift in institutional treatment. One of the many harms endured is the change in restraint which is harmful and damaging yet prevailing. The data presented here shows how the distinct needs of this vulnerable population are widely overlooked. This article extends the literature regarding young adults and argues that there should be greater exploration and understanding of their behaviour and the impacts of transitions. This in turn leads to recommendations for changes to practices within the young adult/adult estate.
    • Transformation hidden in the sand; a pluralistic theoretical framework using sand-tray with adult clients

      Fleet, Doreen; Reeves, Andrew; Burton, Amy; DasGupta, Mani; University of Staffordshire; University of Chester (Taylor and Francis, 2021-06-14)
      Jungian sandplay predominates the existing literature on sand-tray therapy. Although there is a small volume of literature on alternative approaches of using sand-tray with adults, most primarily focuses on children and adolescents. The study aimed to establish a sand-tray therapy framework to be utilized by practitioners who are not Jungian trained and intend to use this intervention with adult clients. The grounded theory (Strauss and Corbin, 1990, 1998) multiple case study involved six client-participants receiving six sand-tray therapy sessions. The pluralistic model established incorporates inter-relational and intra-psychic dimensions. Concepts include phenomenological shift and two sand-tray specific mechanisms of phenomenological anchor and phenomenological hook, aiding ‘edge of awareness’ and unconscious processing. In this study, pluralistic sand-tray therapy was deemed successful based on improved CORE-10 clinical scores and the various participant feedback collected.
    • How to persuade and influence people: The art of effective geographical debate

      Healey, Ruth; Leatham, Chloe; University of Chester (Routledge, 2021-05-27)
      This article supports students to prepare to participate in a debate. We consider thorough preparation as the foundation for effective debate. Here we provide guidance on one approach to preparing as effectively as possible. We outline this before considering three key elements to this method of preparation: 1) substance: your knowledge and understanding of the debate topic; 2) style: how to present your points clearly and succinctly; and 3) persuasion: how through both substance and style you effectively persuade people of your argument. We conclude by summarising the key points raised in this guide and identifying how they apply to other assignment contexts. The discussion that follows uses the debate topic ‘Should an additional charge be applied to all single-use plastics?’ to demonstrate the approaches we suggest.
    • Tears Evoke the Intention to Offer Social Support: A Systematic Investigation of the Interpersonal Effects of Emotional Crying Across 41 Countries

      Zickfeld, Janis H.; van de Ven, Niels; Pich, Olivia; Schubert, Thomas W.; Berkessel, Jana B.; Pizarro, José J.; Bhushan, Braj; Mateo, Nino Jose; Barbosa, Sergio; Sharman, Leah; et al. (Elsevier, 2021-04-13)
      Tearful crying is a ubiquitous and likely uniquely human phenomenon. Scholars have argued that emotional tears serve an attachment function: Tears are thought to act as a social glue by evoking social support intentions. Initial experimental studies supported this proposition across several methodologies, but these were conducted almost exclusively on participants from North America and Europe, resulting in limited generalizability. This project examined the tears-social support intentions effect and possible mediating and moderating variables in a fully pre-registered study across 7,007 participants (24,886 ratings) and 41 countries spanning all populated continents. Participants were presented with four pictures out of 100 possible targets with or without digitally-added tears. We confirmed the main prediction that seeing a tearful individual elicits the intention to support, d = .49 [.43, .55]. Our data suggest that this effect could be mediated by perceiving the crying target as warmer and more helpless, feeling more connected, as well as feeling more empathic concern for the crier, but not by an increase in personal distress of the observer. The effect was moderated by the situational valence, identifying the target as part of one’s group, and trait empathic concern. A neutral situation, high trait empathic concern, and low identification increased the effect. We observed high heterogeneity across countries that was, via split-half validation, best explained by country-level GDP per capita and subjective well-being with stronger effects for higher-scoring countries. These findings suggest that tears can function as social glue, providing one possible explanation why emotional crying persists into adulthood.
    • Evaluating process and effectiveness of a low-intensity CBT intervention for women with gynaecological cancer (the EPELIT Trial)

      Hulbert-Williams, Nicholas J.; Hulbert-Williams, Lee; Flynn, Ryan J.; Pendrous, Rosina; MacDonald-Smith, Carey; Mullard, Anna; Swash, Brooke; Evans, Gemma; Price, Annabel; University of Chester; North Wales Cancer Treatment Centre; Ysbyty Gwynedd; Addenbrooke's Hospital Cambridge (F1000Research, 2021-03-29)
      Background: Improving survival from gynaecological cancers is creating an increasing clinical challenge for long-term distress management. Psychologist-led interventions for cancer survivors can be beneficial, but are often costly. The rise of the Psychological Wellbeing Practitioner (PWP) workforce in the UK might offer a cheaper, but equally effective, intervention delivery method that is more sustainable and accessible. We aimed to test the effectiveness of a PWP co-facilitated intervention for reducing depression and anxiety, quality of life and unmet needs. Methods: We planned this trial using a pragmatic, non-randomised controlled design, recruiting a comparator sample from a second clinical site. The intervention was delivered over six-weekly sessions; data were collected from participants at baseline, weekly during the intervention, and at one-week and three-month follow-up. Logistical challenges meant that we only recruited 8 participants to the intervention group, and 26 participants to the control group. Results: We did not find significant, between-group differences for depression, quality of life or unmet needs, though some differences at follow-up were found for anxiety (p<.001). Analysis of potential intervention mediator processes indicated the potential importance of self-management self-efficacy. Low uptake into the psychological intervention raises questions about (a) patient- driven needs for group-based support, and (b) the sustainability of this intervention programme. Conclusions: This study failed to recruit to target; the under-powered analysis likely explains the lack of significant effects reported, though some trends in the data are of interest. Retention in the intervention group, and low attrition in the control group indicate acceptability of the intervention content and trial design; however a small baseline population rendered this trial infeasible in its current design. Further work is required to answer our research questions, but also, importantly, to address low uptake for psychological interventions in this group of cancer survivors.
    • Benefits of musical training on implicit memory and learning in healthy older adults and individuals with dementia

      Cousins, Margaret; Bramwell, Ros; Thorpe, Lisa (University of Chester, 2021-03)
      Ageing is linked to a variety of health issues, but perhaps the most well documented feature of growing older is that it is associated with memory decline (Ward, Berry & Shanks, 2013). It is well established that explicit memory declines with age, with the rate of decline being an important predictor of the diagnosis of dementia (Ward et al., 2013). Implicit memory is involved in everyday tasks that, with practice, become largely automatic. The process of implicit learning is generally defined as the ability to acquire knowledge unconsciously. An effective way of improving health in older adults is through music. Making music is one of the essential skills that requires the use of implicit knowledge. Procedural learning is one type of implicit knowledge that focuses on the learning of a skill through repeated performance and practise. To become a professional musician takes years of skill training, for example, practising scales improves finger patterns in pianists, which over time becomes an implicit motor skill that helps with musical performance. Previous research that has looked at implicit memory in musicians, has focused on young adults and found that both musicians and non-musicians performed equally on implicit knowledge tasks (Bigand et al. 2001). This thesis aimed to look at whether musical training is associated with better performance in implicit memory in healthy older adults and individual with dementia. To do this implicit memory tasks including an adaptation of the Phoneme Monitoring Task (Bigand et al., 2001), Serial Reaction Time Task (Nissen & Bullemer, 1987) and The Word Completion tasks (Tulving, Schacter & Stark, 1982), were completed by healthy older adults and individuals with dementia both musicians and non-musicians. Overall, results showed that musicians, both older adults and individuals with dementia, performed better than non-musicians on procedural learning tasks (Serial Reaction Time Task) but there was no difference on implicit tasks such as priming. Although both musicians and non-musicians with dementia showed reaction times that would suggest procedural learning for repeated sequences, only musicians showed a significant difference between repeated and novel sequences, suggesting that musical training benefits procedural learning. Overall, both health older adult musicians and musicians with dementia performed faster than non-musicians on both the Serial Reaction Time Task and the Adapted Phoneme Monitoring task. However, results did not reach significance on the Adapted Phoneme Monitoring Task. The results suggest that musical training benefits procedural learning in musicians, which could have positive implications for future learning in older adults and individuals with dementia.
    • Professional Development Implications for Counsellors Who Have Worked in The English Improving Access to Psychological Therapies (IAPT) Programme

      Reeves, Andrew; Gubi, Peter; Mason, Richard (University of Chester, 2020-12)
      Background: Prior to the implementation of the IAPT programme by NHS England in 2008, counsellors were commonly employed to deliver psychological therapy in English NHS Primary Care Mental Health (PCMH) services. Pre-IAPT, professional development for PCMH practitioners, like the therapeutic approaches they offered, was non-standardised. Post-IAPT, PCMH provision became standardised, utilising manualised therapies alongside a commitment to outcome data completion. IAPT operates a highly structured approach to PCMH provision, arguably a treatment paradigm, in which ontological and epistemological entities are controlled. The model allows minimal flexibility in relation to what should, and how it should be treated; what data should, and how it should be gathered, and how outcomes should be interpreted. Clinical Commissioning Groups, contract to deliver IAPT services to any qualified providers, using IAPT data to determine performance. Arguably, IAPT has franchised PCMH in England. Professional development of IAPT practitioners is confined to training that supports the delivery of its aims. Consequently, service investment in training is focussed towards NICE approved approaches that are considered to be evidence-based. These approaches are epistemologically nomothetic, creating ideological challenges to counsellors who are epistemologically idiographic. This incommensurability between the IAPT treatment paradigm and counsellors, can affect professional development. Objectives: This research focusses on implications for professional development of counsellors who have worked in IAPT. Conducted amongst ex-IAPT counsellors, to explore: the degree to which counsellors engage in IAPT professional development opportunities; how facilitative IAPT service is to professional development; how counsellors conceptualise and respond to those professional development opportunities. Method: Semi-structured interviews of eight participants who had worked in different IAPT services across England were completed and analysed utilising an Applied Thematic Analysis. Findings: Three themes were identified, exposing many implications for counsellor professional development, influenced by: the IAPT Business and Clinical Models, and Participants Responses to those influences, reflecting both external and internal ideological challenges towards professional development. Conclusions: Ideological incommensurability, can result in both positive and negative professional development outcomes. Business and clinical models contributed to the struggle to identify, secure, or adapt to formal opportunities that are ideologically incompatible. However, participants capitalised on informal professional development opportunities. Exposure to the IAPT program, and the working environment of primary care mental health, enhanced knowledge and experience, administrative competence, and provided valuable exposure to wide-ranging variety of type and complexity in clinical presentation. This was identified as contributing to the development of a notable level of pluralistic practices. Participants did not disclose planned professional development strategies (appearing to respond intuitively to opportunity), suggesting that professional development was lacking intent. Therefore, counsellors are encouraged to reflect upon the type of psychological therapist they wish to become; contemplate the benefit of a structured professional development plan to achieve that aim; recognise the rich potential IAPT offers, and consider how IAPT might contribute to their professional development.
    • Persistent millennial-scale climate variability in Southern Europe during Marine Isotope Stage 6

      Exploring the mode and tempo of millennial-scale climate variability under evolving boundary conditions can provide insights into tipping points in different parts of the Earth system, and can facilitate a more detailed understanding of climate teleconnections and phase relationships between different Earth system components. Here we use fossil diatom and stable carbon and oxygen isotope analysis of lake sediment deposits (core I-284) from the Ioannina basin, NW Greece, to explore in further detail millennial-scale climate instability in southern Europe during Marine Isotope Stage 6 (MIS 6; ca. 185‒130 ka). This interval correlates with the Vlasian Stage in Greece and the Late Saalian Substage in northern Europe, which were both characterised by extensive glaciations. The new dataset resolves at least 18 discrete warmer / wetter intervals, many of which were associated with strong Asian Monsoon events and North Atlantic interstadials. A number of cooler / drier intervals are also identified in the I-284 record, which are typically associated with weaker Asian Monsoon events and North Atlantic stadials, consistent with a variable Atlantic Meridional Overturning Circulation. Unlike the subdued changes in tree populations that are observed at Ioannina during mid-to-late MIS 6, the diatom record contains frequent high-amplitude oscillations in species assemblages, pointing to its sensitivity at a time when the lake system must have been close to environmental thresholds. Millennial-scale variability in diatom species assemblages continues into late MIS 6 at Ioannina, contributing important evidence for an emerging picture of frequent and persistent climate instability even at times of high global ice volume.
    • Prospective study on a fast-track training in psychiatry for medical students: the psychiatric hat game

      Clément, Anthony; Delage, Raphaël; Chollier, Marie; Josse, Laure; Gaudry, Stéphane; Zahar, Jean-Ralph; Baubet, Thierry; Degos, Bertrand; email: bertrand.degos@aphp.fr (BioMed Central, 2020-10-19)
      Abstract: Background: While medical students are losing interest in lectures in favor of other educational materials, many studies suggest the benefit of active learning, combined with gamified educational tools. The authors developed a psychiatric adaptation of the « Hat Game ». It was hypothesised that this game would increase both knowledge and motivation in medical students toward psychiatric semiology. The aim of the study was to assess the benefit of a Psychiatric Hat Game session for learning psychiatric symptoms in third-year medical students. Student performance was also evaluated at 3 months. Methods: This gamified fast-track training consists of two teams and each team has to guess as many psychiatric semiology terms as possible using different techniques (i.e. speech, mime). The study involved a pre- and post-evaluation of knowledge (Multiple Choice Questions) and a satisfaction survey. Baseline, post-immediate, and three-months scores were compared by using Friedman analysis for paired samples. Comparisons of mean scores at two different times were performed by using Wilcoxon test for paired samples. Results: One hundred and sixty-six students were proposed to take part in the study. Among them 129 completed the whole program (response rate = 77.7%). Mean scores measured at the three points in time were significantly different (p < 0.001, N = 129). Knowledge mean scores were significantly higher after the game than before (+ 28.6%, p < 0.001). Improvement was maintained 3 months after the game (+ 18.9%, p < 0.001). Satisfaction survey items highlighted that students enjoyed and would recommend this type of gamified training. Conclusions: The Psychiatric Hat Game improved knowledge of psychiatric semiology in medical students. Results suggest that it is a promising and efficient tool to playfully teach medical semiology, with transferable features, utility and acceptability from one medical field to another. This study contributes to the growing body of knowledge advocating for serious games and gamified training in medical education.
    • A moment of love? Embodied experiences of relational depth in transactional analysis psychotherapy

      Gubi, Peter; Swales, Emma (University of Chester, 2020-10)
      This research project explores the question: ‘Can moments of relational depth be understood as a moment of love?’ The aims of the research were: to determine whether Transactional Analysis (TA) psychotherapists have experienced moments of relational depth; to explore their embodied and spiritual experience of this phenomenon, and to investigate participants’ interpretations of this experience. The research has sought to understand if these moments of intense, embodied attunement in therapy can be interpreted as moments of love. The study uses Interpretative Phenomenological Analysis (IPA) to explore the embodied experience of moments of relational depth in transactional analysis psychotherapy, by exploring the felt experience, understandings and conceptualisations of visceral experiences of moments of profound, intense connection in the therapeutic relationship. Thoughts, feelings and experiences of love in therapy are also explored. Semi-structured interviews of nine experienced Transactional Analysis psychotherapists are analysed and 5 superordinate and 26 subordinate themes are identified. The study found that TA psychotherapists do experience moments of embodied relational depth, and that this moment of relational depth can be described and understood as a moment of love. The participants were able to describe significant and similar physical and spiritual sensations that identified the experience. This phenomenon is also explored and understood as a moment of interpersonal physical synchrony. The participants interpreted this experience as being related to early infant-parent interactions, and as a transmission between themselves and their clients. All the participants described feeling love in the therapeutic relationship, and there were descriptions of the types of love that can occur in therapy. A definition of therapeutic love is also offered. The research data showed that for the participants in the study, therapeutic love is a fundamental aspect of therapy, both as a quality of the therapeutic relationship, and as a moment of embodied attunement. Therefore, the research suggests that training and supervision processes need to support trainee and qualified psychotherapists to explore and understand these phenomena. Identifying moments of embodied attunement requires an awareness of our internal experience. This suggests that a focus on the body and body awareness is an essential component of counselling and psychotherapy training courses. The integration of body psychotherapy into mainstream counselling and psychotherapy training will enable therapists to be open to experiences of embodied attunement in therapy. In addition, ongoing personal therapy for practitioners serves as an additional resource to underpin the safe provision of this profound therapeutic work.
    • Trade Barriers

      Fernandez, Rosa M.; University of Chester (Springer Nature, 2020-09-30)
      A basic definition of trade barriers could be ‘all factors that influence the amount of goods and services shipped across international borders’ (Feenstra and Taylor, 2017a). This definition is quite neutral, and it needs to be understood that the word ‘barrier’ has a negative connotation, which means that a trade barrier would be any instrument that limits or restrict trade between countries, as opposed to free trade. It is generally accepted that free trade is good for productivity and economic growth, but it is also true that most countries apply some sort of trade restriction, for different reasons.
    • Work, identity, place and population. A changing landscape

      Bennett, Julia; University of Chester (Frontiers in Sociology, 2020-09-08)
      Taking a biographical approach, this paper uses life history narratives across four generations of families living and working in Wigan, Lancashire to analyse social and cultural changes in working life biographies over the past 80 years. Beginning with those who left school at 14, prior to the 1944 Education Act up to the present, where young people are required to remain in education until 18, the paper examines the decisions people have taken throughout their working lives. Inevitably these are shaped by structural changes, particularly to the industrial landscape. The biographical narratives allow a ‘bottom up’ approach to uncovering changes to life courses over three generations in a northern British former industrial town whilst also exploring the wider relations between self, society and place (conceptualised here as ‘taskscape’) in a post-industrial setting. Key changes over the generations are the increased ability of women to pursue careers in addition to having a family, the decrease in parental influence over career choice, and the loss of a ‘job for life’ and employment opportunities for manual workers.
    • “I too matter”. The experience and impact of a brief online self-compassion intervention for informal carers of those with a life-limiting or terminal illness: A mixed methods study

      Reeves, Andrew; Gubi, Peter; Diggory, Catherine J. (University of Chester, 2020-09)
      Aims: Being an informal carer of someone with a life-limiting or terminal illness (‘Carer’) often results in marked levels of depression, anxiety and stress. Yet, Carers have little available free time to devote to lengthy, well-being interventions offered outside the home. Carers also struggle to prioitorise their self-care, a factor which may help buffer some of the negative impacts of being a Carer. The aim of this research was to gain insight into Carers’ views and perceptions of the impact of a brief, four module, online self-compassion intervention for Carers which was created to improve wellbeing, increase self-compassion and develop self-care among Carers. In so doing, the research addresses gaps in the literature relating to self-compassion interventions for Carers and targeted self-care initiatives for Carers. Design: This predominantly qualitative study was undertaken in two phases. In Phase One semi-structured interviews with nine participants of a four module, one to one self-compassion intervention (iCare), delivered in person, were conducted and data subjected to a reflexive thematic analysis within a critical realist framework. Additionally, descriptive statistics were collected. The findings from Phase One provided a theoretical basis for the design and content of the online version of iCare, the intervention studied in Phase Two. Seven Carers completed the four module online self-compassion programme. Data were collected through individual module feedback, post-intervention online qualitative questionnaires and descriptive statistics. Findings: The reflexive thematic analysis of the data generated four overarching themes: The Myth of SuperCarer; Get with the programme!; ‘Being kinder to myself’; and Everyone’s a winner. These explored how participants approached iCareonline, the impact engaging with it had on their well-being and highlighted how participants developed self-care through gaining permission to recognise their own needs. Improvements in psychological well-being and increases in self-compassion were reflected in the quantitative findings. In line with critical realist methodology, a causal mechanism was proposed explaining the development of self-compassion and conscious self-care among participants based on a cyclical model of Carer self-compassion. Implications: This study has relevance for: healthcare practitioners as the findings suggest that these professionals have a key role in legitimising Carer needs and fostering permission in Carers to practise self-care; counselling and psychotherapy professionals who work with Carers who are well-placed to challenge barriers Carer-clients may erect in the face of encouragement to practise self-care and self-compassion. Some of the content of iCare may prove useful to those therapists adopting a pluralistic approach when working with clients who are carers. Finally, teachers of mindful self-compassion could note the importance of the permission-giving aspects of a self-compassion intervention and the role it plays in developing conscious self-care in participants.
    • Affordable Housing

      Fernandez, Rosa M.; University of Chester (Springer, 2020-08-26)
      This is a piece of work that intends to make a contribution to clarify the existing information available about what affordable housing means and what it involves, linking income with house prices but also with other variables, and indicating the different perceptions and problems depending on the country of reference.
    • The impact of therapist self-disclosure on clients who are themselves therapists: An exploration of discourse and lived experience

      Reeves, Andrew; Swinden, Colleen (University of Chester, 2020-08-18)
      The practice of therapist self-disclosure (TSD) has been of interest to the counselling community for over 100 years. The available literature on the topic is vast. A review of the research literature indicated a need for further research employing three factors: i) the use of a concise definition of TSD; ii) research that includes the client’s perspective; and iii) a methodology that used a qualitative approach, with the underlying assumption that the lived experience of hearing TSD may be more nuanced and complex than has previously been outlined in academic literature. For this study, the definition of TSD was outlined as a statement made by the therapist that reveals something about their life outside of the therapy room. Using semi-structured interviews with eight participants who had experienced TSD, and who were also therapists themselves. The transcripts were analysed twice using a novel approach that employed a combination of interpretative phenomenological analysis (IPA) and discourse analysis (DA). While in IPA the emphasis is on understanding and gaining a sense of how participants describe their internal life world, by contrast in DA, the analytic emphasis is on the discursive resources used to create or construct those descriptions, and how these are mobilised by participants in terms of subject position and associated rights, duties and responsibilities of these positions. The findings were then synthesised at the post-analytical stage. Six superordinate themes emerged: i) the therapeutic relationship prior to the disclosure; ii) the disclosure content; iii) the disclosure process; iv) the short-term impact; v) the longterm impact, and vi) meaning making. Within these superordinate categories, 17 subordinate themes were identified. The DA analysis explored how, after their experiences as clients, the participants construct their own use of self-disclosure as therapists. The findings illustrated a variety of rhetorical devices that were needed to carefully manage the ethical dilemmas that can potentially accompany a therapist’s decision to disclose (or not) to their clients. These findings support extant research, but also provide fresh interpretations and many opportunities for future research.
    • Building the capacity for psycho-oncology research: A survey of the research barriers and training needs within the International Psycho-Oncology Society (IPOS)

      Lambert, SD; Coumoundouros, C; Hulbert-Williams, NJ; Shaw, J; Schaffler, J; McGill University; University of Chester; University of Sydney (Wolters Kluwer, 2020-07-28)
      Background: The International Psycho-Oncology Society (IPOS) is a multidisciplinary professional network that aims to improve psychosocial care for individuals impacted by cancer. IPOS encourages research activity, recognising that a high-quality evidence-base is essential to provide best-practice, data-driven clinical care. This study aimed to determine the barriers to research involvement and the training needs and priorities of IPOS members, with the goal of facilitating the development of training resources tailored to the needs of IPOS members. Methods: A link to an online, cross-sectional survey was disseminated to all registered members of IPOS via email. The online survey platform SimpleSurvey was used, and questions included demographic characteristics and items related to research interests, involvement, and training needs. High priority research training needs were identified as research tasks respondents rated as highly important, yet possessed a low perceived skill level in. Results: 32% of IPOS members (n = 142) completed the survey. Participants represented 49 countries and were at a variety of career stages. Overall, participants reported spending an average of 17.3 hours per week on research (range = 0 to 80 hours per week), with 69% of respondents wanting to increase their research involvement. The main barriers to research participation included lack of research funding (80%) and lack of protected time (63%). IPOS members identified five high priority training needs: (1) preparing successful grant applications; (2) preparing research budgets; (3) community-based participatory research; (4) working with decision makers; and (5) finding collaborators or expert consultants. Participants suggested funding access, statistical advisors and networking and mentorship opportunities as ways to enhance research involvement. Members preferred online training modules (39%) and mentorship programs (19%) as methods by which IPOS could provide research support. IPOS was viewed as being able to contribute to many aspects of research capacity building such as networking, training, and dissemination of research findings. Conclusions: IPOS has an important role in encouraging research capacity building among members. This survey provides an agenda for workshops and training opportunities. Mainly, for respondents it was less about training in research methods and more about training in how to prepare successful grant applications, including budgets, and receiving mentorship on this as well as having opportunities to collaborate with other researchers.
    • Humanity, expectations, access and transformation (HEAT): revisiting South African higher education entrance assessment in a postcolonial context

      Francis, Suzanne; Lewis, Janine; Fredericks, Brenton; Johnson, Belinda (Informa UK Limited, 2020-07-19)
    • Popular geopolitics ‘beyond the screen’: Bringing Modern Warfare to the city

      Bos, Daniel; University of Chester (SAGE Publishing, 2020-07-16)
      Popular culture – in this case military-themed videogames – has been argued to mould and shape popular understandings of the geopolitics of the ‘war on terror’. To date, most attention has been focused on the geopolitical representations of a ‘final’ popular cultural text or object. Less attention has been paid to how popular understandings of geopolitics and military violence have been constructed and commodified prior to, and ‘beyond the screen’. Empirically, the paper examines the marketing campaign of Call of Duty: Modern Warfare 3. Through the use of experiential marketing, I show how the game’s launch night incorporated spectacular displays, performances and consumer interactions to sell the pleasures of virtual war by drawing on geopolitical fears of terrorism and military violence within major Western cities. Firstly, I demonstrate how marketing engaged with and transformed urban spaces extending the popular geopolitics of virtual war. Secondly, the paper reveals how experiential marketing targeted and encouraged connections with and between attendees’ bodies. Thirdly, I demonstrate how such events promote geopolitical encounters which extend beyond the temporal and the spatial confines of the marketing event itself. Ultimately, the paper reveals how urban fears surrounding the global ‘war on terror’ were employed to sell the pleasures and geopolitics of virtual war.
    • The experience of young people transitioning between youth offending services to probation services

      Price, Jayne; University of Chester (Sage, 2020-07-15)
      This article explores the experience of transitioning from youth offending services to adult probation services upon turning age 18 years whilst incarcerated. The significant differences in the level of provision has been described as a ‘cliff-edge’ (Transition to Adulthood Alliance, 2009). Drawing upon interviews with young people held in institutions, stakeholders and survey data from Her Majesty’s Inspectorate of Prisons (HMIP), it is argued that the drop in support is exacerbated by poor communication between institutions and services which has harmful implications for young people during this crucial period of developmental maturity and beyond custody.
    • A Novel Approach for Autism Spectrum Condition patients with Eating Disorders: Analysis of Treatment Cost-savings

      Tchanturia, Kate; Dandil, Yasemin; Li, Zhuo; Smith, Katherine; Leslie, Monica; Byford, Sarah; King's College London; South London and Maudsley NHS Foundation Trust; Illia University (Wiley, 2020-07-10)
      Objective: In the current economic context, it is critical to ensure that eating disorder (ED) treatments are both effective and cost-effective. We describe the impact of a novel clinical pathway developed to better meet the needs of autistic patients with EDs on the length and cost of hospital admissions. Method: The pathway was based on the Institute for Healthcare’s Model of Improvement methodology, using an iterative Plan, Do, Study, Act format to introduce change and to co-produce the work with people with lived experience and with healthcare professionals. We explored the change in length and cost of admissions before and after the pathway was introduced. Results: Preliminary results suggest that the treatment innovations associated with this pathway have led to reduced lengths of admission for patients with the comorbidity, which were not seen for patients without the comorbidity. Estimated cost-savings were approximately £22,837 per patient and approximately £275,000 per year for the service as a whole. Conclusion: Going forward, our aim is to continue to evaluate the effectiveness and cost-effectiveness of investment in the pathway to determine whether the pathway improves the quality of care for patients with a comorbid ED and autism and is good value for money.