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‘Integration by immersion’: A contemporary model of integration for psychotherapeutic and pedagogical practice
Get PDFAbstract Objectives
Psychotherapeutic integration has been a source of contentious debate and increasing authorship for over five decades. Yet, the challenge remains as to how practitioners learn to integrate their practice according to the philosophical, theoretical and practical procedures of their chosen modalities. Pedagogically, there is also a challenge for educators to support trainees to develop their own congruent model of integrative practice, which may change over time. The objectives of this study were to critically explore the traditional models of integration, highlighting their gaps and limitations, and to propose a new model of integration, which is befitting to contemporary psychotherapeutic and pedagogical practice.
Methods
Rigorous methods of analysis were employed utilising a three‐phased approach, which included survey data analysis from a convenience sample of 104 counselling psychologists, and critical theoretical analysis of the traditional models of psychotherapeutic integration. A duoethnographic method was then employed to analyse the data further, illuminating the gaps and limitations.
Results
The results make a significant contribution to the knowledge and theoretical framework in the field of integration by offering a new model of ‘Integration by Immersion’. This model is an alternative approach steeped in a framework of love and relationship as a foundation for unifying integrative practice. It flexibly fits and flows with practitioners' personal and professional development, making it applicable to evolving psychotherapeutic practice.
Conclusion
The impact of ‘Integration by Immersion’ is that it offers an alternative model that advances psychotherapeutic trainees', practitioners' and educators' knowledge, skills and practice, enabling them to develop their own idiosyncratic model of integration
Physiotherapy Within Inpatient Mental Health Wards: Involvement, Diagnoses, and Lifestyle Characteristics
Get PDFBackground: Severe mental illness (SMI) is often linked to physical health issues, including multiple comorbidities. Physiotherapists are increasingly recognized for their role in addressing these health disparities. This study investigated the role of physiotherapy in managing physical health conditions in individuals admitted to inpatient mental health services. Objective: The primary aim was to examine the prevalence of physical comorbidities among individuals admitted to inpatient mental health services, comparing those referred to physiotherapy versus those not referred. Secondary aims included assessing the relationship between physiotherapy referral and admission duration and identifying patterns in referral likelihood based on primary and comorbid diagnoses. Methods: A data linkage analysis was conducted using records from Tees, Esk and Wear Valleys NHS Foundation Trust, encompassing admissions from September 2020 to January 2023. Demographic data, physiotherapy referral status, and SNOMED-CT coded diagnoses were analyzed. Results: Among 2150 admissions, 505 (23.5%) were referred for physiotherapy. Multimorbidity was present in 58.1% of admissions, with a higher prevalence (67.8%) in those referred to physiotherapy versus those not referred (55.1%). Individuals referred to physiotherapy had longer lengths of stay (117.3 days), compared to those not referred (44.1 days), suggesting that extended stays may indirectly facilitate the identification and management of physiotherapy needs. Referral likelihood was influenced by primary diagnoses and comorbidities. Conclusions: Approximately one in four inpatient admissions resulted in a physiotherapy referral, with a higher prevalence of multimorbidity in those referred. Further research is warranted to explore the long-term impacts of physiotherapy interventions on physical and mental health outcomes
Adaptation responses of Dunaliella sp. and its natural symbiotic bacteria to sulfamethoxazole
Get PDFMicroalgal-bacterial consortia provide a sustainable, low-cost solution for antibiotic-contaminated wastewater remediation. Microalgae cultivation typically involves natural symbiotic bacteria, which are often overlooked. To fill this gap, this study evaluated the adaptive response of Dunaliella sp. and its natural symbiotic bacteria to sulfamethoxazole (SMX) through cultivation experiments and 16S rDNA sequencing. The results demonstrated strong SMX tolerance but limited removal efficiency by the consortium. The adaptive responses were characterized by increased bacterial diversity and connectivity, with quorum sensing bacteria-driven community changes and biofilm formation playing a critical role in this process. Dunaliella sp. exhibited strong antioxidant capacity (with catalase playing a key role) and increased extracellular polymeric substances secretion, which not only contributed to its tolerance but also promoted microalgae-bacteria interactions, enhancing consortium adaptability. These findings strengthen our understanding of the responses of natural symbiotic bacteria to antibiotics and advance the development of microalgae-bacteria symbiosis technology for wastewater treatment
Spatial justice in the tourist-historic city : reimagining policy-making and governance in times of crisis
No full textIf concerns regarding the economic, social, cultural, and environmental impacts of tourism are to be addressed, tourism policy needs to be reimagined. This calls for research examining the impact policy-making and governance structures have on destinations and the inequalities this creates. It is within this context that this study draws upon Edward Soja’s geographical and spatial treatment of Lefebvre’s The Right to the City to explore how public policy and governance processes create spatial inequalities in the tourist-historic city of York, UK. Semi-structured interviews were conducted with leading policy-makers and destination stakeholders to identify how spatial injustice manifests through governance and policy processes during a period of crisis. Our study identified how tourism in York is appropriated by corporate interests leaving a deficit concerning the economic, environmental, and social impacts of tourism. This is manifest through a neoliberal policy agenda, unplanned growth, and workplace inequalities. A novel approach that focused on the experiences of policy-makers was developed to investigate how tourism policy is economically and politically marginalised, and the impact this has on York’s social ecology
The International Space Station is too clean – what does that tell us about how to co-exist with bugs on Earth?
No full texteBEfree : Combining Psychoeducation, Mindfulness, and Self‐Compassion in an App‐Based Psychological Intervention to Manage Binge‐Eating Symptoms: A Randomized Controlled Trial
Get PDFABSTRACT Objective
To develop and test the effectiveness of the eBEfree program, a 12‐session app‐based version of a previously tested psychological intervention (BEfree) that combines psycho‐education, self‐compassion, mindfulness, and Acceptance and Commitment Therapy to reduce binge‐eating symptoms.
Method
Two‐hundred participants with recurrent elevated binge‐eating symptoms and a higher body weight were enrolled in a remote parallel‐group randomized trial, of which 142 completed the initial assessment (70 in the intervention group). The end‐of‐treatment and follow‐up assessments were conducted 12 weeks after the initial assessment and 26 weeks after the end of treatment, respectively. Intention‐to‐treat (ITT) analyzes were undertaken using frequentist linear mixed models and Bayesian hierarchical models to test the intervention effectiveness.
Results
43 (waitlist control) and 29 (intervention) participants completed the end‐of‐treatment assessment, showing a high attrition rate (51%). ITT analyzes showed the eBEfree program to be associated with a significant reduction in binge eating symptomatology from baseline to end‐of‐treatment ( β = −9.49, ρ < 0.0001, g = −1.17), and from end‐of‐treatment to 26‐weeks follow‐up ( β = −6.01, ρ = 0.04, g = −1.08). At end‐of‐treatment, the intervention was also associated with a decrease in body mass index and depression symptomatology, as well as an improvement in dimensions of self‐criticism and mindfulness. More than 80% of participants rated the quality of the program as positive and helpful.
Discussion
This trial suggests potential benefits of the eBEfree program to help individuals manage symptoms of binge‐eating more effectively, reduce weight, and improve well‐being and mental health. The intervention benefits should be confirmed in future larger trials.
Public Significance
Treating binge‐eating (BE) symptoms and associated comorbidities might be challenging for mental health services. Digital and app‐based interventions can be a valuable resource to help people manage symptoms and improve well‐being and mental health. The current trial suggests the potential benefits of an app‐based intervention (eBEfree program) to help people reduce BE symptoms and develop psychological strategies to promote well‐being and mental health.
Trial Registration: Clinicaltrials.gov : NCT04101032 (“eBEfree—an ICT Adaptation of BEfree”
Next-gen University Entrepreneurship: Unleashing the Power of Drop Shipping for Students
No full textThis study investigated the effects and advantages of drop shipping as a business model for university students. A qualitative research approach was utilised, featuring semi-structured interviews with 20 students from a large university. The findings revealed that education in drop shipping empowers students through “Empowerment through Knowledge,” aids them in overcoming business challenges as seen in “Overcoming Challenges,” offers pathways to financial independence, illustrated in “Financial Independence,” cultivates entrepreneurial skills as emphasised in “Building Entrepreneurial Skills,” encourages networking and collaboration as highlighted in “Networking and Collaboration,” and broadens their global business reach, as stated in “Global Reach.” The results bear practical significance for university administrators, career counsellors, and entrepreneurship educators, indicating that institutions could integrate drop shipping-related courses, workshops, and mentorship programmes to better prepare students for success in e-commerce. This study contributes to the literature by highlighting the potential of dropshipping as a viable entrepreneurial path for students
Bringing intersectionality to the forefront: a call for transformation in UK inclusive education
Get PDFWhile higher education institutions prioritise inclusion for moral, ethical, legal, and performance-related reasons, current approaches to equality, diversity, and inclusion often still prove in practice to be exclusive and ineffective. This article studies how inclusive education can benefit from, and be employed through, the intersectionality lens. Using the Intersectionality-Based Policy Analysis method, as applied to the educational sector for the purposes of documentary research, the findings of this study show that the Inclusive Education Framework, whilst a positive addition to the UK educator’s resource bank, still has a way to go to explicitly cater to intersectional disadvantage – termed here as unacknowledged disadvantage. The article discusses the opportunities available to the framework to explicitly incorporate intersectionally mindful inclusive education and highlights the challenges surrounding intersectionality as a concept