Fabric formwork – prototype to typology

When developmental vernacular practice is telescoped into industrial activity, the role played by construction workers in the honing of a craft is rapidly bypassed. An almost political act is required to maintain the contribution that the hand makes to the uniformity of result that is demanded by the standard classification of typologies of building and technique. Research into fabric formwork techniques conducted by Alan Chandler utilises the flexibility of the concrete mould to explore the meaning of the making ‘process’ and the workers’ role in relation to the formal ‘result’. Chandler’s ‘Wall One’ exemplifies the exploratory prototype and its potential for variety and the trace of the hand in making. The shift to a mass production typology involved in realising the 325,000 square-metre Heatherwick studio project in Shanghai, presented the problem of how to orchestrate the fabric into a fully industrialised process. Part of the research then became how to make the shift from play to profit - and can anything of craft survive the transition into the international development marketplace? Through managing the inherent variety available to the fabric itself, a fabric based formwork solution for realising a building at the scale of a landscape offered the Chinese form work maker the opportunity to be present within the results of a fully industrialised process – a ghost in the machine.

Substance use and misuse in burn patients: testing the classical hypotheses of the interaction between posttraumatic symptomatology and substance use

Background: We aimed to test whether the three classical hypotheses of the interaction between posttraumatic symptomatology and substance use (high risk of trauma exposure, susceptibility for posttraumatic symptomatology, and self-medication of symptoms), may be useful in the understanding of substance use among burn patients. Methods: We analysed substance use data (nicotine, alcohol, cannabis, amphetamines, cocaine, opiates, and tranquilizers) and psychopathology measures among burn patients admitted to a Burns Unit and enrolled in a longitudinal observational study. Lifetime substance use information (n = 246) was incorporated to analyses aiming to test the high risk hypothesis. Only patients assessed for psychopathology in a six months follow-up (n = 183) were included in prospective analyses testing the susceptibility and self-medication hypotheses. Results: Regarding the high risk hypothesis, results show a higher proportion of heroin and tranquilizer users compared to the general population. Furthermore, in line with the susceptibility hypothesis, higher levels of symptomatology were found in lifetime alcohol, tobacco and drug users during recovery. The self-medication hypothesis could be tested partially due to the hospital stay “cleaning” effect, but severity of symptoms was linked to caffeine, nicotine, alcohol and cannabis use after discharge. Conclusions: We found that the three classical hypotheses could be used to understand the link between traumatic experiences and substance use explaining different patterns of burn patient’s risk for trauma exposure and emergence of symptomatology.