941 resultados para Smith, Ben


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[cropped from 1942 team photo]

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[cropped from1943 team photo]

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Objective. Therapeutic alliance, modality, and ability to engage with the process of therapy have been the main focus of research into what makes psychotherapy successful. Individuals with complex trauma histories or schizophrenia are suggested to be more difficult to engage and may be less likely to benefit from therapy. This study aimed to track the in-session ‘process’ of working alliance and emotional processing of trauma memories for individuals with schizophrenia. Design. The study utilized session recordings from the treatment arm of an open randomized clinical trial investigating trauma-focused cognitive behavioural therapy (TF-CBT) for individuals with schizophrenia (N = 26). Method. Observer measures of working alliance, emotional processing, and affect arousal were rated at early and late phases of therapy. Correlation analysis was undertaken for process measures. Temporal analysis of expressed emotions was also reported. Results. Working alliance was established and maintained throughout the therapy; however, agreement on goals reduced at the late phase. The participants appeared to be able to engage in emotional processing, but not to the required level for successful cognitive restructuring. Conclusion. This study undertook novel exploration of process variables not usually explored in CBT. It is also the first study of process for TF-CBT with individuals with schizophrenia. This complex clinical sample showed no difficulty in engagement; however, they may not be able to fully undertake the cognitive–emotional demands of this type of therapy. Clinical and research implications and potential limitations of these methods are considered.

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Acceleration of Greenland's three largest outlet glaciers, Helheim, Kangerdlugssuaq and Jakobshavn Isbræ, accounted for a substantial portion of the ice sheet's mass loss over the past decade. Rapid changes in their discharge, however, make their cumulative mass-change uncertain. We derive monthly mass balance rates and cumulative balance from discharge and surface mass balance (SMB) rates for these glaciers from 2000 through 2010. Despite the dramatic changes observed at Helheim, the glacier gained mass over the period, due primarily to the short duration of acceleration and a likely longer-term positive balance. In contrast, Jakobshavn Isbræ lost an equivalent of over 11 times the average annual SMB and loss continues to accelerate. Kangerdlugssuaq lost over 7 times its annual average SMB, but loss has returned to the 2000 rate. These differences point to contrasts in the long-term evolution of these glaciers and the danger in basing predictions on extrapolations of recent changes.

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Recent changes in the dynamics of Greenland's marine terminating outlet glaciers indicate a rapid and complex response to external forcing. Despite observed ice front retreat and recent geophysical evidence for accelerated mass loss along Greenland's northwestern margin, it is unclear whether west Greenland glaciers have undergone the synchronous speed-up and subsequent slow-down as observed in southeastern glaciers earlier in the decade. To investigate changes in west Greenland outlet glacier dynamics and the potential controls behind their behavior, we derive time series of front position, surface elevation, and surface slope for 59 marine terminating outlet glaciers and surface speeds for select glaciers in west Greenland from 2000 to 2009. Using these data, we look for relationships between retreat, thinning, acceleration, and geometric parameters to determine the first-order controls on glacier behavior. Our data indicate that changes in front positions and surface elevations were asynchronous on annual time scales, though nearly all glaciers retreated and thinned over the decade. We found no direct relationship between retreat, acceleration, and external forcing applicable to the entire region. In regard to geometry, we found that, following retreat, (1) glaciers with grounded termini experienced more pronounced changes in dynamics than those with floating termini and (2) thinning rates declined more quickly for glaciers with steeper slopes. Overall, glacier geometry should influence outlet glacier dynamics via stress redistribution following perturbations at the front, but our data indicate that the relative importance of geometry as a control of glacier behavior is highly variable throughout west Greenland.