Despite the ubiquity of guided self-help (GSH) interventions in Primary Care psychological services, there have been no previous studies of the relationship between the competence of qualified practitioners and treatment outcomes. This study compared competence-outcome associations in two types of GSH. Competence and clinical outcome measures were drawn from a clinical trial comparing the efficacy of two types of GSH for anxiety disorders, based on cognitive behaviour therapy (CBT-GSH) or cognitive analytic therapy (CAT-GSH). These interventions were delivered over the telephone by qualified and supervised practitioners. Audio-recordings of GSH sessions (n=94) were rated using a validated competence measure. Clinical outcomes were anxiety, depression and functioning. Secondary outcomes were attendance and need for further intervention after GSH. Competence ratings were highly reliable. No significant associations were found between competence and clinical outcomes, treatment engagement or need for further intervention. In this clinical trial, GSH competence ratings were not associated with clinical outcomes. Directions for future competence-outcome research are provided for GSH interventions.

Key learning aims

1. (1) Become familiar with the current empirical literature on therapist competence and associations with clinical outcome.

2. (2) Raise awareness of a recently developed alternative form of guided self-help based on the theory and principles of cognitive analytic therapy.

3. (3) Enhance understanding of the relationship between practitioner competence and clinical outcome in guided self-help for anxiety disorders.

The coral reefs of the Pitcairn Islands are in one of the most remote areas of the Pacific Ocean, and yet they are exposed to the impacts of anthropogenic climate change. The Pitcairn Islands Marine Protected Area was designated in 2016 and is one of the largest in the world, but the marine environment around these highly isolated islands remains poorly documented. Evidence collated here indicates that while the Pitcairn Islands' reefs have thus far been relatively sheltered from the effect of warming sea temperatures, there is substantial risk of future coral decalcification due to ocean acidification. The projected acceleration in the rate of sea level rise, and the reefs' exposure to risks from distant ocean swells and cold-water intrusions, add further uncertainty as to whether these islands and their reefs will continue to adapt and persist into the future. Coordinated action within the context of the Pitcairn Islands Marine Protected Area can help enhance the resilience of the reefs in the Pitcairn Islands. Options include management of other human pressures, control of invasive species and active reef interventions. More research, however, is needed in order to better assess what are the most appropriate and feasible options to protect these reefs.

Background: The evidence base for behavioural activation (BA) is mainly grounded in the individual delivery method, with much less known about the impact of group delivery. Aims: To conduct a pilot study of behavioural activation in groups (BAG) for depression delivered in a routine service setting, in order to explore acceptability, effectiveness and predictors of outcome. Methods: The manualized group treatment format was delivered in a Primary Care mental health setting, at step three of an Improving Access to Psychological Therapies (IAPT) service. BAG was facilitated by cognitive behavioural psychotherapists, and outcome measures (depression, anxiety and functional impairment) were taken at each session. Seventy-three participants were referred and treated within nine groups. Results: BAG was an acceptable treatment generating a low drop-out rate (7%). Significant pre–post differences were found across all measures. There was a moderate to large depression effect size (d+ = 0.74), and 20% met the criteria for a reliable recovery in depression. Greater severity of initial depression and attendance of at least four BAG sessions predicted better outcomes. Conclusions: BAG appears to be an effective depression treatment option that shows some clinical promise. Further larger and more controlled studies are nevertheless required.

In 2013, Hardy et al. offered a broad behavioural context for the hypothesis that the ingestion of non-nutritional plants (yarrow and camomile) by Neanderthals was for the purpose of self-medication. Chemical traces of these plants had been detected in samples of dental calculus from Neanderthals at the site of El Sidrón, Spain, along with traces of bitumen and wood smoke, as well as starch granules that showed evidence of roasting (Hardy et al.2012). Subsequently, the presence of traces of resin and a piece of non-edible conifer wood were also identified from these samples (Radini et al.2016). Although not rejecting our interpretation for the presence of these two non-edible plants as evidence of medicinal plant use, two recent articles offer alternative scenarios for why and how those plants may have reached the mouth and, eventually, the dental calculus of the individual concerned. Buck and Stringer (2014) suggest that the plants were not deliberately ingested, and that the traces of yarrow and camomile were in fact embedded in the chyme, or stomach contents, of herbivore prey. Krief et al. (2015) propose two hypotheses: first, they suggest that the plants could have been used to flavour meat; second, while not ruling out the possibility that they could be medicinal, they argue on a technical point that the plants were not self-administered but were provided by a caregiver. Here, we examine these suggestions and consider their probability and feasibility as alternatives to our original proposal of self-medication.

Analysis of dental calculus is increasingly important in archaeology, although the focus has hitherto been on dietary reconstruction. Non-edible material has, however, recently been extracted from the dental calculus of a Neanderthal population from the 49 000-year-old site of El Sidrón, Spain, in the form of fibre and chemical compounds that indicate conifer wood. Associated dental wear confirms that the teeth were being used for non-dietary activities. These results highlight the importance of dental calculus as a source of wider biographical information, and demonstrate the need to include associated data within research, in particular tooth wear, to maximise this valuable resource.

The Catalan numbers are well known to be the answer to many different counting problems, and so there are many different families of sets whose cardinalities are the Catalan numbers. We show how such a family can be given the structure of a simplicial set. We show how the low-dimensional parts of this simplicial set classify, in a precise sense, the structures of monoid and of monoidal category. This involves aspects of combinatorics, algebraic topology, quantum groups, logic, and category theory.

In a recent study, Hardy et al. (2012) identified compounds from two non-nutritional plants, yarrow and camomile, in a sample of Neanderthal dental calculus from the northern Spanish site of El Sidrón. Both these plants are bitter tasting and have little nutritional value but are well known for their medicinal qualities. Bitter taste can signal poison. We know that the bitter taste perception gene TAS2R38 was present among the Neanderthals of El Sidrón (Lalueza-Fox et al. 2009), and their selection of yarrow and camomile was hence probably deliberate. With few nutritional benefits, reasons must be sought for why the Neanderthals collected and ingested these plants. They could have consumed them as flavouring, but this presupposes a degree of complexity in cuisine for which there is little evidence. The widespread evidence for animal self-medication, or zoopharmacognosy, however, offers an attractive behavioural context.We propose, indeed, that these plants were selected and ingested deliberately for the purpose of self-medication.Here, we investigate the implications of this new finding for Neanderthal knowledge of plants and we offer a context for plant knowledge and self-medication among early human and hominin populations.

We present a brief description of the Berkeley Visible Imaging Tube (BVIT) detector system, which is a user instrument on the 10-m Southern African Large Telescope (SALT), and include some preliminary observational results gained in mid-2011. The data show that BVIT is capable of revealing emission features occurring on time-scales of < 0.1 sec, thus opening up for the general user a window of high time-resolution astronomy at visible wavelengths.

Stokes imaging uses polarimetric observations in order to image indirectly the accretion region on the surface of the white dwarf in magnetic cataclysmic variables (MCVs). Doppler tomography uses spectroscopic observations in order to gain insights into the velocity dynamics of the secondary star, and the ballistic and magnetically confined parts of the accretion stream. Until now, both of these techniques have been applied separately. We present and compare the results of applying both techniques to simultaneous spectroscopic and polarimetric observations of MCVs.

Simultaneous photometry and spectroscopy of the Intermediate Polar TX Col were obtained in order to investigate its accretion mode and dynamics. The spectroscopic and photometric power spectra of TX Col are observed to change on relatively short timescales. Spectroscopy reveals a dominant periodicity at the orbital period (5.69 hr) and a spin period of 1909 s in radial velocities, while line equivalent widths show a strong periodicity at the beat period (2106 s). It is the first time that the orbital period has been detected in optical wavelengths.

Weak slice conditions are introduced and imbeddings of Sobolev spaces in various Lipschitz-type spaces are investigated.