We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure coreplatform@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Despite increasing evidence for the effectiveness of individual psychological interventions for bipolar disorder, research on older adults is lacking. We report the first randomised controlled trial of psychological therapy designed specifically for older adults with bipolar disorder.
Aims
To evaluate the feasibility and acceptability of recovery-focused therapy, designed in collaboration with older people living with bipolar disorder.
Method
A parallel, two-armed, randomised controlled trial comparing treatment as usual with up to 14 sessions of recovery-focused therapy plus treatment as usual, for older adults with bipolar disorder.
Results
Thirty-nine participants (67% female, mean age 67 years) were recruited over a 17-month period. Feasibility and acceptability of recruitment, retention (>80% observer-rated outcomes at both 24 and 48 weeks) and intervention processes were demonstrated. The majority of participants started therapy when offered, adhered to the intervention (68% attended all sessions and 89% attended six or more sessions) and reported positive benefits. Clinical assessment measures provide evidence of a signal for effectiveness on a range of outcomes including mood symptoms, time to relapse and functioning. No trial-related serious adverse events were identified.
Conclusions
Recovery-focused therapy is feasible, acceptable and has the potential to improve a range of outcomes for people living with bipolar disorder in later life. A large-scale trial is warranted to provide a reliable estimate of its clinical and cost-effectiveness.
Quinoa, Chenopodium quinoa Willdenow (Amaranthaceae), cultivation has expanded beyond its historical range in South America into Europe and North America due to its high nutritional properties for human consumption. With the introduction of a crop into a novel range comes the potential for insect pest issues. Here, using traditional morphology and DNA barcoding we identify larvae of Scrobipalpa atriplicella (von Röslerstamm) (Lepidoptera: Gelechiidae), an introduced Eurasian moth, feeding on quinoa throughout the Prairie region of western Canada. Larvae can feed within the stem, on foliage, and directly on seed within the panicles, which can result in up to a 100% yield loss. We summarise distinguishing adult characteristics, potential host plants, and give initial remarks on the life cycle of this moth and its known host range in Canada. The potential for high yield losses makes further investigation of S. atriplicella a priority to maintain and expand sustainable quinoa production in Canada.
Edward Caird (1835–1908) was a leading member of the British idealist movement, which flourished from the 1870s until the mid–1920s. Together with Thomas Hill Green, Caird led the mid-Victorian reaction in Britain against the empiricism of John Locke, George Berkeley and David Hume (see Vol. 3, Chs 12, 14, 19), the associationism of John Stuart Mill, and the crude sensationalism of Herbert Spencer (e.g. Caird 2006). He was born in Greenock, Scotland on 23 March 1835, and, after his father John's death in 1838, he was raised by his aunt Jane Caird, herself a devout and active member of the Free Kirk (Jones & Muirhead 1921). He went up to the University of Glasgow in 1855, but ill health forced him extend his time as an undergraduate and to study for a while at the University of St Andrews. He gained a Snell Exhibition in 1860, which enabled him to complete his education at Balliol College, Oxford. His tutors included Benjamin Jowett and he became lifelong friends with Green during this time. Caird graduated in 1863, with a double first. After working as a private tutor and then serving as a Fellow of Merton College, Oxford for two years from May 1864, he took up the prestigious position of Professor of Moral Philosophy at the University of Glasgow. He made his professional name during the next twenty-three years at Glasgow, particularly for his work on Immanuel Kant. In November 1893 he became Master of Balliol College, Oxford, following the death of Jowett, a position that he held until March 1907. Having already suffered a paralytic stroke in 1905, he died in Oxford from Bright’s Disease, on 1 November 1908.