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Context, plot, character and theme have dominated modern critical understandings of Wilkie Collins’s fiction, and there are relatively few discussions of his idiom, tone or voice. Collins himself seems to have encouraged this approach to his work, and repeatedly downgraded the question of literary style. But the topic takes us to the heart of his work, and helps us both to understand the nature and quality of his achievement and to see the relationship within it between questions of language and signification and those of identity and the sense of self. Collins is fascinated in many of his fictions by what it means to have a troubled, false or non-existent identity, to have bodies and sensations that are not properly one’s own; the most revelatory texts and inscriptions in his work are often anonymous or unstylised. This chapter is about how Collins’s work explores and exposes the vulnerability of style, as it stages style’s appearances and disappearances.
A collaborative research approach was used to co-develop patient reported outcome measures or PROMS. One of our PROMS (SURE) assesses recovery from alcohol and other drug problems, and another (SUSS) assesses sleep problems. People using SURE and SUSS reported that they would like to complete them on their mobile phones and tablet computers so that they could record and refer back to their scores. This chapter describes the collaborative research process used to co-design a mobile application (app) called SURE Recovery, including the experiences of working with a diverse team of people with lived experience of addiction, researchers, app developers, and clinicians. The chapter also provides reflections on the challenges encountered and the lessons learned. Insights and advice for others are offered who might be interested in developing similar recovery-oriented apps in the future.
This chapter explores the pervasive ways in which Gothic forces and affiliations appear in Dickens’s writings. The word ‘Gothic’ is rare in his work but an awareness of Gothic tropes, plottings and conventions is vital to understanding it. Gothic is used in highly innovative ways: to explore asymmetrical power relations of many sorts; to limit-test the idea of the ‘human’; and as radical social critique. The diabolical and uncanny are particularly powerful modes, and Dickens is pioneering both in his use of ‘virtual’ Gothic in A Christmas Carol and in the creation of ‘paranoid Gothic’ in the violent same-sex eroticism of Our Mutual Friend and theMystery of Edwin Drood. Gothic is also an essential component of such scenes as Miss Havisham’s resemblance to ‘waxwork and skeleton’ in Great Expectations and Fagin’s and Monks’s appearance at the sleeping Oliver Twist’s window. The chapter discusses a wide range of Gothic presences in these and other works, concluding with a discussion of Dicken’s remarkable late essay ‘Nurse’s Stories’ (1863), a complex ‘meta-Gothic’ reflection on uncanny repetition and its simultaneously comic and diabolical power in subjective experience and narration.
We describe an ultra-wide-bandwidth, low-frequency receiver recently installed on the Parkes radio telescope. The receiver system provides continuous frequency coverage from 704 to 4032 MHz. For much of the band (
), the system temperature is approximately 22 K and the receiver system remains in a linear regime even in the presence of strong mobile phone transmissions. We discuss the scientific and technical aspects of the new receiver, including its astronomical objectives, as well as the feed, receiver, digitiser, and signal processor design. We describe the pipeline routines that form the archive-ready data products and how those data files can be accessed from the archives. The system performance is quantified, including the system noise and linearity, beam shape, antenna efficiency, polarisation calibration, and timing stability.
Neuroticism has often been linked to suicidal thoughts and behaviour.
To examine whether neuroticism is associated with suicide deaths after adjusting for known risks.
UK Biobank participants (n = 389 365) were assessed for neuroticism as well as social, demographic and health-related variables at study entry and followed for up to 10 years. Suicide risk was modelled using Cox regression stratified by gender.
Neuroticism increased the risk of suicide in both men (hazard ratio (HR) = 1.15, 95% CI 1.09–1.22) and women (HR = 1.16, 95% CI 1.06–1.27). In a subsample who were assessed for mood disorders, neuroticism remained a significant predictor for women (HR 1.25, 95% CI 1.03–1.51) but not for men.
Screening and therapeutic interventions for neuroticism may be important for early suicide prevention.
Maternal mental health problems affect up to 20% of women, with potentially deleterious effects to the mother and family. To address this serious problem, a Maternal Mental Health Program (MMHP) using a shared care approach was developed. A shared care approach can promote an efficient use of limited specialized maternal mental health services, strengthen collaboration between the maternal mental health care team and primary care physicians, increase access to maternal mental health care services, and promote primary care provider competence in treating maternal mental health problems.
The purpose of this research was to evaluate the impact of a MMHP using a shared care approach on maternal anxiety and depression symptoms of participants, the satisfaction of women and referring physicians, and whether the program met the intents of shared care approach (such as quick consultation, increased knowledge, and confidence of primary care physicians).
We used a pre and post cross-sectional study design to evaluate women’s depression and anxiety symptoms and the satisfaction of women and their primary care health provider with the program.
Depression and anxiety symptoms significantly improved with involvement with the program. Women and physicians reported high levels of satisfaction with the program. Physician knowledge and confidence treating maternal mental health problems improved.
Shared care can be an effective and efficient way to provide maternal mental health care in primary health care settings where resources are limited.