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45 results

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  • Comorbidity and COVID-19: investigating the relationship between medical and psychological well-being
  • Owen Stafford, Anna Berry, Laura K Taylor, Sinead Wearen, Cian Prendergast, Eddie Murphy, Mark Shevlin, Louise McHugh, Alan Carr, Tom Burke
  • Journal: Irish Journal of Psychological Medicine , First View
  • Published online by Cambridge University Press: 16 April 2021, pp. 1-6
  • View abstract
    Objective:

    The unprecedented occurrence of a global pandemic is accompanied by both physical and psychological burdens that may impair quality of life. Research relating to COVID-19 aims to determine the effects of the pandemic on vulnerable populations who are at high risk of developing negative health or psychosocial outcomes. Having an ongoing medical condition during a pandemic may lead to greater psychological distress. Increased psychological distress may be due to preventative public health measures (e.g. lockdown), having an ongoing medical condition, or a combination of these factors.

    Methods:

    This study analyses data from an online cross-sectional national survey of adults in Ireland and investigates the relationship between comorbidity and psychological distress. Those with a medical condition (n = 128) were compared to a control group without a medical condition (n = 128) and matched according to age, gender, annual income, education, and work status during COVID-19. Participants and data were obtained during the first public lockdown in Ireland (27 March 2020–8 June 2020).

    Results:

    Individuals with existing medical conditions reported significantly higher levels of anxiety (p < .01) and felt less gratitude (p ≤ .001). Exploratory analysis indicated that anxiety levels were significantly associated with illness perceptions specific to COVID-19. Post hoc analysis revealed that psychological well-being was not significantly related to condition type (e.g. respiratory disorders).

    Conclusion:

    This research supports individualised supports for people with ongoing medical conditions during the COVID-19 pandemic, and has implications for the consideration of follow-up care specifically for mental health. Findings may also inform future public health policies and post-vaccine support strategies for vulnerable populations.

  • 7 - Characters in the “World” of the Ring
  • from Part III - Interpretations
  • Edited by Mark Berry, Royal Holloway, University of London, Nicholas Vazsonyi, Clemson University, South Carolina
  • Book: The Cambridge Companion to Wagner's Der Ring des Nibelungen
  • Published online: 18 September 2020
  • Print publication: 24 September 2020, pp 159-184
  • View extract

    Summary

    The men and women we meet in the Ring, via words, music, and stage gesture, span two generations, various rungs in the cosmic hierarchy (god to human, or vice versa), and four dramas. Every character appearing onstage – and most mentioned in the text – receives attention in this chapter. Opening with roots in the natural world, from which each character in one way or another emerges, context, personality, relationships, motivations, and acts are examined, always bearing in mind that, in the Ring, such issues are explored musically as much as verbally, one sometimes in contradiction with the other, and that Wagner’s broader intellectual framework – philosophical, literary, musical, political, religious – also has much to tell us. We must start and end somewhere, of course, but what becomes quickly apparent is that it is the connections between characters – how their deeds, their words, their music shape and affect one another – that propel Wagner’s drama. As we progress, in Wagner’s conception, from Wotan to Brünnhilde; from male patriarch to female rebel; from power politics, through revolution, to renunciation; from Das Rheingold to Götterdämmerung, none of those categories, none of those characters, remains unchanged.

The Cambridge Companion to Wagner's Der Ring des Nibelungen
  • The Cambridge Companion to Wagner's Der Ring des Nibelungen
  • Edited by Mark Berry, Nicholas Vazsonyi
  • Published online: 18 September 2020
  • Print publication: 24 September 2020
  • View description
    The Companion is an essential, interdisciplinary tool for those both familiar and unfamiliar with Wagner's Ring. It opens with a concise introduction to both the composer and the Ring, introducing Wagner as a cultural figure, and giving a comprehensive overview of the work. Subsequent chapters, written by leading Wagner experts, focus on musical topics such as 'leitmotif', and structure, and provide a comprehensive set of character portraits, including leading players like Wotan, Brünnhilde, and Siegfried. Further chapters look to the mythological background of the work and the idea of the Bayreuth Festival, as well as critical reception of the Ring, its relationship to Nazism, and its impact on literature and popular culture, in turn offering new approaches to interpretation including gender, race and environmentalism. The volume ends with a history of notable stage productions from the world premiere in 1876 to the most recent stagings in Bayreuth and elsewhere.
  • Measuring adherence in social recovery therapy with people with first episode psychosis
  • Christine Lowen, Jo Hodgekins, Katherine Pugh, Clio Berry, Mike Fitzsimmons, Paul French, Catarina Sacadura, Max Birchwood, Chris Jackson, Eleanor Baggott, Mark Bernard, David Fowler
  • Journal: Behavioural and Cognitive Psychotherapy / Volume 48 / Issue 1 / January 2020
  • Published online by Cambridge University Press: 05 August 2019, pp. 82-90
  • Print publication: January 2020
  • View abstract
    Background:

    The SUPEREDEN3 study, a phase II randomized controlled trial, suggests that social recovery therapy (SRT) is useful in improving functional outcomes in people with first episode psychosis. SRT incorporates cognitive behavioural therapy (CBT) techniques with case management and employment support, and therefore has a different emphasis to traditional CBT for psychosis, requiring a new adherence tool.

    Aims:

    This paper describes the SRT adherence checklist and content of the therapy delivered in the SUPEREDEN3 trial, outlining the frequency of SRT techniques and proportion of participants who received a full therapy dose. It was hypothesized that behavioural techniques would be used frequently, consistent with the behavioural emphasis of SRT.

    Method:

    Research therapists completed an adherence checklist after each therapy session, endorsing elements of SRT present. Data from 1236 therapy sessions were reviewed to determine whether participants received full, partial or no therapy dose.

    Results:

    Of the 75 participants randomized to receive SRT, 57.3% received a full dose, 24% a partial dose, and 18.7% received no dose. Behavioural techniques were endorsed in 50.5% of sessions, with cognitive techniques endorsed in 34.9% of sessions.

    Conclusions:

    This report describes an adherence checklist which should be used when delivering SRT in both research and clinical practice. As hypothesized, behavioural techniques were a prominent feature of the SRT delivered in SUPEREDEN3, consistent with the behavioural emphasis of the approach. The use of this adherence tool would be considered essential for anyone delivering SRT looking to ensure adherence to the model.

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