Displaying 1 - 5 of 5
BACKGROUND:Depression affects as many as one in five people in their lifetime and often runs a recurrent lifetime course. Mindfulness-based cognitive therapy (MBCT) is an effective psychosocial approach that aims to help people at risk of depressive relapse to learn skills to stay well. However, there is an ‘implementation cliff’: access to those who could benefit from MBCT is variable and little is known about why that is the case, and how to promote sustainable implementation. As such, this study fills a gap in the literature about the implementation of MBCT.
The Anthropocene refers to the planetary scale of anthropogenic influences on the composition and function of Earth ecosystems and life forms. Socio-political and geographic responses frame the uneven topographies of climate change, while efforts to adapt and mitigate its impact extend across social and natural sciences. This review of anthropology's evolving engagement with the Anthropocene contemplates multifarious approaches to research. The emergence of multispecies ethnographic research highlights entanglements of humans with other life forms. New ontological considerations are reflected in Kohn's “Anthropology of Life,” ethnographic research that moves beyond an isolated focus on the human to consider other life processes and entities as research participants. Examples of critical engagement discussed include anthropology beyond disciplinary borders, queries writing in the Anthropocene, and anthropology of climate change. We demonstrate the diverse positions of anthropologists within this juncture in relation to our central trope of entanglements threaded through our discussion in this review.
Over Antipode's 40 years our role as academics has dramatically changed. We have been pushed to adopt the stance of experimental researchers open to what can be learned from current events and to recognize our role in bringing new realities into being. Faced with the daunting prospect of global warming and the apparent stalemate in the formal political sphere, this essay explores how human beings are transformed by, and transformative of, the world in which we find ourselves. We place the hybrid research collective at the center of transformative change. Drawing on the sociology of science we frame research as a process of learning involving a collective of human and more-than-human actants—a process of co-transformation that re/constitutes the world. From this vision of how things change, the essay begins to develop an “economic ethics for the Anthropocene”, documenting ethical practices of economy that involve the being-in-common of humans and the more-than-human world. We hope to stimulate academic interest in expanding and multiplying hybrid research collectives that participate in changing worlds.
Depression co-occurs in 20% of people with cardiovascular disorders, can persist for years and predicts worse physical health outcomes. While psychosocial treatments have been shown to treat acute depression effectively in those with comorbid cardiovascular disorders, to date, there has been no evaluation of approaches aiming to prevent relapse and treat residual depression symptoms in this group. Consequently, the current study aimed to examine the feasibility and acceptability of a randomised controlled trial design evaluating an adapted version of mindfulness-based cognitive therapy (MBCT) designed specifically for people with comorbid depression and cardiovascular disorders. A three-arm feasibility randomised controlled trial was conducted, comparing MBCT adapted for people with cardiovascular disorders plus treatment as usual (TAU), mindfulness-based stress reduction (MBSR) plus TAU and TAU alone. Participants completed a set of self-report measures of depression severity, anxiety, quality of life, illness perceptions, mindfulness, self-compassion and affect and had their blood pressure taken immediately before, after and 3 months following the intervention. Those in the adapted-MBCT arm additionally underwent a qualitative interview to gather their views about the adapted intervention. Three thousand four hundred potentially eligible participants were approached when attending an outpatient appointment at a cardiology clinic or via a GP letter following a case note search. Two hundred forty-two (7.1%) were interested in taking part, 59 (1.7%) were screened as being suitable and 33 (< 1%) were eventually randomised to the three groups. Of 11 participants randomised to adapted-MBCT, 7 completed the full course, levels of home mindfulness practice were high and positive qualitative feedback about the intervention was given. Twenty-nine out of 33 randomised participants completed all the assessment measures at all three time points. The means Patient Health Questionnaire (PHQ)-9 scores for the MBCT-Heart and Living Mindfully (HeLM) group were lower at post-intervention and at the 3-month follow-up compared to the MBSR and TAU groups. The sample was heterogeneous in terms of whether they reported current depression or had a history of depression and the time since the onset of cardiovascular disorders (1 to 25 years). The adapted-MBCT intervention was feasible and acceptable to participants; however, certain aspects of the trial design were not. In particular, low recruitment rates were achieved and there was a high withdrawal rate between screening and randomisation. Moreover, the heterogeneity in the sample was high, meaning the adapted intervention was unlikely to be well tailored to all the participants needs. This suggests that if the decision is made to move to a definitive trial, study recruitment procedures will need to be revised to recruit a target sample that optimally matches the adapted intervention.
At the core of J.K. Gibson-Graham's feminist political imaginary is the vision of a decentralized movement that connects globally dispersed subjects and places through webs of signification. We view these subjects and places both as sites of becoming and as opportunities for belonging. But no longer can we see subjects as simply human and places as human-centered. The ‘arrival’ of the Anthropocene has thrown us onto new terrain. Feminist critiques of hyper-separation are pushing us to move beyond the divisive binaries of human/nonhuman, subject/object, economy/ecology and thinking/acting. The reframing of our living worlds as vast uncontrolled experiments is inspiring us to reposition ourselves as learners, increasingly open to our interconnections with earth others and more willing to intervene in adventurous ways. In this article we begin to think about more-than-human regional development and regional research collectives that have the potential to perform resilient worlds. For us the project of belonging involves both participating in the vast experiment that is the Anthropocene and connecting deeply to specific places and concerns.