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psychosocial therapies are part of the standard management of schizophrenic illnesses, but have not been subjected to systematic evaluation and are therefore not included in this guideline. This does not imply that they are not essential components of good practice.
The remainder of this section describes the evidence for the effectiveness of Education Programmes, Family Interventions, and Cognitive Behaviour Therapy in the management of schizophrenia. Section 3 provides recommendations for the application of these interventions in clinical practice, according to the phase of the illness.
Education programmes
Education Programmes are directed at either patients or carers/family members and have several aims. Improvement in knowledge of schizophrenia and its course and in compliance with treatment has been shown. There is also evidence of greater satisfaction with services provided. Some programmes go beyond the provision of information and take an educational approach to skills training or problem solving.
Education Programmes for patients may be undertaken in individual or in group settings. Simple information-giving is less effective than interactive sessions. The focus includes giving information about the course and management of the illness, including the importance of compliance with medication and the management of stress.
Providing carers and family members with information on the likely course of the illness, the treatments available, the importance of compliance and the services available is an essential element of good practice It may be undertaken as part of a Family Intervention programme
Specific techniques, e.g. use of homework or video, have not been shown to improve the assimilation of information, but a group setting has advantages
Family interventions
The aims of 'Family Intervention' include reduction of frequency of relapse into illness and reduction of hospital admissions, reduction in the burden of care on families and carers, and improvement in compliance with medication.
Some Family Intervention Programmes have targeted families where there are high levels of criticism, hostility and over-involvement. 'High expressed emotion' is a measure of these features and programmes which reduce this or reduce the amount of 'face to face' contact between the patient and family members have been shown to reduce the frequency of relapse. However, the measurement of expressed emotion is a research technique which is not practical for everyday use. Family Intervention Programmes which are not derived from this theoretical background have been shown to be effective.
Most intervention strategies contain more than one technique. Separating and defining the effects of the components of an intervention strategy is not possible at present as few studies examine the effect of a single technique and only a general description of interventions used in research studies is usually given. However, a number of practice guides have been published which give detailed descriptions of the techniques employed in some studies. Family Intervention has been shown to be effective with some variation in the components of the programme, but family sessions to address the problems identified in the analysis may not be effective if the patient is not included. Social skills training and vocational rehabilitation were included in some studies. These are not covered as separate interventions in the guideline.
Cognitive behaviour therapy
Cognitive Behaviour Therapy for psychosis is a modification of standard cognitive behavioural therapy. The aim is to modify symptoms (e.g. delusions, hallucinations) or the consequences of the symptoms which may be cognitive, emotional, physiological or behavioural. The treatment programme is intensive (involving about 20 hours of individual treatment) and based on an individually tailored formulation which provides an explanation of the development, maintenance and exacerbation of symptoms and of pre-morbid mood, interpersonal and behavioural difficulties.
There is now good evidence that treatment resistant symptoms (delusions, hallucinations) can be substantially reduced in a significant proportion of those who complete therapy. It is not yet clear who is most likely to benefit from treatment and many patients may be unwilling to participate. The treatment is well tolerated. However, reduction of symptoms has not been shown to lead to significant social or lifestyle improvements.
A combination of the following techniques has been shown to be most effective in lessening symptoms of psychosis resistant to other forms of treatment:
◦enhancement of cognitive behavioural coping strategies5
◦developing a rationale to explain symptoms28◦realistic goal setting
◦modification of delusional beliefs29◦modification of dysfunctional assumptions.
A number of these techniques are a refinement of normal good practice using a systematic approach.
'Early Intervention Studies' have aimed to identify prodromal symptoms or the 'signature' preceding relapse. The approach is not a form of cognitive therapy, but early intervention with medication or Cognitive Behaviour Therapy may be facilitated
Premier John Horgan has issued the following statement in honour of Vaisakhi: news.gov.bc.ca/releases/2022PREM0025-000571
Mission Statement is a sweet hardcore band from Virginia Beach, this is a new t-shirt that they had printed. Check them out here: www.myspace.com/mission757statement
I caught these young men in typical elegant, understated Osaka fashion during my morning walk to the train station. Minami Senba, Osaka.
Rose Gottemoeller, Under Secretary of State for Arms Control, makes her statement during the second panel: "Verification and Entry into Force of the CTBT."
The Embassy of Kazakhstan, the Embassy of Canada, Green Cross International, the Atom Project, and the Arms Control Association hosted a mini-conference examining the human and security dimensions of nuclear testing, as well as the progress achieved to bring an end to nuclear weapons test explosions.
Monday, Sept. 15, 2014
United States Institute of Peace, Washington, DC
Photo Credit: Jackie Barrientes/Arms Control Association
For our 2003 Halloween party, Oria was "America" -- wearing a flag diaper, carrying a gun and a baby bottle full of "foreign oil." The first few years we had several political statement costumes, but now it seems people just want to be either gross or sexy. (Political statements never won the costume contest.)
Press Statement by Ministry of Foreign Affairs, Singapore: State Visit of the Governor-General of New Zealand Lieutenant General The Right Honourable Sir Jerry Mateparae and Lady Janine Mateparae, 6 to 8 July 2015
The Governor-General of New Zealand, Lieutenant General The Right Honourable Sir Jerry Mateparae will make a State Visit to Singapore from 6 to 8 July 2015 at the invitation of President Tony Tan Keng Yam. Governor-General Mataparae will be accompanied by his wife Lady Janine Mateparae and officials from the New Zealand Government House and the Ministry of Foreign Affairs and Trade.
An official welcome ceremony will be held for Governor-General Mateparae on 7 July, following which he will have separate meetings with President Tan and Prime Minister Lee Hsien Loong. President Tan and Mrs Tan will host a State Banquet in honour of Governor-General Mateparae and Lady Janine that evening.
During the course of Governor-General Mateparae’s visit to Singapore, he will be accompanied by Deputy Prime Minister Teo Chee Hean on a tour of the Treelodge@Punggol, HDB’s first Eco-Precinct. Deputy Prime Minister Teo will host Governor-General Mateparae to lunch after the tour. Minister for Defence Dr Ng Eng Hen will also host Governor-General Mateparae to lunch to reaffirm the close and long-standing defence ties between Singapore and New Zealand. Governor-General Mateparae will be accompanied by Minister for Health Gan Kim Yong to the KK Women’s and Children’s Hospital (KKH) to view ongoing collaboration between Singapore and New Zealand at the Neurodevelopment Research Centre under A*STAR’s Singapore Institute for Clinical Sciences.
Governor-General Mateparae and Lady Janine will attend an orchid-naming and tree-planting ceremony at the Singapore Botanic Gardens on 7 July.
Governor-General Mateparae’s visit underscores the excellent ties between Singapore and New Zealand as both countries commemorate the 50th anniversary of the establishment of diplomatic relations this year. There is close cooperation in the fields of trade and investment, defence, and the people-to-people sectors.
. . . . .
MINISTRY OF FOREIGN AFFAIRS
SINGAPORE
5 JULY 2015
Die Abbildungen stellen keinerlei politisches Statement dar, sie dienen allein der technischen Dokumentation!
Not a political statement in any way, but a technical dokumentation!
Premier John Horgan joined with communities across B.C. to celebrate Vaisakhi virtually on April 13, 20121.
Read a statement from the Premier: news.gov.bc.ca/releases/2021PREM0029-000663
Artist Statement
These images are works in the process being refined for eventual showing..
The images in this Flickr set will be part of a NoMa photo group project I'm involved in. The NoMa (North Manhattan) Photo Group is a dynamic group of talented community minded artists who support each other and promote the work they are doing. For images of the NoMa Photo Group please check out this exciting Flickr group. See: www.flickr.com/groups/manhattanville/pool/
We are documenting the Manhattanville area (Broadway between 125th St. and 137th St. in Manhattan) that will be razed to make way for the octopus expansion of Columbia University. There are of course issues relating to the displacement of a poor and working class neighborhood that may be priced-out of the existing rental housing market through the use of QUESTIONABLE (unconstitutional) eminent domain maneuvers.
The legal concept of eminent domain allows the government and municipalities to take over and raze properties that are partially “blighted”, in order to transfer their sites to private institutions such as Columbia University. Community advocates and protesters argue that this approach to urban redevelopment favors wealthy redevelopers and private institutions at the expense of poor and working class residents, and encourages profligate municipal expenditures and tax variances in support of dubious or marginal benefit to the existing community.
“Terrain Vague” is a French term used by Spanish architect and critic Ignasi de Solà-Morales to describe ambiguous, unresolved, and marginalized spaces in the urban landscape. Terrain vague refers to sites that are often ignored in the mainstream discourse on architecture and design, such as industrial wastelands and monotonous suburban developments.
Solà-Morales notes that photographers and architects address terrain vague in differing ways. The photographer sees these spaces as places that are imbued with a storied past. Architects, however, approach these spaces as problems to be solved through design. Solà-Morales asks:
What is to be done with these enormous voids, with their imprecise limits and vague definition? Art's reaction . . . is to preserve these alternative, strange spaces. . . . Architecture's destiny [by contrast] has always been colonization, the imposing of limits, order, and form, the introduction into strange space of the elements of identity necessary to make it recognizable, identical, universal. The voids, imprecise limits and ambiguities typical of “vague terraine” conjure visions of a species of twilight zone. Rather than being submitted for entertainment and approval by Rod Serling, the haphazard spaces of discontinuous improbabilty of Manhattanville are being submitted for exploitative redevelopment.
True to Solà-Moraleshas' observation, as a group of photographers, we have chosen to address “terrain vague” by documenting aspects of a neighborhood community that will soon disappear into the mist of NYC history. The Manhattanville community has historically given sustenance and a sense of place to a succession of working-class poor but soon will give way to trendy gentrification. The proposed draconian development project is occurring in the context of an insular university institution that has continually expanded at the expense of its surrounding minority neighbors. Understandably, this has resulted in a significant amount of conflict dating back to at least the 1960's.
I found the proliferation of advertising signs in the ManhatanviIle community to be visually oppressive and amplified my own sensation of “terraine vague.” On some level I felt the huge advertising signs were selling “solutions” and “fixes” for manufactured needs that could not be openly discussed.
The intrusive messages seemed to overwhelm\ and diminish the legitimacy of signs calling for urgent action such as: “Halt Columbia University's abuses of eminent domain!”
Some billboards pictured self indulgent, self-satisfied role models enticing as they flaunt their wealth, fame, lifestyle and accomplishments. As if to say….I got mine,….and you? They insinuate to pedestrians what cannot legitimately be articulated or promised in words.
These corporate mercenaries of popular culture model poses and attitudes, that dangle an antidote to the toxic powerlessness and soul sickness of poverty.....quickly, effortlessly, magically….. Without the bother of self-awareness or struggle for social justice.
“Advertising has us chasing cars and clothes, working jobs we hate so we can buy shit we don't need.” ~From the movie Fight Club, based on the novel by Chuck Palahniuk
It is no wonder to me that the mixed messaging of political advertising and policy makers, etc., keep voters confused and easily misdirected, by so-called "wedge issuues", that appeal on the basis of low self esteem driven uncertainty and fear. Induced mass low self esteem is an interesting phenomenon that drives passive consumption of ideas, values, decision-making......and, yes, let's not forget.....material consumption!
Check out “Happiness: Lessons From a New Science”, by Richard Layard who exposes a paradox at the heart of our lives. Most of us want more income so we can consume more.
Mind control, anyone?
For me, the ideas that drive this photographic essay are connected to the vagaries of urban space usage and how the meaning of community is distorted, misdirected and shaped to fit the purposes of the power elite.
This art project hopes to bring attention to these ideas and inequities. It is expected that this work will result in an exhibition at sometime at the begining of 2008.
From March 30, 2106 to April 4, 2016, a small team of subject-matter experts from BOEM's Alaska OCS Region and its Sterling, Va. headquarters traveled around Alaska hosting a series of 10 public meetings.
The purpose of the meetings was to get public input on the draft environmental impact statement prepared to analyze the potential environmental impacts of the 2017-2022 Proposed Five-Year Program.
BOEM photos by John Callahan. All photos are in the public domain.
Judaica ・/jü-ˈdā-ə-kə/ plural noun
things pertaining to Jewish life and customs, especially when of a historical, literary, or artistic nature.
Judaica is a space for work by Jewish creators to be considered within a Jewish lens. The term ‘Jewish creators’ acknowledges the vast diversity of Jewish backgrounds and experiences and is open to anyone who identifies as Jewish regardless of their personal practices and belief systems. Judaica is a space for both overtly and covertly Jewish art. That is, both art that codes itself as Jewish through the use of easily recognizable imagery and symbols, and art that is not explicitly recognizable as Jewish but contains ideas or themes that relate to the creator’s Jewish identity. Judaica aims to combat the room-of-silence phenomena by creating a space explicitly for creators to have their work talked about within a Jewish context. Without any preconceived notions of what the self-identified Jewish artist has to be or look like, Judaica aims to amplify the voices of Jewish artists and to be the first step in a larger conversation connecting Jewish art-makers in the RISD and Brown communities.
I found these shoes hanging by their shoelaces from a power line in the city centre of Canberra. Noone seems to know what it is all about but there are rumours of copycat efforts around the city with various other statements.
New Zealand families should not have to live with violence and fear. We’re taking practical steps to address this. www.national.org.nz/news/features/protecting-families
I noticed that my hubby and I both had on t-shirts with a message, so I had to get a photo :)
His says "Move it or Lose it"...mine says "Good Life".
Making a bold statement with heavy beaded jade bracelet. The bracelet is handmade in Ternopil (western Ukraine) by Victoria Chaplinska.
More handcraft in Ternopil
Just one of three pop up window displays at The Larder on a theme of communication and expression. Created by local documentary photographer Garry Cook at the Recent "Making a Mark" event organised by Oxheys Mill Studios on Preston Flagmarket.
Eni: l'Assemblea degli Azionisti approva il Bilancio 2017 e conferisce l’incarico di revisione legale 2019-2027
Scopri di più: st4-eni.eni.com/it_IT/media/2018/05/eni-lassemblea-degli-...
Eni: Shareholders’ meetings approves 2017 Financial Statements and appoints the Independent Auditors of Eni S.p.A. financial statements for the period 2019 – 2027
Find out more: st4-eni.eni.com/en_IT/media/2018/05/eni-shareholders-meet...
[deutsch]
Ich mag die Farben (ist halt blau). Es hat aber mit der Finanzkrise und den Banken zu tun. Die meisten Finanzleute und Banker machen einen guten Job (99% oder mehr). Einige wenige haben aber das Konzept des Geldes nicht verstanden und machen mit ihre Gier Probleme.
[english]
I like the colors (because it's blue). But it's not about colors, it's about the financial crisis Europe suffers. Most of the financial people and bankers do a great job (99% or even more). But a few did not understand the concept of money and cause a lot of problems with their greed.
[info]
Olympus E-P3, Voigtländer Nokton 35mm/1.4 MC
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Writing on the side of the Dredge here in Alaska...seems to always be a group of people that have to take what is not theirs and use it to make a statement of their inner fears ...this place was once a busy gold mining area...then it was a wonderful place to take photos with lots of tools of history passed .....then in steps a group of the new eras of disruption ,,,these people think if it is there its to be used for their form of art ..
Check out more photos of the day at
“Any users, found to replicate, reproduce, circulate, distribute, download, manipulate or otherwise use my images without my written consent will be in breach of copyright laws as well as contract laws.”
So please don't **Please don't use this image on websites, blogs or other media without my explicit permission. ©...
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A new free crochet pattern offered by Stitch Diva Studios in our very own glistening Studio Silk.
Make a statement with some inexpensive flat decorative marbles, basic crochet skills and some pretty yarn.
This project is fast enough for you to make a few of these very trendy statement necklace pieces - explore using more or fewer marbles or varying the configuration of the stones for your very own creation!
VHD:.
Statement of Significance.
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B Listed - Regional Significance.
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STATEMENT OF SIGNIFICANCE.
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'Suma Park', formely known as Frankfurt-on Sea, was erected in the 1880s for prominent stud breeder and horse racing entrepreneur James Wilson of St Albans, Whittington. The large single storey dichromatic brick villa in stylistically similar to St Albans homestead of 1873-78 by J.T,Conlon,a Melbourne Architect who most likely designed Frankfurt-on-Sea. Stephen E. Bailey gave the name Suma Park to Wilson's racing establishment after the family property at Orange in N.S.W. 'Suma Park' is a distinctive late Victorian Villa with significant historical associations with Wilson and later Bailey, both prominent racing men. An earlier weatherboard cottage and barn survive..
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Reference.
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W. R. Brownhill, The History of Geelong and Corio Bay, Wilke and Co, Melbourne, 1955 pp.327, 377, 523..
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Geelong Historical Society Investigator Vol 17, No 1, 1982, p.30..
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Lorraine Huddle, 'James T. Conlon Architect' Dept of Architecture Research Report, University of melbourne, 1979.
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- See more at: vhd.heritagecouncil.vic.gov.au/places/21688#sthash.ReAobY...
This photo is part of the Australian National Maritime Museum’s William Hall collection. If reproduced or distributed, this image should be clearly attributed to the collection of the Australian National Maritime Museum; and not be used for any commercial or for-profit purposes without the permission of the museum. For more information see our Flickr Commons Rights Statement.
The Australian National Maritime Museum undertakes research and accepts public comments that enhance the information we hold about images in our collection. If you can identify a person, vessel or landmark, write the details in the Comments box below.
Thank you for helping caption this important historical image.
Object number 00013302