Mindfulness practice, where an individual maintains openness, patience, and acceptance while focusing attention on a situation in a nonjudgmental way, can improve symptoms of anxiety, burnout, and depression. The practice is relevant for health care providers; however, the time commitment is a barrier to practice. For this reason, brief mindfulness interventions (eg, ≤ 4 hours) are being introduced. We systematically reviewed the literature from inception to January 2017 about the effects of brief mindfulness interventions on provider well-being and behavior. Studies that tested a brief mindfulness intervention with hospital providers and measured change in well-being (eg, stress) or behavior (eg, tasks of attention or reduction of clinical or diagnostic errors) were selected for narrative synthesis. Fourteen studies met inclusion criteria; 7 were randomized controlled trials. Nine of 14 studies reported positive changes in levels of stress, anxiety, mindfulness, resiliency, and burnout symptoms. No studies found an effect on provider behavior. Brief mindfulness interventions may be effective in improving provider well-being; however, larger studies are needed to assess an impact on clinical care.
Objective:Because evidence-based psychotherapies of 12 to 20 sessions can be perceived as too lengthy and time intensive for the treatment of depression in primary care, a number of studies have examined abbreviated psychotherapy protocols. The purpose of this study was to conduct a systematic review and meta-analysis to determine the efficacy of brief psychotherapy (i.e., < 8 sessions) for depression.
Methods:
We used combined literature searches in PubMed, EMBASE, PsycINFO, and an Internet-accessible database of clinical trials of psychotherapy to conduct two systematic searches: one for existing systematic reviews and another for randomized controlled trials (RCTs). Included studies examined evidence-based psychotherapy(s) of eight or fewer sessions, focused on adults with depression, contained an acceptable control condition, were published in English, and used validated measures of depressive symptoms.
Results:
We retained 2 systematic reviews and 15 RCTs evaluating cognitive behavioral therapy, problem-solving therapy, and mindfulness-based cognitive therapy. The systematic reviews found brief psychotherapies to be more efficacious than control, with effect sizes ranging from −0.33 to −0.25. Our meta-analysis found six to eight sessions of cognitive behavioral therapy to be more efficacious than control (ES −0.42, 95% CI −0.74 to −0.10, I2 = 56%). A sensitivity analysis controlled for statistical heterogeneity but showed smaller treatment effects (ES −0.24, 95% CI −0.42 to −0.06, I2 = 0%).
Conclusions:
Depression can be efficaciously treated with six to eight sessions of psychotherapy, particularly cognitive behavioral therapy and problem-solving therapy. Access to non-pharmacologic treatments for depression could be improved by training healthcare providers to deliver brief psychotherapies.
This essay, in two parts, argues for the centrality of historical thinking in coming to grips with capitalism’s planetary crises of the twenty-first century. Against the Anthropocene’s shallow historicization, I argue for the Capitalocene, understood as a system of power, profit and re/production in the web of life. In Part I, I pursue two arguments. First, I situate the Anthropocene discourse within Green Thought’s uneasy relationship to the Human/Nature binary, and its reluctance to consider human organizations – like capitalism – as part of nature. Next, I highlight the Anthropocene’s dominant periodization, which meets up with a longstanding environmentalist argument about the Industrial Revolution as the origin of ecological crisis. This ignores early capitalism’s environment-making revolution, greater than any watershed since the rise of agriculture and the first cities. While there is no question that environmental change accelerated sharply after 1850, and especially after 1945, it seems equally fruitless to explain these transformations without identifying how they fit into patterns of power, capital and nature established four centuries earlier.
This essay, in two parts, argues for the centrality of historical thinking in coming to grips with capitalism’s planetary crises of the twenty-first century. Against the Anthropocene’s shallow historicization, I argue for the Capitalocene, understood as a system of power, profit and re/production in the web of life. In Part I, I pursue two arguments. First, I situate the Anthropocene discourse within Green Thought’s uneasy relationship to the Human/Nature binary, and its reluctance to consider human organizations – like capitalism – as part of nature. Next, I highlight the Anthropocene’s dominant periodization, which meets up with a longstanding environmentalist argument about the Industrial Revolution as the origin of ecological crisis. This ignores early capitalism’s environment-making revolution, greater than any watershed since the rise of agriculture and the first cities. While there is no question that environmental change accelerated sharply after 1850, and especially after 1945, it seems equally fruitless to explain these transformations without identifying how they fit into patterns of power, capital and nature established four centuries earlier.
This essay, in two parts, argues for the centrality of historical thinking in coming to grips with capitalism’s planetary crises of the twenty-first century. Against the Anthropocene’s shallow historicization, I argue for the Capitalocene, understood as a system of power, profit and re/production in the web of life. In Part I, I pursue two arguments. First, I situate the Anthropocene discourse within Green Thought’s uneasy relationship to the Human/Nature binary, and its reluctance to consider human organizations – like capitalism – as part of nature. Next, I highlight the Anthropocene’s dominant periodization, which meets up with a longstanding environmentalist argument about the Industrial Revolution as the origin of ecological crisis. This ignores early capitalism’s environment-making revolution, greater than any watershed since the rise of agriculture and the first cities. While there is no question that environmental change accelerated sharply after 1850, and especially after 1945, it seems equally fruitless to explain these transformations without identifying how they fit into patterns of power, capital and nature established four centuries earlier.
In this chapter, we examine work by those who have responded to Frost’s (1999) call for research that accounts for suffering and compassion in work organizations. We add to this line of inquiry by reviewing the organizational research on compassion published over the past decade and illuminating connections with extant research on related phenomena. In particular, we explore current understandings of the nature and impact of compassion at work, the conditions that facilitate compassion in work organizations, and efforts to institutionalize compassion. In pointing to what we see as fruitful directions for future research, we invite more scholars to see suffering and compassion as critical and pervasive aspects of organizational life.
What is an end? It is this very question that drives the speculative horrorof zombie fi ction, for ostensibly disabused of romantic idealism and the
conceit
How to have an impact within government.
Objective—This study explored the relationship of experiential avoidance (e.g., the tendency to avoid, suppress, or otherwise control internal experiences even when doing so causes behavioral harm) to alcohol use disorders and alcohol-related problems. Participants—Cross-sectional data was collected from 240 undergraduate college students in their first year in college between December 2009 and April 2010.Methods—Participants completed a diagnostic interview and online self-report survey.
Results—Students with a history of alcohol abuse or dependence had significantly higher levels of experiential avoidance relative to students with no alcohol use disorder diagnosis. A hierarchical linear regression analysis found that experiential avoidance significantly predicted alcohol-related problems, even after controlling for gender and psychological distress. Furthermore, experiential avoidance mediated the relationship of psychological distress to alcoholrelated problems.
Conclusions—These findings suggest experiential avoidance may play a role in problematic alcohol use among college students.
Although researchers have examined the efficacy of acceptance- and mindfulness-based interventions in the treatment of eating disorders, few studies have explored the association between trait mindfulness and eating pathology. Therefore, the purpose of the current investigation was to examine the unique associations between multiple facets of mindfulness (acting with awareness, nonreactivity, nonjudgment, describing, and observing) and eating pathology. Undergraduate women (N = 276) completed the Eating Attitudes Test-26, the Five Facet Mindfulness Questionnaire, and the 21-item version of the Depression Anxiety Stress Scales. A hierarchical regression analysis revealed that four mindfulness facets (awareness, nonreactivity, nonjudgment, and describing) were uniquely associated with eating pathology above and beyond anxiety and depression symptoms. Results are discussed with regard to the potential role of various facets of trait mindfulness in eating pathology as well as the possible utility of mindfulness-based treatments for eating disorders.
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The study of gold sites in the Migori Gold Belt, Kenya, revealed that the concentrations of heavy metals, mainly Hg, Pb and As are above acceptable levels. Tailings at the panning sites recorded values of 6.5–510 mg kg−1 Pb, 0.06–76.0 mg kg−1 As and 0.46–1920 mg kg−1 Hg. Stream sediments had values of 3.0–11075 mg kg−1 Pb, 0.014–1.87 mg kg−1 As and 0.28–348 mg kg−1 Hg. The highest metal contamination was recorded in sediments from the Macalder stream (11075 mg kg−1 Pb), Nairobi mine tailings (76.0 mg kg−1 As) and Mickey tailings (1920 mg kg−1 Hg). Mercury has a long residence time in the environment and this makes its emissions from artisan mining a threat to health. Inhaling large amounts of siliceous dust, careless handling of mercury during gold panning and Au/Hg amalgam processing, existence of water logged pits and trenches; and large number of miners sharing poor quality air in the mines are the major causes of health hazards among miners. The amount of mercury used by miners for gold amalgamation during peak mining periods varies from 150 to 200 kg per month. Out of this, about 40% are lost during panning and 60% lost during heating Au/Hg amalgam. The use of pressure burners to weaken the reef is a deadly mining procedure as hot particles of Pb, As and other sulphide minerals burn the body. Burns become septic. This, apparently, leads to death within 2–3 years. On-site training of miners on safe mining practices met with enthusiasm and acceptance. The use of dust masks, air filters and heavy chemical gloves during mining and mineral processing were readily accepted. Miners were thus advised to purchase such protective gear, and to continue using them for the sake of their health. The miners' workshop, which was held at the end of the project is likely to bear fruit. The Migori District Commissioner and other Government officials, including medical officers attended this workshop. As a result of this, the Government is seriously considering setting up a clinic at Masara, which is one of the mining centres in the district. This would improve the health of the mining community.
Yoga instruction for children replete with songs, activitees, and a make-believe trip to the jungle.
Yoga instruction and music for children.
Much planning theory has been undergirded by an ontological exceptionalism of humans. Yet, city planning does not sit outside of the eco-social realities co-producing the Anthropocene. Urban planners and scholars, therefore, need to think carefully and critically about who speaks for (and with) the nonhuman in place making. In this article, we identify two fruitful directions for planning theory to better engage with the imbricated nature of humans and nonhumans is recognised as characteristic of the Anthropocene – multispecies entanglements and becoming-world. Drawing on the more-than-human literature in urban and cultural geography and the environmental humanities, we consider how these terms offer new possibilities for productively rethinking the ontological exceptionalism of humans in planning theory. We critically explore how planning theory might develop inclusive, ethical relationships that can nurture possibilities for multispecies flourishing in diverse urban futures, the futures that are increasingly recognised as co-produced by nonhuman agents in the context of climate variability and change. This, we argue, is critical for developing climate-adaptive planning tools and narratives for the creation of socially and environmentally just multispecies cities.
This essay was prompted by the question of how Haṭhayoga, literally 'the Yoga of force', acquired its name. Many Indian and Western scholars have understood the 'force' of Haṭhayoga to refer to the effort required to practice it. Inherent in this understanding is the assumption that Haṭhayoga techniques such as prāṇāyāma are strenuous and may even cause pain. Others eschew the notion of force altogether and favor the so-called 'esoteric' definition of Haṭhayoga and moon in the body). This essay examines these interpretations in light of definitions of haṭhayoga and the adverbial uses of haṭha in Sanskrit Yoga texts that predate the fifteenth-century Haṭhapradīpikā
The experience of attending college can be a stressful experience for many students, one that college and university counseling centers may have limited resources of time and finances to assuage. For instance, decision making may deteriorate during times of stress and result in a narrowed perceptual set. The present study sought to determine through a novel design whether meditative training could effectively address the situation. Results indicated that classroom-based meditative training improved executive functioning among college students regarding stress, cognitive flexibility, and insight. Such an approach to intervention may provide college and university counseling centers with greater opportunities to better meet student emotional and academic needs.
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