This is a study of military psychiatry in the Second World War. Focusing on the British Army, it recounts how the military came to employ psychiatrists to revise recruitment procedures and to treat psychiatric casualties. The research has shown that psychiatry was a valued specialty and that psychiatrists were given considerable power and independence. For example, psychiatrists reformed personnel selection and placed intelligence testing at the centre of the military selection of personnel. Psychiatrists argued that by eliminating the 'dull and backward' the tests would help improve efficiency, hygiene, discipline and morale, reduce psychiatric casualties and establish that the Army was run in a meritocratic way. However, it is probable that intelligence testing made it less likely that working-class men would receive commissions. Still, the Army had no consistent military doctrine about what the psychiatrists should be aiming for -to return as many psychiatric casualties to combatant duties as was possible or to discharge men who had found it impossible to adapt to military life. In the initial stages of the war, the majority of casualties were treated in civilian hospitals in Britain, where most were discharged. This was partly because the majority were regarded as constitutional neurotics. When psychiatrists treated soldiers near the front line most were retained in some capacity. The decision on whether to evacuate patients was influenced by multiple factors including the patients' military experience and the doctors' commitment to treatment or selection. Back in Britain, service patients were increasingly more likely to be treated in military hospitals such as Northfield -famous for the 'Northfield experiments'. These provided an alternative model of military psychiatry in which psychiatric intervention refocused away from individuals and their histories and onto social relationships, and where the psychiatrists' values were realigned with the military rather than with civilian general medicine.

Previous research on female street sex workers (FSSWs) has primarily concentrated on the stigmatisation of women's involvement in the sex industry particularly with reference to the spread of HIV/AIDS. The response of the criminal justice system to the regulation of the illegal aspects of women's engagement in street sex work has also been criticised. However, the impact of street sex work on the health and wellbeing of these women requires further research. The aim of this study was to explore the perceptions and needs of female street sex workers in relation to their own health and wellbeing. The study used a qualitative mixed methods approach that included analysis of three sets of data: visual data, secondary data and primary data. There were 10 FSSWs recruited for the primary data sample. The epistemological position underpinning this study is social constructivism and a feminist paradigm has informed the conduct of the research process and data analysis. The theoretical application of Bourdieu's framework of habitus, capital and field has provided the lens through which to explore the socially constructed experiences of FSSWs health and wellbeing. Findings from this study revealed that FSSWs experienced poor physical, mental and social health and wellbeing. They faced limited life choices and often felt discriminated against by the agencies and institutions that should have offered support. The women spoke of their personal histories especially traumatic life events in childhood consisting of sexual abuse, neglect, loss, rejection as well as intimate partner violence in adult life. The loss of their children to social services, housing difficulties and addiction to alcohol and crack cocaine were also significant in contributing to social exclusion and their multiple positions of vulnerability. This study contributes to the body of work on women's health and wellbeing. In particular, it adds to our understanding of the lived experiences of women involved in street sex work. A key public health priority should be the development of policies and systems to provide quality services to support the health, safety and wellbeing of FSSWs.

By its nature, building maintenance requires an ability to respond to a demand that is random in time, random in nature and random in location. This in turn creates complex operational and logistical problems for management, specially if the property complex is large. The objective of this research is to assess the scope for and effectiveness of quantitative modelling, and the prediction of the outcome of alternative management action (policy), to assist in the management of building maintenance complexes of the size of a hospital. Both building and engineering equipments are encompassed within the study as appropriate. The research issues are split into three related phases; a demand study; a defect reduction study; and a maintenance management model. 1- The maintenance demand study: Based upon general statistics obtained, attempts have been made to identify and quantify both the major problems areas (in terms of cost and frequency of maintenance activities), and the nature and cause of the demand for maintenance. They have revealed no coherent picture in that the demand from wards and buildings seems independent of the patient throughput and the age of buildings. The demand for maintenance, for the main trades involved, has been estimated and used in the simulation models mentioned in below. 2- Demand reduction model: Accepting the current demand situation for maintenance, it was proposed to identify what is the cause of the demand and what possible actions could reduce the demand: Possibly through design modification, changes in materials used, change in practice of service/building user, development of Preventive Maintenance 'PM' or inspection system for component. Despite considerable effort, it proved not possible to progress this aspect of the study and the reasons are discussed. 3- Maintenance management models: Simulation models to the maintenance activities within the hospital has been developed using, Extended Control and Simulation Language, ECSLPLUS, to model the maintenance policies, and assessing any changes in operating procedures. The advantage of modelling is that the magnitude and nature of changes can be assessed and contemplated prior to any actual change in operating procedures. This is generally recognised as being most valuable. For specific problems and areas of operation identified, development of specific methods of deployments have been attempted. For instance, 'recieving one job at a time'; 'recieving a batch of jobs at a time'; and 'delaying non-urgent jobs and grouping them in time'. A number of maintenance management policies have been assessed using the above models, these are: 'Previewing' and 'not previewing' most of the defects before repair to identify the required resources; 'employing extra part-time tradesmen during the busy days'; 'working 7 days instead of 5 days a week'; 'no sickness policy'; and 'employing multi-skilled tradesmen option'. These models should be capable of indicating to management the gains and consequances, in terms of measures of interest to them such as the workforce and manhours required to meet the demand for maintenance per trade, changing operating practice, customs and timescales. That is, their decision variables.

The sale of electrically assisted bicycles (‘e-bikes’) is growing at a rapid rate across Europe. Whereas market data is available describing sales trends, there is limited understanding of the experience of early adopters of e-bike technology. This paper investigates the motives for e-bike purchase, rider experience and perceived impact on mobility, health and wellbeing through in-depth interviews with e-bike owners in the Netherlands and the UK. Findings revealed that the motive for purchasing e-bikes was often to allow maintenance of cycling against a backdrop of changing individual or household circumstances. E-bikes also provided new opportunities for people who would not otherwise consider conventional cycling. Perceptions of travel behaviour change revealed that e-biking was replacing conventional cycling but was also replacing journeys that would have been made by car. There was also a perception that e-biking has increased, or at least allowed participants to maintain, some form of physical activity and had benefitted personal wellbeing. Technological, social and environmental barriers to e-biking were identified. These included weight of bicycle, battery life, purchase price, social stigma and limitations of cycle infrastructure provision. Additional research is necessary to quantify actual levels of mode substitution and new journey generation among new e-bike owners and the impact of e-biking on promoting physical health and mental wellbeing.

Introduktion: År 2022 befann sig minst 100 miljoner människor på flykt. Asylsökande och flyktingar som tvingats fly har många gånger utsatts för traumatiska händelser. Flykten innebär stora livomställningar som påverkar individens aktivitet, identitet, känsla av kompetens samt hälsa och välbefinnande. Syfte: Beskriva aktivitet och delaktighet i vardagen hos asylsökande och flyktingar. Metod: Scoping review användes för att besvara syftet. Datainsamling gjordes genom litteratursökning i databaser samt genom manuell sökning. Sökord som användes var refugee or refugees or asylum seeker or asylum seekers or forced migrant or forced migrants or displaced, occupational participation or occupational engagement or participation, activity or occupation. Inklusionskriterier var artiklar på svenska och engelska, publicerade 2010 – 2023. Grå litteratur och andra litteraturstudier exkluderades. Totalt inkluderades 17 artiklar. Resultat: Studien resulterade i två huvudkategorier: Asylsökande och flyktingars aktivitetsidentitet och Kontexters betydelse för aktivitet och delaktighet. Ett genomgående tema i studien framkom: Ovisshet inför framtiden. Resultatet indikerar på att asylsökande och flyktingar utsätts för aktivitetsberövning, aktivitetsobalans och förändringar i individens aktivitetsidentitet samt aktivitetsförmåga. Individens aktivitet och delaktighet påverkas av kontextuella faktorer. Slutsats: Asylsökande och flyktingar begränsas i sin aktivitet och delaktighet i vardagen. Resultatet indikerar på att delaktighet i och möjlighet till meningsfulla och nödvändiga aktiviteter är av betydelse för hälsa och välbefinnande. / Introduction: Year 2022, around 100 million people were estimated to be on the run. Asylum seekers and refugees who are forced to flee their home country may have been exposed to traumatic events. The flights results in lifestyle changes that affect the individual’s activity, identity, sense of capacity, health and well-being.  Aim: Describe activity and participation in everyday life of asylum seekers and refugees. Method: A scoping review was used. Data collection was carried out through literature search in databases and by manual search. Keywords used were refugee or refugees or asylum seeker or asylum seekers or forced migrant or forced migrants or displaced, occupational participation or occupational engagement or participation, activity or occupation. Inclusion criteria were articles in Swedish and English, published 2010 – 2023. Grey literature and other literature reviews were excluded. A total of 17 articles were included. Results: The study resulted in two main categories: Asylum seekers and refugees activity identity and The importance of contexts for activity and participation. An overarching theme emerged: Uncertainty about the future. The results indicate that asylum seekers and refugees are exposed to activity deprivation, activity imbalance and changes in the individual’s activity identity and ability. The individual’s activity and participation are influenced by contextual factors. Conclusions: Asylum seekers and refugees are limited in their activity and participation in everyday life. The result indicates that participation in and opportunity to meaningful and necessary activities is important for health and well-being.

The purpose of this essay is to explore how the application of the Alexander Technique, as taught from the point of view of the Interactive Teaching Method (ITM), can be of benefit in performance preparation as well as in the enhancement of the musician’s practice and performance in general. Although the specific performance described in this paper was for violin, the argument is made that the exploration and methods of practice would be of benefit to any musician. This paper describes the experience of a study of the Alexander Technique. Information is provided about the Alexander Technique, its origins, principles and practices. The application of Alexander’s work to violin playing in general is discussed, and specifically to the preparation for the performance of Sonata Duodecima by Isabella Leonarda. / <p>Isabella Leonarda: Sonata Duodecima Opus 16</p><p>Elizabeth Jackquet De La Guerre: Sonata No 1 in D minor for Violin &amp; Cembalo</p><p>Antonio Bonparti: Invention No 1 in A major (from 12 Inventions for Violin)</p><p>Baroque Violin: Aingeala De Búrca</p><p>Cembalo: Mayumi Kamata</p><p>The sounding part has been archived.</p><p></p>

The prevalence of autism spectrum disorder (ASD) has increased two percent from 2012–2014 (Centers for Disease Control and Prevention, 2018) and the Centers of Disease Control and Prevention (CDC) has considered ASD to be a major health concern. The demands of caring for a child with developmental disabilities, including ASD can be overwhelming and the caregivers are experiencing heightened levels of stress in comparison to rearing typically developing children (Argumedes, Lanovaz, & Larivée, 2017; Lindo, Kliemann, Combes, & Frank, 2017). There is a need for more family support to implement more effective coping strategies to deal with the maladaptive functioning of the child with ASD (Hall, & Graff, 2011). The WE C.A.R.E. 2 Program is a nine-week evidence-based community pilot program that will provide an inclusive opportunity with additional family support and effective coping strategies e.g., breathing techniques, yoga postures and positive coping cognitions (e.g., positive self-talk and reappraisals) to decrease the stress levels of caregivers and promote healthy behaviors and healthy child development with the support and training from trained facilitators and a network of caregivers. This individualized plan will tailor to the needs of each dyad to create the necessary mechanisms of change (behavior, cognition, physiological, and sensory modulation) among the children and adults in the yoga group. The professional collaboration of different disciplines (occupational therapy, yoga therapist and teacher) will provide the appropriate modifications to the environment and provide the necessary input for the “just right” experience for a positive outcome.

<p>Social housing residents’ lived experiences and understandings of their neighbourhood and home are key factors influencing their health and wellbeing, but remain under-examined in the urban redevelopment literature. This thesis investigates the ways in which people living in Toronto’s Regent Park, Canada’s oldest and largest social housing development undergoing “neighbourhood revitalization,” experience their community and respond to neighbourhood stigma. Drawing on Lamont’s (2009) destigmatization practices concept, the aim of this study was to understand “neighbourhood revitalization” as a place destigmatization strategy that may influence the ways in which residents engage in personal destigmatization practices as well as affect their perceived health and wellbeing. Semi-structured interviews were carried out with 15 Regent Park residents and NVivo 9 software was used for data analysis. Findings show that participants utilize various counter-narratives as destigmatization practices that challenge dominant narratives and stereotypical representations of their neighbourhood. However, since re-housing in revitalized buildings, participants’ narratives describing their neighbourhood have changed and may further stigmatize some Regent Park residents. Counter-narratives may be implicitly linked to resiliency and wellbeing, while place destigmatization through revitalization was strongly associated to residents’ perceived improvements in health and wellbeing. The findings of this thesis may contribute to the developing literature on the impacts of urban redevelopment on residents’ health and wellbeing.</p> / Master of Arts (MA)

This thesis examines how patterns of time use change in later life and how the way in which older people use their time is related to well-being. Arguing that maintaining balance in time use concerns not only people of working age but matters for people of all ages, we propose an alternative theoretical framework of life balance. This consists of two conceptual models: The Life Balance Triangle and Multidimensional Life Balance (MLB). Using UK time use data, the thesis demonstrates the empirical applicability of these two models in enhancing our understanding of older people's daily lives. The life balance model, which we built by modifying the theoretical categorisation of time use by &Aring;s (1978) and the work-leisure triangle of Gershuny (2003), identifies and presents alteration in time use across the life course as changes in balance between constraints (committed time) and freedom of choice (discretionary time), controlling for time spent on biological/physiological maintenance (regenerative time). We find the balance shifts towards greater discretionary, and less committed, time in later life, with a significant gender gap. Life stage, which reflects social structure and expectations, rather than biological ageing, was found to be the most influential factor for life balance dynamics. Findings suggest that men may find it more difficult to adjust to life beyond work because of abrupt and greater changes in life balance, which may disrupt their daily time structure. The multidimensional life balance model challenges the assumption of a linear relationship between the level of activity and well-being of older people. Adapting the Alkire-Foster method (Alkire and Foster, 2011), we propose a threshold-based approach that takes the heterogeneity of older people and multidimensionality of daily life into account, and emphasises overall balance in the level of activities across various activity domains. Results show MLB is associated positively with better self-assessed health, suggesting a threshold effect. We also identify the demographic/socio-economic groups more likely to lack MLB, as well as domains in which most people are deficient. The thesis contributes to work-life balance research by moving beyond paid-work centrality, and to ageing research by providing a multidimensional approach to activities and well-being in later life.

This study maps research concerning person environment interrelationships with health and wellbeing outcomes. The purpose of this study is to provide insights into the inter-relationship between the built environment (BE) and human health and wellbeing as it is conveyed in research literature. It particularly focuses on literature that connects built environment, emotions, feelings, mind and body. This thesis therefore provides a review of relevant literature on the physical environment, with a focus on person environment (PE) relationship that may influence the person's psychological and physiological systems consequently affecting health and wellbeing. Specifically, psychoneuroimmunology (PNI) is used to identify dimensions of the BE which are significant for this study. The understanding of PE interrelationships to health outcomes is achieved by undertaking a transdisciplinary outlook. To conceptualise the 'person' as a whole and the workings of the mind and human system PNI has been recognised as a main platform. PNI is the study of mind-body relationships (Evans, et al, 2000), providing a scientific framework which captures the understanding of the inter-relationship of the mind to the neuroendocrine systems and the immune systems with the aim of understanding the influence of the mind on eliciting as well as preventing illnesses. The work was motivated by the need for better understanding of the human interaction/transaction in an interior environment and their consequences on health. An exploration of literature from both the environmental and health fields provided a knowledge base upon which to develop an understanding of the interrelationship. Research has demonstrated a link between the BE and wellbeing, however, this is limited in its application and/or scope. For example, over the past years there has been an increasing amount of research showing the possible influence of the environment in reducing stress (Sommer & Oslen, 1980; Kaplan, 1983; O'Neill, 1991; Wapner & Demick, 2000; Parsons & Tassinary, 2002, Frumkin, 2006). In addition, there is growing evidence that indicates there is a relationship between BE and health including the psychological and physiological systems, in healthcare environments (Ulrich & Zimring, 2004). However, while there is ample research in the areas of environmental stressors and other determinants of the environment in contributing to health, less research has been undertaken in studying the impact of the environment on health (Evans& McCoy, 1998). The potential of the environment in contributing to the mental wellbeing of a person and how this could affect the physical health therefore needs further investigation (Solomon, 1996). The methodology followed was Coopers (1998) 'research synthesis' and the tool to sort the domains and PE interrelationships was adapted from White's (1989) 'space adjacency analysis'. The scope of this study was limited to explorations of literature that inquired into PE relationships that fit into the primarily established 'integrative systems model'; a parameter that enabled categorisation of the literature into the areas that related to the PNI framework. The findings illustrate that the person is interrelated to the environment in several ways and can be interpreted and explained in terms of various dimensions such as the psychological, physical, social, and spatial dimensions. Furthermore, empirical research indicates that the environment impacts on a person's health and wellbeing through psychological and physiological systems. PNI acknowledges the interrelationship of the mind and body systems contributing to an integrative systems model of human health and wellbeing. As an outcome, the study has produced an analysis method and a navigation map of the various literature domains related to PE interrelationships in terms of health and wellbeing. This has been facilitated by the development of, a 'PE integrative systems model'. Apart from demonstrating the need for transdisciplinary research and contributing to research methodology, the study also adds to the current design knowledge base providing BE professionals and creators with a better understanding of the health outcomes from PE interrelationships.