Tourism, Barbados's primary industry, declined substantially from the outset of the 2008 global recession, triggering an economic slump in the local economy. The purpose of this exploratory study was to explore the views of 20 Barbadian tourism executives regarding the ability of community-based tourism (CBT) to resuscitate Barbados's tourism industry. The participants included 10 from the government and 10 from the business sector; all possessed knowledge of CBT and worked with tourism for at least 10 years. Arnstein's ladder of citizen participation constituted the conceptual framework of this study. Participants were recruited by snowball and purposive sampling. Data were collected using an interview guide with semistructured interview questions, an audio recorder, and interview notes. The collected data were coded and analyzed using thematic analysis, which involved collating the most cited codes into potential themes and developing thematic maps. The major themes that emerged from the data analysis of the private sector included the use of CBT as a means to solidify social relationships among locals and tourists and its ability to encourage repeat vacations. The major themes that materialized from interviewing the government workers included the need for the education of residents regarding the importance of their roles as stakeholder participants and the obligation by the relevant officials to stem any potential for criminal activity that could occur through CBT implementation. Repeated vacations through CBT could give rise to positive social change in the island by generating increased foreign currency injections and improving the social well-being of Barbadians and the Barbados economy.

The purpose of this study was twofold: (a) Examine successful choral director beliefs about warm-ups and their successful practices in conducting warm-ups, and (b) examine the relationship of musical background, choral training and music teaching style of high school choral directors upon these beliefs and practices. Subjects were 365 high school choral directors from 28 states. Data were analyzed using descriptive analysis, correlation analysis, multivariate analysis of variance and multiple regression. Results indicated choral director's beliefs and practices differ as a function of musical back-ground, demographic characteristics, choral conducting training, and music teaching styles. Specifically, warm-up beliefs were predicted by knowledge of vocal health and variety of warm-ups. Conversely, those who relied on the warm-up time for discipline and focusing attention showed a significant negative relationship with their philosophy. From multiple regression analysis, doing choral warm-ups accounted for one-third of a director's overall success, predicted by 10 variables: (a) experience, (b) education, (c) teaching style teacher-directed performance, (d) teaching style deep-student learning, (e) warm-up literature and procedure, (f) planning warm-ups (g) warm-up content, (h) prior choral experience and piano background, (i) a foundation in music, and (j) a developed philosophy of choral warm-ups. However, having a philosophy about warm-ups did not predict successful teaching practices.

Cognitive behavioral therapy (CBT) is efficacious for panic disorder with agoraphobia (PD/A). Nevertheless, the active ingredients of treatment and the mechanisms through which CBT achieves its effects remain largely unknown. The mechanisms of action in CBT (MAC) study was established to investigate these questions in 369 patients diagnosed with PD/A. The MAC study utilized a multi-center, randomized controlled design, with two active treatment conditions in which the administration of exposure was varied, and a wait-list control group. The special feature of MAC is the way in which imbedded experimental, psychophysiological, and neurobiological paradigms were included to elucidate therapeutic and psychopathological processes. This paper describes the aims and goals of the MAC study and the methods utilized to achieve them. All aspects of the research design (e.g., assessments, treatment, experimental procedures) were implemented so as to facilitate the detection of active therapeutic components, and the mediators and moderators of therapeutic change. To this end, clinical, behavioral, physiological, experimental, and genetic data were collected and will be integrated.

Background: Learning by conditioning is a key ability of animals and humans for acquiring novel behavior necessary for survival in a changing environment. Aberrant conditioning has been considered a crucial factor in the etiology and maintenance of panic disorder with agoraphobia (PD/A). Cognitive-behavioral therapy (CBT) is an effective treatment for PD/A. However, the neural mechanisms underlying the effects of CBT on conditioning processes in PD/A are unknown. Methods: In a randomized, controlled, multicenter clinical trial in medication-free patients with PD/A who were treated with 12 sessions of manualized CBT, functional magnetic resonance imaging (fMRI) was used during fear conditioning before and after CBT. Quality-controlled fMRI data from 42 patients and 42 healthy subjects were obtained. Results: After CBT, patients compared to control subjects revealed reduced activation for the conditioned response (CS+ > CS–) in the left inferior frontal gyrus (IFG). This activation reduction was correlated with reduction in agoraphobic symptoms from t1 to t2. Patients compared to control subjects also demonstrated increased connectivity between the IFG and regions of the “fear network” (amygdalae, insulae, anterior cingulate cortex) across time. Conclusions: This study demonstrates the link between cerebral correlates of cognitive (IFG) and emotional (“fear network”) processing during symptom improvement across time in PD/A. Further research along this line has promising potential to support the development and further optimization of targeted treatments.

Depression och insomni är två vanliga former av psykisk ohälsa. I den här studien undersöktes om en bevisat effektiv behandling för insomni, (KBT-I), påverkade grad av depressiva symtom hos personer med konstaterade symtom på såväl depression som insomni. I studien kontrollerades för en minskning av nedstämdhet kunde tillskrivas en ökad fysisk aktivitetsnivå. En single case experimental design användes för ändamålet, med dagliga skattningar av sömn, nedstämdhet och fysisk aktivitetsnivå. Symtom på såväl insomi som nedstämdhet minskade signifikant hos tre av sex deltagare. Minskad nedstämdhet kunde inte förklaras av ökad fysisk aktivitetsnivå. Samvariation observerades mellan depression och insomni. Resultaten visar att insomni och depression kan påverkas av samma behandling, vilket antyder förekomst av gemensamma vidmakthållande mekanismer. / Insomnia and depression are two common mental health problems. This study investigated whether a proven effective treatment for insomnia CBT-I, would change the severity of depressive symptoms, for participants with comorbid insomnia and depression. It was controlled for, whether a reduction in depressive symptoms could be the result of increased physical activity. A single case experimental design, including daily measurements of sleep, depression and physical activity, was used as a means to answer the research questions. Symptoms of both depression and insomnia were significantly reduced for three out of six participants. Increased physical activity was not able to explain the decrease in depression scores. A correlation was observed, between depression and insomnia. The results shows that insomnia and depression can be affected by the same treatment, which implies existence of common perpetual mechanisms.

While the focus of rehabilitation following traumatic brain injury (TBI) is often on management of physical and cognitive impairments, emotional and behavioural changes in the person with the injury may represent major hurdles in adjustment following injury. Mood, anxiety and adjustment disorders are common following TBI. A manualised cognitive behavioural therapy (CBT) treatment programme was developed that incorporated provision of education on consequences of TBI, used cognitive and behavioural strategies to recognise and manage emotional reactions to injury, and promoted achievement of personal goals. Participants were nine people with TBI referred to Massey University Psychology Clinic Wellington, for psychotherapy to assist in managing symptoms of psychological distress or adjustment difficulties following injury. Measures used included the Hospital Anxiety and Depression Scale (HADS) to monitor progress in reduction of symptoms of Anxiety and Depression; the Patient Competency Rating Scale (PCRS) to assess competency across areas of day-to-day living; and the Homework Rating Scale Second Edition (HRS-II) to assess the value of homework assignments for participants. Results were presented graphically in group format and in the form of individual case studies outlining progress in achieving individual goals. There was considerable variation in the responses of participants to treatment. When anxiety and depression were secondary to other referral issues such as fatigue and pain that remained high over treatment sessions, there was limited movement on HADS Anxiety and Depression scores. The small number of participants impacted on the ability to detect differences between Patient and Informant ratings on the PCRS or to demonstrate increased levels of awareness over treatment sessions. Consistent completion of Homework assignments proved difficult for participants. Factors that impacted on achievement of personal goals included ongoing levels of fatigue and pain, levels of personal expectation, interpersonal and organisational skills, insight into emotional reactions, and good family and social support. There is a part for a CBT approach in adjusting to changes following TBI, particularly in assisting with reassessing expectations following injury.

This report is the result of the course, Environment and Development in the South, at University of Södertörn in Stockholm, Sweden. The report is about “new tourism” especially community-based tourism (CBT) and socio-cultural aspects relating to tourism. It is based on a literature study and a three weeks field course in Babati district in Northern Tanzania. The aim of this study is to describe how host peoples (communities) get affected especially, socio-culturally, by tourism. The aim is also to describe new tourism (especially CBT). A case-study of a Swedish student excursion to Babati is used as an example of how it affects a community (especially socio-cultural aspects) and if it qualifies as CBT. The theory of the study is based on sustainable development (especially socio-cultural aspects) supported by the rules of World Tourism Organization (WTO) and United Nation Environmental Program (UNEP). The theory is connected to the principles of CBT and used in the analysis to judge if the Swedish student excursion qualifies as CBT. The results show that the Swedish student excursion is in line with important principles of CBT, and therefore also in line with sustainable local development in some way. The major advantage with the excursion is the cross-cultural learning and the major problem is jealousness of benefit sharing according to the interviews done.

Cross Border Training North (CBT North) är ett samarbete mellan Sverige, Norge och Finland där stridsflygdivisioner från Luleå, Bodö och Rovaniemi regelbundet övar tillsammans. CBT North har varit en framgång på många sätt där förbanden ökat sin interoperabilitet på ett kostnadseffektivt vis samtidigt som diplomatiska rutiner för förenklat luftrumstillträde har utarbetats. Författaren till denna uppsats har genom sitt deltagande i CBT North kunnat ob-servera hur väl tränade piloterna är att genomföra uppdrag tillsammans. Skulle samarbetet mellan länderna gå att utveckla till att även gälla insatsverksamhet, exempelvis genom att förverkliga det förslag om samnordisk luftrumsövervakning som Stoltenberg presenterade i sin rapport 2009? Med stöd i tre teorier om försvarssamarbete analyserar denna uppsats vilka försvars- och säkerhetspolitiska framgångsfaktorer som föreligger samarbetet inom CBT North. Studien visar att länderna har flera framgångsfaktorer gemensamt men att det även finns avgörande skillnader. Framförallt har Norge en avvikande strategisk kultur som grundar sig på landets medlemskap i Nato och geografiska fokus på det arktiska området. Denna diskrepans be-döms försvåra ett trilateralt luftförsvarssamarbete. Förutsättningarna är däremot mer gynn-samma för ett utvecklat bilateralt samarbete mellan Sverige och Finland.

Kognitiv beteendeterapi (KBT) bygger på teorier kring människans tankar, känslor och beteenden. Det är ett samlingsbegrepp för metoder som utformats för att hjälpa människor att förändra problematiska beteenden. Inledningsvis sammanfattas de begrepp som är relevanta för studiens syfte. Statistik visar att psykisk ohälsa är vanligt förekommande hos klassiska musiker. Syftet med studien var att undersöka hur KBT kan användas för att uppnå ändamålsenliga beteenden i musikalisk övning och fungera som ett hjälpmedel för att hantera problem. Studien byggde på en hermeneutisk grund. Materialet bestod av självobservationer från instudering av Mendelssohns violinkonsert. Dessa tolkades ur ett KBT–perspektiv för att besvara syftet. I resultatet visas integrerandet av KBT–interventioner i form av konkreta exempel där interventionen utformats för att bemöta ett problem i instuderingen. I studiens diskussion analyserades resultatet i form av vilken effekt KBT–interventionerna haft i den musikaliska övningen. / Cognitive Behavioral Therapy (CBT) is based on theories about thoughts, feelings and behaviors. It’s a collective term for methods that serve the purpose of helping people with problematic behaviors. In the introduction the relevant concepts for the study are summarized. Statistics show that mental distress among classical musicians is common. The purpose of the study was to examine how CBT can be applied in order to reach effective behaviors in musical practice and serve as a tool for managing problems. The basis of the study was hermeneutic. The material consisted of self-observations from the study of Mendelssohn violin concerto. These were analyzed from a CBT-perspective to answer the purpose. In the result the integration of CBT-interventions can be viewed in terms of concrete examples where the interventions have been formed to respond to a problem in the practice. In the discussion of the study the result has been analyzed according to what effect the CBT-interventions have had in the musical practice.

Cognitive behavioral therapy (CBT) is efficacious for panic disorder with agoraphobia (PD/A). Nevertheless, the active ingredients of treatment and the mechanisms through which CBT achieves its effects remain largely unknown. The mechanisms of action in CBT (MAC) study was established to investigate these questions in 369 patients diagnosed with PD/A. The MAC study utilized a multi-center, randomized controlled design, with two active treatment conditions in which the administration of exposure was varied, and a wait-list control group. The special feature of MAC is the way in which imbedded experimental, psychophysiological, and neurobiological paradigms were included to elucidate therapeutic and psychopathological processes. This paper describes the aims and goals of the MAC study and the methods utilized to achieve them. All aspects of the research design (e.g., assessments, treatment, experimental procedures) were implemented so as to facilitate the detection of active therapeutic components, and the mediators and moderators of therapeutic change. To this end, clinical, behavioral, physiological, experimental, and genetic data were collected and will be integrated.