Creative approaches to mental health: a critical analysis of the mindfulness agenda in Sussex

Mindfulness is a packaged intervention with current popularity in East Sussex, and this study explores how it is embedded in mental health services, the processes of the gathering and presentation of evidence, how the experience of patients is organizationally shaped and the importance of indirect interventions. These forms of interventions are what has been termed ‘choice architecture’ by proponents of the ‘nudge agenda’, describing the way that decisions and behaviour are influenced by how the choices are presented or designed . I want to explore the feasibility of applying indirect interventions to mindfulness in order to increase take-up rates, evaluative mechanisms and follow-up support, based on the patient perspective. Mindfulness-based cognitive therapy (MBCT) was recommended by NICE in their guidelines in 2004, was brought fully into the mainstream and has now been specifically adapted for psychosis. My research is on the interaction between mindfulness as an innovative therapy, a marginalised group of people who experience psychosis, and the currently popular behavioural economics (nudge) agenda. The nudge agenda is being promoted on the basis of cost-effectiveness, the aptness of its ideology to the current political climate, and its evidence base in particular case studies. The use of creative indirect interventions such as nudge, ‘when carefully crafted and applied’, can be ‘a positive means of communication between physician and patient’

Comment: Citation Statistics

Comment on "Citation Statistics" [arXiv:0910.3529]Comment: Published in at http://dx.doi.org/10.1214/09-STS285C the Statistical Science (http://www.imstat.org/sts/) by the Institute of Mathematical Statistics (http://www.imstat.org

Gap distribution of Farey fractions under some divisibility constraints

For a fixed positive integer d, we show the existence of the limiting gap distribution measure for the sets of Farey fractions a/q of order Q with a not divisible by d, and respectively with q relatively prime with d, as Q tends to infinity.Comment: 15 pages, revised versio

How old are you, really? Communicating chronic risk through 'effective age' of your body and organs.

In communicating chronic risks, there is increasing use of a metaphor that can be termed 'effective-age': the age of a 'healthy' person who has the same risk profile as the individual in question. Popular measures include 'real-age', 'heart-age', 'lung-age' and so on.Here we formally define this concept, and illustrate its use in a variety of areas. We explore conditions under which the years lost or gained that are associated with exposure to risk factors depends neither on current chronological age, nor the period over which the risk is defined. These conditions generally hold for all-cause adult mortality, which enables a simple and vivid translation from hazard-ratios to years lost or gained off chronological age. Finally we consider the attractiveness and impact of this concept.Under reasonable assumptions, the risks associated with specific behaviours can be expressed in terms of years gained or lost off your effective age. The idea of effective age appears a useful and attractive metaphor to vividly communicate risks to individuals.David and Claudia Harding Foundatio

Bayesian Overdispersed Poisson Model and the Bornhuetter-Ferguson Claim Reserving Method

We consider the Bayesian overdispersed Poisson (ODP) model for claims reserving in general insurance. We choose two different types of prior distributions for the parameters and then study the different Bayesian predictors. This study leads, on the one hand, to the classical chain ladder predictor and, on the other hand, to Bornhuetter-Ferguson predictors. We highlight (either analytically or numerically) how these predictors are obtained and how their prediction uncertainty can be determined