I can't remember what it was now, and it wasn't any of those phrases, but there was something else someone said in this episode that also gave me pause, such that I immediately googled it to try to figure out if that turn of phrase were in common use at this time. And now of course I can't remember what it was (and did not succeed in determining if it were anachronistic or not). But there have been a few moments that made me do a double-take. Then again, I'm often surprised to find certain idioms are older than I expect so who knows.
I finally got around to watching most of this episode in order to be able to delete things off my DVR. I may have cursed aloud at the overly heroic introduction of Gilbert Blythe and his explicit recognition of it (mentioning dragons, seriously). Since the story is only tangentially related to what happens in the book I suppose he might as well protect Anne from a threatening Billy Andrews as anything else but the tone is just terrifying.
Some reviewers were more ambivalent, mainly about Walley-Beckett's changes to the story. Canadian novelist Saleema Nawaz, who reviewed the 90-minute first episode for Toronto Life, said she enjoyed it more than she expected, particularly the set designs and costumes, as well as the performances by McNulty and Thomson, and she approved of the choice of theme song as reflective of the continued relevance of the source material. She was less sure about how far the series intended to stray from that source material, and disapproved of the \"manufactured drama, such as Matthew's wild horse ride\". Writing for Entertainment Weekly, Isabella Beidenharn expressed similar feelings, but, \"putting the source material aside, it's a fine show on its own\", and she conceded that \"inventing a dark side might help Anne With an E fit into today's TV landscape\". Allison Keene, writing for Collider, agrees that Anne is a good drama on its own terms, but allows it is \"only a fair adaptation\" of the novel, at its best in the home scenes: \"Anne with an E is undeniably the most stylish adaptation we've ever seen of Anne of Green Gables. But its desire to reveal more of Anne's miserable past in order to be more true to what the desperation of an orphan is like feels at odds with Montgomery's story.\" Writing for Variety, critic Sonia Saraiya is even more ambivalent, describing the series as on the one hand \"a brilliant adaptation\" which \"succeeds admirably\", but on the other hand, \"the show can't quite sustain the brilliance, veering first into maudlin territory and then into the oddly saccharine as it tests out its tone\", contending that \"the show gets a bit bogged down in telling the story of Anne's dysfunction\", presenting \"a slightly soapy view of Anne's trials and tribulations that at times really humanize her and in others, are rather infantilizing\".
Prevention and early intervention are recognized key elements for minimizing the impact of any potentially serious health condition. However, while representing a field of remarkable achievement, that of early intervention in youth health is a target not completely accomplished yet . This is particularly true for youth mental health. In fact, mental healthcare has been traditionally oriented to provide health benefits to adult populations during crisis events and major emergencies . In this framework, mental health presentations to emergency settings in pediatric populations are somewhat frequent events . Deinstitutionalization policies have only partially addressed this issue, also in light of the large variability worldwide in the implementation of community mental health services , especially for children and young adults .
Abstract:Background: Bipolar Disorders (BD) in youth are a heterogeneous condition with different phenomenology, patterns of comorbidity and outcomes. Our aim was to explore the effects of gender; age at onset (prepubertal- vs. adolescent-onset) of BD; and elements associated with attention deficit hyperactivity disorder (ADHD) and Substance Use Disorder (SUD) comorbidities, severe suicidal ideation or attempts, and poorer response to pharmacological treatments. Method: 117 youth (69 males and 57 females, age range 7 to 18 years, mean age 14.5 2.6 years) consecutively referred for (hypo)manic episodes according to the Diagnostic and Statistical Manual of Mental Disorders, 54th ed (DSM 5) were included. Results: Gender differences were not evident for any of the selected features. Prepubertal-onset BD was associated with higher rates of ADHD and externalizing disorders. SUD was higher in adolescent-onset BD and was associated with externalizing comorbidities and lower response to treatments. None of the selected measures differentiated patients with or without suicidality. At a 6-month follow up, 51.3% of the patients were responders to treatments, without difference between those receiving and not receiving a psychotherapy. Clinical severity at baseline and comorbidity with Conduct Disorder (CD) and SUD were associated with poorer response. Logistic regression indicated that baseline severity and number of externalizing disorders were associated with a poorer outcome. Conclusions: Disentangling broader clinical conditions in more specific phenotypes can help timely and focused preventative and therapeutic interventions.Keywords: bipolar disorders; children; adolescents: ADHD; substance use disorder; suicidality; anxiety disorders; externalizing disorders
Having addressed the context of the episode, findings will now be presented as they emerged during analysis of the teaching and learning event. The constant comparative method of coding (Corbin and Strauss; Boeije) was followed during analysis to seek out emerging elements from the teaching and learning event as related to the five topographical dimensions listed above (i.e. who of learning, what of learning, where of learning, when of learning, how of learning). 59ce067264