Will Labour kill Lords reform?

The party is tempted to give Clegg another bloody nose.

If, as seems likely, as many as 100 Conservative MPs rebel over House of Lords reform, the bill's fate will depend on Labour. For Ed Miliband, this creates a political dilemma. Should he exploit an opportunity to maximise coalition tensions or should he fulfil Labour's previous commitment to an elected upper chamber? The answer, it appears, is that he will do both.

Today's Guardian reports that Labour will reject any timetable for the bill, potentially allowing MPs to talk it into the ground. However, it will do so on the basis that the proposed bill would not create a 100 per cent elected chamber (20 per cent of members, including Church of England bishops, would be appointed) and that it would not be put to a referendum. This, Labour will say, is another "miserable little compromise" from Nick Clegg.

Both David Cameron and Clegg have insisted that a referendum is not required since all three of the main parties endorsed Lords reform in their manifestos. But Labour can point to the fact that its manifesto also included a commitment to a referendum. Until recently, the British electorate had little experience of referenda. The AV referendum was only the second to be held on a national level (the first was the vote on EU membership in 1975). But that vote - and those on directly-elected mayors - have set a precedent. Once the possibility of a referendum is raised, it is hard to argue that the people should be denied a say.

The Lib Dems, however, will say that this is merely another example of Labour's constitutional conservatism (as previously demonstrated during the AV referendum). If the choice is between an 80 per cent elected house and a fully appointed one, then it would be shameful for Labour to side with the status quo. The priority is to establish the principle of election. A fully-elected chamber is a fight for another day.

Were Labour to sabotage reform all the same, then, as Rafael wrote recently, "an important symbolic threshold" will have been crossed. For the first time, on a matter of substance, Miliband's party will have sided with the Conservatives against the Lib Dems. But for Labour, which is increasingly confident of winning a majority at the next election, there may now be little incentive to woo Clegg's party.

David Cameron and Ed Miliband walk towards the State Opening of Parliament on 9 May, 2012. Photograph: Getty Images.

George Eaton is political editor of the New Statesman.

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Tetris and sleep deprivation: how we can help emergency workers cope with trauma

First responders are at serious risk of developing PTSD during events like the Paris attacks. 

Some people seem able to deal with anything. They save a stranger from bleeding out in a bombed restaurant, protect passers-by from heavily armed gunmen, pull dead and dying people out of collapsed buildings, and they keep going because it is their job. These people are first responders.

When trauma goes on for days, as it has recently in Paris, however, the odds of them bouncing back from the violence, death and injury they are witnessing rapidly diminishes. They are at greater risk of developing a severe stress reaction known as post-traumatic stress disorder (PTSD). One study found that the worldwide rate of PTSD among first responders is 10 per cent, much higher than the 3.5 per cent rate among those not involved in rescue work.

Tetris to the rescue

So how best to address the problem? Research is in its infancy, but there are some promising studies. Emily Holmes’ group at the University of Cambridge has been looking at the benefits of playing Tetris, a video game, after a traumatic experience. The idea is that this could block the consolidation of traumatic memories so they don’t “flash back” later on.

For the study, her team first traumatised people by showing them distressing footage from public safety videos. The next day they invited them back into the lab to reactivate the memories with still images taken from the videos. One group then played Tetris for 12 minutes while the other sat quietly. Over the following week, the group who played Tetris had about 50 per cent fewer unwanted memories from the films compared to the group who didn’t.

The team concluded that playing Tetris helped individuals because it soaks up their visual processing capacity, making it harder for the brain to consolidate the visual parts of a traumatic memory.

Since it takes about six hours for the brain to cement a memory, the key is to play the game soon after trauma or within six hours of re-activating the traumatic memory. How long the helpful effects of playing Tetris will last and whether it will translate into helping people after real-life trauma is still unknown.

Talking it through

Other techniques, such as “updating”, taken from a highly-effective talking treatment for PTSD, may be more practical and easier to implement.

Like a detective, updating is a technique that focuses on finding new information and linking it to the case, the past memory. This is necessary because when the brain and body are in survival mode during trauma, the mind finds it difficult to encode all the relevant facts. Often key pieces of information that could make the memory less traumatic are lost. Updating links new information to someone’s memory of their trauma to make it less upsetting.

But can updating help to reduce unwanted memories after trauma?

We carried out a study, published in PLOS ONE, in which we traumatised people by showing them terrifying films of humans and animals in distress. We then divided our participants into three groups. One group watched the films again but were given new information about how long people suffered and whether or not they lived or died – essentially, they were updated. The second group watched the same films again but without the new information. And the third group watched films of humans and animals who were not in distress. The updated group had fewer traumatic memories and PTSD symptoms than the other two groups.

Updating is now being used by some UK emergency services. First responders will gather after critical incidents and update their memories of what happened before they go home.

Sleep deprivation

There are other techniques that may be helpful. One study found that depriving people of sleep may be useful in the aftermath of trauma.

But the same study found that a week after the trauma, people who had been deprived of sleep had the same number of unwanted memories as people who had slept well afterwards. Consequently, it remains unclear whether there would be any long-lasting benefits using this method. There are, however, certainly health risks linked to lack of sleep.

Still looking for a solution

To develop preventative interventions, we need to study newly-recruited emergency workers who haven’t yet suffered on-the-job trauma and follow them over time, spotting which “coping styles”, present before trauma, may predict their reactions afterwards.

For example, some people naturally react to stressful life events by dwelling on them, thinking about why they happened for hours on end. This strategy, called rumination, has been linked to PTSD in people who survived car crashes.

If rumination predicts PTSD in first responders, then preventative interventions could train people to spot when they are dwelling on an event and refocus their attention to the task at hand.

When we have identified which factors heighten emergency workers’ risk of developing PTSD, programmes can be developed to target those vulnerabilities. Only then can an intervention, directed at first responders most at risk of developing PTSD, properly protect them in their line of work.

The Conversation

Jennifer Wild is a Senior Research Fellow in Clinical Psychology at the University of Oxford

This article was originally published on The Conversation. Read the original article.