Maria Hutchings, the Tories' Sarah Palin, is a sign of things to come

The new generation of Conservative MPs and candidates are more socially conservative than their predecessors.

David Cameron finds himself supporting a candidate in the Eastleigh by-election who disagrees with him on Equal Marriage, on membership of the EU and who has some pretty extreme views on immigration and abortion. Meanwhile, right-wing commentators call on the party to wake up and get behind their 'modernising' leader.

But in fact, the evidence is that the latest brand of Tory MPs have more in common with Maria Hutchings, "the Sarah Palin of the south coast" as one person referred to her the other day, than they do with the leader of the Tory party.

Blogger Mark Thompson did an excellent analysis of how Tory MPs voted in the Equal Marriage debate and discovered that the 2010 intake were more likely to have voted against the proposal than the 2001/2005 intake. There has, I think, been a tendency to imagine that the Conservative vote was split on age grounds and it is true that Tory MPs elected in the 1980s or 90s were the most likely to vote against. But the fact that the 2010 intake are more socially conservative than their immediate predecessors rather suggests Hutchings is increasingly the rule, rather than the exception.

Under the microscope of a by-election, Tory high command can control their candidate's media appearances and her expression of ‘unfortunate’ views – witness the unsuccessful attempts of the BBC's Norman Smith to interview Hutchings last Sunday - but as Conservative constituency associations select more and more candidates in the same mould (especially where they fear the effect of UKIP on their vote), it's going to be harder and harder to hide their opinions from scrutiny.

It’s easy to forget where the Tory party is heading, as the moderating influence of the Lib Dems prevents them doing all they would want. But as the Tea Party tendency takes over in the Tories, so the centre-ground opens up. Eastleigh will be a great test for both the Liberal Democrats and Labour of whether they can take advantage of this political vacuum.

Richard Morris blogs at A View From Ham Common, which was named Best New Blog at the 2011 Liberal Democrat Conference.

Maria Hutchings, the Conservative candidate for the Eastleigh by-election, and David Cameron at the headquarters for B&Q in the constituency. Photograph: Getty Images.

Richard Morris blogs at A View From Ham Common, which was named Best New Blog at the 2011 Lib Dem Conference

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Relax – there’s new evidence that mindfulness actually works

The relaxation therapy could prevent relapses in sufferers of depression, according to a new study.

If there’s one thing that can be said of buzzwords, it’s that they almost always fall by the wayside in the end. Yet in the field of mental health, one buzzword has survived the best efforts of critics and naysayers – “mindfulness”.

First coined by Dr Jon Kabat-Zinn from the University of Massachusetts Medical School, the term mindfulness was initially characterised as a state of mind that would enable someone to pay “attention on purpose” to the present moment. Modern secular society seems to have embraced it as a form of meditation. Everything from exercise to breathing now has an associated mindfulness manual attached.

However, not everyone is convinced. For example, the recent phenomenon of adult colouring books – devised to promote mindfulness and serve as a form of therapeutic escapism – has been criticised by therapists as over-hyped and not necessarily helpful.

Meanwhile, sceptics have pointed out an alleged bias in the publishing of positive findings from trials using mindfulness as a form of mental health therapy. Researchers at McGill University in Canada “found that scientists reported positive findings 60 per cent more often than is statistically likely” after analysing 124 different published trials involving mindfulness as a form of mental health therapy. In some cases, the practice has even had a reverse effect, inducing anxiety, pain or panic.

However, a new study published in the journal JAMA Psychiatry seems to demonstrate that mindfulness-based cognitive therapy (MBCT) can be a potent treatment in preventing and managing relapse into major depression. Led by the University of Oxford, the study’s researchers conducted the largest meta-analysis (an analysis of various different studies) to date on the therapy’s impact on recurrent depression.

The particular form of mindfulness-based cognitive therapy that was used aimed to equip patients with the skills required to successfully recognise and repel the thoughts and feelings they most commonly associated with the state of depression, in order to prevent any future relapse.

According to the study, “the MBCT course consists of guided mindfulness practices, group discussion and other cognitive behavioural exercises. Participants receiving MBCT typically attended eight 2-2.5 hour group sessions alongside daily home practice.”

Using anonymous patient data from nine randomised trials involving 1,258 participants, researchers found that 38 per cent of those who received mindfulness-based therapy experienced a depressive relapse, in comparison to 49 per cent of patients who didn’t receive treatment. The patient data covered age, sex and level of education – key inclusions, as the meta-analysis was able to show no significant influence by these factors on the therapy’s performance.

The most prominent form of remedy currently available for mental health patients is anti-depressant medication. Four of the nine randomised trials comparatively assessed the impact of therapy alongside medication, to deduce if a combination of therapy with varying doses of medication was more beneficial than medication alone. The patients from the study who received mindfulness therapy along with continued, reduced or discontinued medication were less likely to fall back into depression than patients on maintenance anti-depressants alone. This helps legitimise mindfulness as an option in combating depression’s debilitating effects and reinforces its efficacy, whether it is taken up with or without anti-depressants.

Willem Kuyken, Professor of Clinical Psychology at the Oxford Mindfulness Centre and lead author of the study, called the results “very heartening”. “While MBCT is not a panacea, it does clearly offer those with a substantial history of depression a new approach to learning skills to stay well in the long-term.

“It offers people a safe and empowering treatment choice alongside other mainstay approaches such as cognitive-behavioural therapy and maintenance antidepressants. We need to do more research, however, to get recovery rates closer to 100 per cent and to help prevent the first onset of depression, earlier in life. These are programmes of work we are pursuing at the University of Oxford and with our collaborators around the world."

Though the findings will certainly reinvigorate confidence in mindfulness, Richard Byng from the University of Plymouth and one of the co-authors said, “clinicians need to be cautiously optimistic when tapering off antidepressant medication, and treat each patient as an individual who may or may not benefit from both MBCT and other effective treatments."