This set of five papers documents, in part, our mixed viewpoints on depression.  Worryingly, Mehta & colleagues show deteriorating public attitudes towards mental illness in England (and to a lesser extent Scotland) between 1994 and 2003.  Meanwhile Blumner et al demonstrate a shift towards a more biological view on causes and treatment of depression in the US between 1996 and 2006.

In contrast, Miranda et al's editorial (and Grote et al's research) highlight the growing evidence showing psychotherapies for depression can be "very effective for low-income and minority populations in the United States and abroad" - extending their validity well beyond more privileged groups in developed countries.  Andersson too discusses a further way to make psychotherapies more widely available and helpful - in this case, the increasing literature documenting the widespread value of delivering cognitive behavioural therapy via the internet.     

A brief tenth post - back in Marrakech and reflecting on the trip.

Back in the city - so woken by the Marrakech muezzin long before 5.00am.  Lying in the dark and then coming downstairs to read and write.  Yesterday we started in Hotel Irocha a bit north of Ourzazate.  Great shared group breakfast out on a veranda, then into the 4x4's to head up over the Atlas and down again to Marrakech.  With stops it was approximately a four hour trip.  Rain.  The first we'd seen since driving down to the desert, both an age and just a week ago.  Then back here to the little hotel at Dar Soukaina, haven in the busy-ness of the medina.  Welcoming fresh squeezed orange juice and green tea.  Some unpacking.

Eighth Moroccan post - last night in the desert.

Last breakfast here in the desert - this one at an encampment at Erg Cheggaga.  We arrived last night after one of our longest day's walks (they haven't been very long).  I've not been wearing a watch since the first afternoon in the desert, but I guess we were walking for maybe a bit over 3 hours in the morning and then for a bit less than 3 hours in the afternoon. 

We're now in from the desert proper.  Tired.  We put up tents, ate under the stars, then sang.  Our five guides sang Berber songs, drumming on empty plastic containers.  Full of energy.  Our Western songs seemed quite sad, doleful, beside their rhythm.  We tried singing various tunes, but then came up with something that fitted - "She'll be coming round the mountain" complete with clapping and whooping.  That seemed to hit the spot for the guides!  Great.  Sad.  Lovely.  And we sang on and danced.  Then slept under the stars.  

This is the sixth - and a rather longer - Moroccan post.  It looks a little at mindfulness and interpersonal conflict. 

And after the siesta yesterday, we walked (again without the camels) up to the top of the highest "singing dune" (so-called because of the noise it sometimes makes in the wind).  We sat with the sun setting and then ran wildly down the steep, maybe 300 foot or so, slope of the dune.  Then back through the diminishing light to the camp.

There are two big tents - one for our five Berber guides - and the other for some of us.  We also have a couple of smaller two-man tents we can put up, if we want to ... and there's the special option too of sleeping out under the amazing stars!

Several of us have talked of seeing this trip as involving three intertwined themes - deepening our relationship with ourselves, deepening our relationship with the landscape, and deepening our relationship with each other.