Search results for ‘Author:"owens p."’ Sort:
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Cambridge blues
- Author:
- OWENS P.
- Journal article citation:
- Community Care, 11.2.88, 1988, pp.20-22.
- Publisher:
- Reed Business Information
Describes a community project providing domiciliary care for severely disabled and chronically ill young people.
Financial abuse, statutory provisions and the courts: adequacy and analysis of enduring and lasting powers of attorney
- Author:
- O'SULLIVAN Owen P.
- Journal article citation:
- Journal of Adult Protection, 23(4), 2021, pp.253-262.
- Publisher:
- Emerald
Purpose: Financial abuse can be difficult to detect, and it is deemed to have the same potential to cause distress as other forms of abuse. The delegation of financial affairs brings with it the scope for degrees of exploitation. This study aims to assess the adequacy of the statutory provisions and courts in England and Wales at protecting at risk older people from the harm of financial abuse. Design/methodology/approach: This review focuses on the enduring power of attorney and the lasting power of attorney provisions. Cases discussed were selected based on their judgments’ significance in relation to these powers, the range of issues illustrated and the extent of associated commentary and attention received in the literature. This piece is presented as a narrative review, and as such, references to case law and associated commentary are non-exhaustive. Findings: Shortcomings and vulnerabilities are identified and explored with respect to both provisions. These are contrasted and contextualised in view of the broader challenges and complexities associated with preventing financial abuse within society. Key consideration is given to powers of creation, registration, supervision, objection and revocation in addition to the role and powers of both the Office of the Public Guardian and the Court of Protection. Originality/value: Given these powers of attorney are exercised during a donor’s lifetime, they will directly experience their effects. This review illustrates there remains scope for further reform to introduce new safeguards and bolster existing ones to mitigate the risk of financial exploitation and to support people to plan and safeguard their financial future with increased confidence and security. (Edited publisher abstract)
Medical treatment and best interests: judicial interpretation of values, wishes and beliefs under the Mental Capacity Act 2005
- Author:
- O'SULLIVAN Owen P.
- Journal article citation:
- Journal of Adult Protection, 22(3), 2020, pp.165-173.
- Publisher:
- Emerald
Purpose: The prominence of the best interests principle in the Mental Capacity Act 2005 represented an important transition to a more resolutely patient-centred model regarding decision-making for incapable adults (“P”). This paper aims to examine the courts’ consideration of P’s values, wishes and beliefs in the context of medical treatment, reflect on whether this has resulted in a wide interpretation of the best interests standard and consider how this impacts clinical decision makers. Design/methodology/approach: A particular focus will be on case law from the Court of Protection of England and Wales and the Supreme Court of the UK. Cases have been selected for discussion on the basis of the significance of their judgements for the field, the range of issues they illustrate and the extent of commentary and attention they have received in the literature. They are presented as a narrative review and are non-exhaustive. Findings: With respect to values, wishes and beliefs, the best interests standard’s interpretation in the courts has been widely varied. Opposing tensions and thematic conflicts have emerged from this case law and were analysed from the perspective of the clinical decision maker. Originality/value: This review illustrates the complexity and gravity of decisions of the clinical decision makers and the courts have considered in the context of best interests determinations for incapacitated adults undergoing medical treatment. Subsequent to the first such case before the Supreme Court of the UK, emerging case law trends relating to capacity legislation are considered. (Edited publisher abstract)
Review of assessment and treatment of PTSD among elderly American armed forces veterans
- Authors:
- OWENS Gina P., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(12), December 2005, pp.1118-1130.
- Publisher:
- Wiley
This review summarizes the available research related to difficulties in assessment with the elderly American Armed Forces veteran population. In addition, both psychotherapeutic and pharmacological treatment interventions for PTSD are discussed. A literature search was conducted using PsycINFO, Medline, and the National Center for PTSD's PILOTS database. Evidence suggests that elderly veterans generally present more somatic symptoms of PTSD. Medical and psychological comorbodities, such as depression, substance abuse, or cognitive deficits can further complicate the assessment process. Cut-scores for existing instruments need to be further established with elderly veterans. Use of exposure therapies with the elderly has not been adequately researched and mixed results have been obtained for supportive therapy for treatment of PTSD. Controlled research investigating pharmacological interventions for PTSD with the elderly is also limited. The evidence suggests that some psychotherapeutic and pharmacological interventions already utilized with younger individuals may be useful with the elderly veteran population. However, research indicates that modifications may be required for working with the elderly population and further research in the areas of assessment and treatment are necessary.
Comorbidity and psychiatric diagnoses among women reporting child sexual abuse
- Authors:
- OWENS Gina P., CHARD Kathleen M.
- Journal article citation:
- Child Abuse and Neglect, 27(9), September 2003, pp.1075-1082.
- Publisher:
- Elsevier
Prevalence rates of child sexual abuse (CSA) in the United States emphasize the importance of focusing on common symptom responses and diagnostic considerations for these individuals. Various researchers have highlighted the short- and long-term symptomatology associated with survivors of CSA. However, the varied and sometimes ambiguous literature on the symptom presentation associated with survivors of CSA can make it difficult for clinicians and researchers to assess and effectively treat clients. More concrete detail about the symptom presentations of CSA survivors will be beneficial to assessment, diagnosis and treatment-planning with these individuals. Research expressly focusing on PTSD and common co-occurring diagnoses among CSA survivors is sparse. Therefore, the purpose of this study was to determine the frequency of certain psychiatric disorders co-occurring with PTSD in a treatment-seeking sample of women reporting a history of CSA. Since the sample included women meeting criteria for PTSD, the relationship between PTSD severity and other disorders also was examined.
Cognitive distortions among women reporting childhood sexual abuse
- Authors:
- OWENS Gina P., CHARD Kathleen M.
- Journal article citation:
- Journal of Interpersonal Violence, 16(2), February 2001, pp.178-191.
- Publisher:
- Sage
Seventy-nine female adults reporting a history of childhood sexual (CSA) abuse were assessed to determine the relationship between severity of post-traumatic stress disorder (PTSD) symptoms and cognitive distortions as part of a larger study involving cognitive processing therapy for sexual abuse. The association between two cognitive measures, the Personal Beliefs and Reactions Scale (PBRS) and World Assumptions Scale (WAS), was also examined. Results on the PBRS and WAS suggest that sexual abuse survivors appear to focus more on self-blame attributions than on disturbing attributions between the world and the self.