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The Frankish model of disability psychotherapy in practice: an integrative model
- Author:
- McINNIS Erica Elaine
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(1), 2016, pp.74-81.
- Publisher:
- Emerald
Purpose: This paper focuses on the theory and practice of disability psychotherapy (DP) using the integrative Frankish model. This draws on the model’s use with a 28-year-old male with a mild intellectual disability (ID) who presented with a range of emotional and behavioural problems. Design/methodology/approach: A case study reporting on the practice of DP of psychodynamic orientation. Findings: Adaptations useful in providing DP with people with IDs and the type of issues which arise are reported. Research limitations/implications: DP is possible and beneficial in community settings. Limitations of a single case study include generalisability of findings. Originality/value: Existing papers focus on the model, development of the emotional development measuring tool and contextual issues. This case study provides novel information on the practice of DP, and analysis of manifestations of white supremacy (Ani, 1994) in psychotherapy with people with IDs. (Edited publisher abstract)
Hard to help: Mental Welfare Commission review of the death of Mr O
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 20p.
- Place of publication:
- Edinburgh
Mr O ended his own life by hanging himself in July 2010 at the age of 22. NHS Board A had already conducted an internal review of his contact with services in the year prior to his death. Mr O had presented with problems of short-lived psychotic symptoms secondary to harmful use of drugs and alcohol. There was no evidence of major ongoing mental illness. This was set against a background of long-standing emotional and behavioural problems. This investigation looks at his contact with services in the year before his death. The aim was to investigate whether the actions of any individual or organisation contributed to his death and identify wider learning for health and social care services. It concludes that any service would find Mr O’s presentation a challenge to manage because it was difficult to engage him. General learning points are drawn from this review which would be likely to improve service responses for people with similar problems to Mr O.
Is therapy the real answer?
- Author:
- DRINKWATER Mark
- Journal article citation:
- Community Care, 18.8.11, 2011, pp.20-21.
- Publisher:
- Reed Business Information
The case of a boy of 12 who has been neglected and abused but still wants to live with his birth mother. He was also diagnosed with a conduct disorder. A social worker found her social work skills and therapy training invaluable in providing a therapeutic intervention. The therapy helped to stabilise the foster placement
Behavior management training for the treatment of reactive attachment disorder
- Authors:
- BUCKNER Julia D., et al
- Journal article citation:
- Child Maltreatment, 13(3), August 2008, pp.289-297.
- Publisher:
- Sage
Reactive Attachment Disorder (RAD) is a childhood disorder characterized by extremely inappropriate social relating across a variety of interactions that must be present by age 5. Although children diagnosed with RAD appear to demonstrate significantly more behavioural problems and psychosocial difficulties than children without RAD, there have been few examinations of empirically informed treatments for this disorder. One avenue that may be particularly promising is the use of treatments that have been successfully used to decrease similar problematic behaviours in children. The present case study outlines the use of behaviour management training (BMT) in the treatment of a 7-year-old female child with RAD. Given the marked reduction in problematic behaviours exhibited by this child as a result of a typical course of BMT, it is recommended that randomized clinical trials be conducted to test the efficacy of BMT for RAD.
The impact of borderline personality traits on challenging behaviour: implications for learning disabilities services
- Authors:
- DUNN Barnaby D., BOLTON Winifred
- Journal article citation:
- British Journal of Forensic Practice, 6(4), December 2004, pp.3-9.
- Publisher:
- Emerald
Describes how threats to stab people in a client with learning disabilities may have been inadvertently reinforced during detention in a medium secure unit by overlooking borderline personality traits. Formulating the case from the biopsychosocial model of borderline personality disorder, illustrates how an invalidating environment provided by learning disability services may have interacted with underlying difficulties in emotion regulation to reinforce challenging behaviour. Explaining threats to stab purely in terms of learning disability accidentally invalidated the client's emotional distress, so the only way he could convey how he was feeling was by escalating challenging behaviour. Risk management procedures also strengthened the client's belief that he was a dangerous person, and reinforced the challenging behaviour by gaining interpersonal attention. Highlights the need for learning disability services to be aware of how personality features contribute to learning disability presentations and to formulate from an interactive perspective.
Children in psychodynamic psychotherapy: changes in global functioning
- Authors:
- ODHAMMER Fredrik, et al
- Journal article citation:
- Journal of Child Psychotherapy, 37(3), December 2011, pp.261-279.
- Publisher:
- Routledge
The aim of this study was to investigate if children's global functioning improves after psychodynamic psychotherapy. Data were collected as part of the Erica Process and Outcome Study. The sample consisted of 33 children aged 5-10 years who participated in psychodynamic psychotherapy with parallel work with parents. Twenty-nine children had at least one DSM-IV diagnosis, the most frequent of which were attention disorder and disruptive behaviour, and 15 children had comorbid conditions. The child was given 1 or 2 psychotherapy sessions per week from between 6 months to 2.5 years. Parents were expected to participate in their own psychotherapy at least once fortnightly. Child psychotherapists rated the children's global functioning using the measures the Children’s Global Assessment Scale (CGAS) and the Hampstead Child Adaption Measure (HCAM). The findings showed that the children’s global functioning improved substantially. However, no correlations were found between global functioning and different variables including age, gender, diagnosis, or number of sessions. In order to illuminate the complex connection between process and outcome, the study was complemented with 2 in-depth case studies where data were taken from questionnaires, completed by the child therapists every 3rd month. The analysis showed that important individual change, for example, attainment of formulated goals, was not always reflected in the change rated using the CGAS.
Assessing adolescents who threaten homicide in schools
- Authors:
- TWEMLOW Stewart W., et al
- Journal article citation:
- Clinical Social Work Journal, 36(2), June 2008, pp.131-142.
- Publisher:
- Springer
- Place of publication:
- New York
Psychoanalytic and psychiatric perspectives on children who threaten to kill others are reviewed in the context of the need for an interdisciplinary approach to the problem. Converging technologies derived from a Psychoanalytically informed social systems model are compared to law enforcement approaches, Psychoanalytic understanding of the individual dynamics of the child, and empirical research a conduct disordered adolescents. The interdisciplinary orientation of a broadly trained community psychoanalyst allows a unique contribution when trying to distinguish adolescents who make a threat from those who pose a threat. Case vignettes are used to illustrate the hypotheses.
She ate with the dogs
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 12.10.06, 2006, pp.42-43.
- Publisher:
- Reed Business Information
This article presents the case of a girl with a history of neglect and abuse that led to her behaviour to be difficult to contain. After a series of failed foster placements, three years at a therapeutic school introduced stability.
Play fills the void
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 15.07.06, 2006, pp.36-37.
- Publisher:
- Reed Business Information
As a baby Adam, now seven, seemed destined to stay in the care system after several unsuccessful foster placements. This case study reports on how play therapy was used to help him form attachments and pave the way for adoption.
Cognitive-behavioural intervention with young offenders and their families
- Author:
- BOURN Diana
- Journal article citation:
- Cognitive Behavioural Social Work Review, 20(2), Winter 1999, pp.27-42.
- Publisher:
- Cognitive Behavioural Social Work Group
This article uses a case study to discuss a cognitive-behavioural intervention with two young offenders and their family, and explores issues in inter-agency work with young offenders. It is argued that structured, focused, cognitive-behavioural interventions are more effective than unfocused and less structured work and emphasises the need for long-term initiatives.