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The 'voices group': a therapeutic group for psychotic patients in a therapeutic community
- Authors:
- MANNU Jose, BORRI Giansiro
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 25(3), Autumn 2004, pp.153-168.
- Publisher:
- Emerald
Attempts to analyse the characteristics of a 'voices group' that is part of a therapeutic community programme mainly concerned with people affected by psychosis. The therapeutic effects seen as a whole, and how its different aspects are interconnected, form the necessary premise for understanding this group. It was set up following a request from some patients in the community and because it is a phenomenon not yet thoroughly explained from a psychological point of view, and because currently auditory hallucinations are treated virtually exclusively pharmacologically. The paper is a case study attempting to highlight the difficult moments in the evolution of a community programme with repercussions in the group as well as in the patient's development both inside and outside the group.
From 'gibbering idiot' to 'iceman', Kenny's story: a critical analysis of an occupational narrative
- Author:
- FINLAY Linda
- Journal article citation:
- British Journal of Occupational Therapy, 67(11), November 2004, pp.474-480.
- Publisher:
- Sage
Narratives can offer rich, valuable and powerful insights. However, they do not stand on their own: they need to be interpreted and contextualised. This paper offers a critical analysis of the occupational narrative of one man's journey towards finding a new occupational identity after experiencing mental health problems. It reveals something of Kenny's lived experience and his occupational needs, drivers and trajectory. The value of occupation (rather than simply employment) is demonstrated. The narrative is then briefly analysed: first by taking a phenomenological approach focusing on the lived experience and secondly by taking a social constructionist approach which highlights how the story is both performed and co-constructed. This two-pronged analysis demonstrates how narratives are produced and constructed in particular social contexts. How we understand a narrative depends on how we frame it and the theoretical perspectives we bring to bear. It is important to be reflexive - critically self-aware - as we engage in narrative inquiry.
Out into the world
- Authors:
- GIBSON Anne, DONNA
- Journal article citation:
- A Life in the Day, 8(3), August 2004, p.29.
- Publisher:
- Emerald
Describes how a group of friends moved from their sheltered environment to a mainstream college course, supported by a staff member from Workshop & Company. Summarises the process, and gives one member's description of the experience.
New answers to old problems
- Authors:
- AGUIRRE Annabel, THOMAS Rosalind
- Journal article citation:
- Openmind, 130, November 2004, pp.16-17.
- Publisher:
- MIND
Asks if art therapy can help the mentally ill. If it does make a difference, how and why? It it only one of many therapies or is there something uniquely valuable about it? A research project involving 6 service users and 3 researchers explored what it was like to be in a group from the members' perspective. Includes their words and images.
Inclusion, recovery and person centred planning
- Author:
- EDMONDSON Paula
- Journal article citation:
- Soundtrack, 30, September 2004, pp.10-11.
- Publisher:
- National Development Team
States that the negative experiences of people diagnosed with mental illness can be challenged. One approach is to ensure people recovering have support to use the same resources and opportunities as other citizens. Lists categories for change from the Social Exclusion Unit report Mental health and social exclusion (2004). Describes person-centred approaches.
Determinants of outcome in the pathways through care for children hearing voices
- Authors:
- ESCHER Sandra, et al
- Journal article citation:
- International Journal of Social Welfare, 13(3), July 2004, pp.208-222.
- Publisher:
- Wiley
Auditory hallucination, or hearing voices, is generally associated with psychopathology. In psychiatry it is interpreted as a symptom of an illness, with no connection to the individual's life history. In this study from the Netherlands, 80 children and youngsters hearing voices were interviewed on four occasions over a period of three years about the content of the voices and their overall experience of voices, focusing on the determinants for a promising outcome in the pathways through care. The results indicate that the need for care in the context of the experience of voices is associated not only with high levels of problem behaviour and associated negative symptoms of psychosis, but also, independently, with an appraisal of the voices in terms of anxiety, depression, dissociation and frequency of occurrence. In 60 per cent of the participants the voices disappeared during the three-year research period. The relationship between the disappearance of voices and the course of mental health treatment is, however, ambiguous.
Work in harmony
- Author:
- PHILPOT Terry
- Journal article citation:
- Community Care, 17.6.04, 2004, pp.32-34.
- Publisher:
- Reed Business Information
Reports on a visit to, Lothlorien, a therapeutic community in Scotland for people with mental health problems. Informed by Buddhism, it is trying to break down the distinction between well and unwell.
Predictors of successful return to work from HIV-related disability
- Authors:
- DiCLEMENTI Jeannie D., et al
- Journal article citation:
- Journal of HIV/AIDS and Social Services, 3(3), 2004, pp.91-98.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examines factors distinguishing HIV-infected persons who successfully return to work (RTW) from those who do not. Records were obtained from 135 participants in a return to work program; these were matched with the records of 135 persons who did not return to work. Matching was made on the basis of age, gender, race, CD4 counts, and length of time in treatment. The return to work group had a greater total number of mental health diagnoses than the non-return group; however, when type of diagnosis was controlled for, the non-return group had greater numbers of substance use disorders. It appears that substance use disorders precludes a successful return to the workforce, while accessing the mental health treatment system may actually facilitate a return to work. Careful psychosocial assessment of clients on entry into the primary care clinic can aid referrals directly into a RTW program or into services that would facilitate an eventual return to work. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Early intervention: an idea whose time has come?
- Author:
- LESTER Helen
- Journal article citation:
- Research Policy and Planning, 22(3), 2004, pp.71-77.
- Publisher:
- Social Services Research Group
This article describes the policy background for developing early intervention services across England for young people with a first episode of psychosis. It also critically reviews the evidence base and professional consensus-led arguments for and against the development of early intervention services.
Mutual aid groups for older persons with a mental illness
- Author:
- KELLY Timothy B.
- Journal article citation:
- Journal of Gerontological Social Work, 44(1/2), 2004, pp.111-126.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Older adults with a mental illness face many life stressors as they cope with aging and mental illness. Mutual aid groups represent a particularly potent source of support, and this article explores some of the unique practice issues and themes associated with group work for this vulnerable population. Group beginnings, authority, and intimacy themes are highlighted.