Search results for ‘Subject term:"mental health problems"’ Sort:
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Medical-social divide hindering homeless people
- Author:
- JOHNSON Robin
- Journal article citation:
- Community Care, 12.8.10, 2010, p.28.
- Publisher:
- Reed Business Information
The need for homelessness services to develop a greater understanding of the emotional needs of homeless people is highlighted. The author draws on the new guidance 'Meeting the psychological and emotional needs of people who are homeless' issued by the Department for Communities and Local Government and the government's National Mental Health Development Unit.
Callous and unemotional traits in children and adolescents living in Great Britain
- Authors:
- MORAN Paul, et al
- Journal article citation:
- British Journal of Psychiatry, 192(1), January 2008, pp.65-66.
- Publisher:
- Cambridge University Press
Few studies have assessed psychopathic traits in community samples of young people. The study investigated the predictive utility of callous and unemotional traits in a representative sample of 5770 young people from Great Britain. Teachers provided information on the presence of callous and unemotional traits and parents completed the Strengths and Difficulties Questionnaire to determine the level and impact of psychiatric problems at baseline, 12 and 24 months later. Baseline callous and unemotional trait scores independently predicted the number and intensity of conduct, emotional and hyperactivity symptoms at follow-up. Callous and unemotional traits are longitudinally associated with the level and impact of childhood psychiatric problems.
Understanding the suicidal brain
- Authors:
- VAN HEERINGEN C., MARUSIC A.
- Journal article citation:
- British Journal of Psychiatry, 183(10), October 2003, pp.282-284.
- Publisher:
- Cambridge University Press
It has been suggested that the key to preventing suicide is not in the study of the brain, but in the direct study of the human emotions. However, recent advances in neuroscience are providing support for a theory of human emotions that implicates increasingly well-defined brain regions.
Small STEPPS: the provision of, and changes to, an emotional regulation group for women in a community mental health setting in the UK
- Authors:
- BUCKLAND Rosie, DESMIER Michelle
- Journal article citation:
- Groupwork, 27(3), 2017,
- Publisher:
- Whiting and Birch
STEPPS (Systems Training for Emotional Predictability and Problem Solving) is a manualised group programme aimed at supporting adults who experience difficulties with emotional regulation and who may meet the diagnostic criteria for Borderline Personality Disorder (BPD) or Emotionally Unstable Personality Disorder (called Emotional Intensity Disorder within the course). It has been adapted for use in primary care and young people’s services, but its provision is relatively new in the UK and less widespread than that of DBT (Dialectical Behaviour Therapy) groups. Alongside a mental health nurse colleague, the authors facilitated a twenty week closed group based on the STEPPS programme, for 7 women, all of whom were on a Community Recovery Team caseload within secondary mental health services. Significant practice changes were made to the model however, arising from the authors own ideological positions in relation to BPD as a diagnosis and to some of the course material, practical constraints and our experiences with the group week by week and their specific needs. This study provides an account of study participants’ experiences with a view to supporting the provision of similar groups within mental health teams, particularly women’s groups. (Edited publisher abstract)
Initial development of a measure of emotional dysregulation for individuals with Cluster B personality disorders
- Authors:
- NEWHILL Christina E., MULVEY Edward P., PILKONIS Paul A.
- Journal article citation:
- Research on Social Work Practice, 14(6), November 2004, pp.443-449.
- Publisher:
- Sage
Individuals with DSM-IV Cluster B personality disorders are at particular risk of violence toward self or others. Emotional dysregulation is likely to be a factor in such incidents and is a central issue addressed in therapies with personality-disordered individuals. This article reports findings from a study that developed an original 18-item measure of emotional dysregulation and administered the scale to 100 participants diagnosed with Cluster B personality disorders or traits. A 13-item scale (the General Emotional Dysregulation Measure or GEDM) reflecting general emotional arousal and dysregulation of negative affect was derived using principal components analysis. The GEDM demonstrates good reliability and validity and correlates significantly with other established measures of affect. This measure is seen as potentially useful in clinical social work practice and in future investigations of the relationships among emotional dysregulation, personality disorders, substance abuse, and violence.
A preliminary investigation of self-reported personality disorders in late life: prevalence, predictors of depressive severity, and clinical correlates
- Authors:
- MORSE J. Q., LYNCH T.R.
- Journal article citation:
- Aging and Mental Health, 9(4), July 2004, pp.307-315.
- Publisher:
- Taylor and Francis
Previous research suggests that personality disorders, particularly in clusters A and C, persist into late life, are particularly prevalent in late-life depressed samples, and negatively impact treatment of late-life depression. The present study examined the self-reported personality disorder traits of a sample of 65 depressed elders using the Wisconsin Personality Disorder Inventory IV (WISPI IV). As expected, clusters A and C were most prevalent and the presence of a personality disorder predicted the maintenance or re-emergence of depressive symptoms, as did hopelessness and ambivalence regarding emotional expression. No specific personality disorder traits were associated with clinical features of late-life depression (age of onset, number of previous episodes) while some personality disorder traits were associated with psychological correlates of depression (hopelessness, ambivalence regarding emotional expression, thought suppression). A theoretical explanation for the cluster prevalence based on self-verification is discussed along with a profile of elderly patients who may have poor depression treatment course if they exhibit personality disorder traits, particularly interpersonal rigidity or avoidance, chronic hopelessness, and emotional inhibition.
Family responses and multifamily behavioural treatment for obsessive-compulsive disorder
- Authors:
- VAN NOPPEN Barbara, STEKETEE Gail
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.231-247.
- Publisher:
- Oxford University Press
Family responses to obsessive-compulsive disorder (OCD) that have relevance to behavioural treatments for adults with this disorder include family accommodation, family members' expression of emotion (EE) toward patients, and the effects of including family members in treatment. Family accommodation to OCD symptoms has been linked to greater severity of symptoms and poorer family mental health. Components of EE, including hostility and perceived criticism, have proved predictive of poorer outcome following behavioural treatment, but nonhostile criticism appears to improve outcomes. A model of multifamily behavioural treatment, in which relatives and patients are trained in exposure and blocking of rituals, as well as behavioural contracting to improve communication, is presented and illustrated in case examples.
‘Still-face’ interactions between mothers with borderline personality disorder and their 2-month-old infants
- Authors:
- CRANDELL Lisa E., PATRICK Matthew P. H., HOBSON Peter
- Journal article citation:
- British Journal of Psychiatry, 18(9), September 2003, pp.239-247.
- Publisher:
- Cambridge University Press
There is evidence that psychopathology in mothers may be associated with dysfunctional mother-infant interactions. Eight mothers with borderline personality disorder and twelve mothers without psychiatric disorder were videotaped interacting with their 2-month-old infants in three successive phases of interaction: face-to-face play; an episode when the mother adopted a ‘still face’ and was unreactive; and a period when play interactions were resumed. The videotapes were rated by judges blind to the diagnostic group of the mother. The mothers with borderline personality disorder were more intrusively insensitive towards their infants. During the still-face period, their infants showed increased looking away and dazed looks. Following this, mother-infant interactions were less satisfying and their infants showed dazed looks and lowering of affect. The diagnosis of borderline personality disorder is associated with a particular pattern of mother-infant interaction. The infants’ responses to the still-face challenge might suggest dysfunctional self-regulation, but the developmental significance remains to be assessed.
Callous and unemotional traits in a juvenile offender: a clinical case study
- Authors:
- CRUISE Keith R., GLINDMEYER Daphne
- Journal article citation:
- Journal of Forensic Psychology Practice, 3(4), 2003, pp.73-.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Progress is being made in the identification of psychopathic characteristics in youth. This case study describes the clinical presentation of callous and unemotional traits in a 16-year-old juvenile offender. The developmental progression of behavioural problems is reviewed. Psychological assessment data are presented describing the expression of such traits and the behavioural management difficulties of this youth. The case is utilized as an example of how callous and unemotional traits impact peer interactions and daily functioning in a correctional environment. The need for specific therapeutic and behavioural management strategies is highlighted. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Managing intense emotions and overcoming self-destructive habits: a self-help manual
- Author:
- BELL Lorraine
- Publisher:
- Brunner-Routledge
- Publication year:
- 2003
- Pagination:
- 229p.,bibliog.
- Place of publication:
- Hove
The treatment of personality disorder is a major concern facing current mental health services. This is a self-help manual for people who would meet the diagnosis of "emotionally unstable" or "borderline personality disorder" (BPD), outlining a brief intervention which is based on a model of treatment known to be effective for other conditions, such as anxiety, depression and bulimia. The manual describes the problem areas, the skills needed to overcome them and how these skills can be developed. Areas covered include: the condition and controversy surrounding the diagnosis of BPD; drug and alcohol misuse; emotional dysregulation and the role of thinking habits and beliefs; depression and difficult mood states; and childhood abuse and relationship difficulties. The book is intended for use by people with BPD and professionals involved in their care: psychologists, psychiatric nurses, psychiatrists and occupational therapists.