Search results for ‘Subject term:"mental health problems"’ Sort:
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Resilient therapy: strategic therapeutic engagement with children in crisis
- Authors:
- HART Angie, BLINCOW Derek, THOMAS Helen
- Journal article citation:
- Child Care in Practice, 14(2), April 2008, pp.131-145.
- Publisher:
- Taylor and Francis
This article offers an overview of Resilient Therapy (RT) and outlines a case study of how it can be used in practice. RT draws on the resilience research base, and has been designed to meet the needs of children in crisis by providing insights and analytical tools that help carers and practitioners build relationships of trust in the hardest of circumstances. RT emphasises Masten's notion of “ordinary magic”, and the idea of the “Resilient Therapist” has emerged through practice situations with parents, carers and colleagues, and through work with specialist Child and Adolescent Mental Health Services. The core competences of the Resilient Therapist are outlined, with a case example providing an illustration of how RT can be applied.
“My penis is shrinking and people can tell”: a confusing case of apparent body dysmorphic disorder
- Author:
- HOLMAN Warren Dana
- Journal article citation:
- Social Work in Mental Health, 9(1-6), 2011, pp.319-335.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Body dysmorphic disorder (BDD) is characterised by an intense preoccupation with a slight or imagined defect in physical appearance. BDD is a severely debilitating disorder which curtails social involvement, derails a developing positive sense of self, and often predisposes those afflicted to chronic mental health problems. It usually begins in adolescence and, even with treatment, tends to become long term and debilitating. This article starts by describing BDD, including its clinical course, aetiology, and treatment. It then presents a case of a young man who believed that his penis was shrinking. Although this case does not end neatly or well, that illustrates the uncertain work of diagnosing and treating the disorder and provides lessons for social workers.
Stumbling along in the countertransference: following up enactments with balanced therapeutic interpretations
- Author:
- WASKA Robert
- Journal article citation:
- Psychoanalytic Social Work, 17(2), July 2010, pp.99-115.
- Publisher:
- Taylor and Francis
In the course of a psychoanalytical treatment, many clinical situations create countertransference pulls or invitations to participate in enactments of various degrees. In these projective identification-based transferences the patient is often successful in drawing the analyst into archaic object relational patterns of acting out. During these moments, the analyst must struggle to find a way to stay therapeutically balanced. At one end of the spectrum countertransference stumbles can be highly useful as a way to truly experience the dramatic forces at play in the patient’s core fantasies and unconscious conflicts. This can lead to new insight which can be passed on in the form of helpful interpretations. At the other end of the spectrum, the therapist may be drawn into various enactments that are ongoing and only serve to validate or even intensify the patient’s suffering and anxiety. In this article the author describes two clinical cases which illustrate the common yet difficult nature of working with countertransference during the course of psychoanalytical treatment. The first case serves to illustrate normal levels of countertransference acting out and the second case demonstrates countertransference moments of crossing the line and then coming back again.
Life's drama gets and encore
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 24.05.07, 2007, pp.24-25.
- Publisher:
- Reed Business Information
A young boy is taken away from his family for his own safety and put into intensive therapeutic care. The author talks to the therapist on how they improved his life chances.
Case study: Y-Talk counselling and therapy service, Sheffield YMCA
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Pagination:
- 9p.
- Place of publication:
- London
This case study describes the work of Y-Talk counselling and therapy service, a key part of Sheffield YMCA’s Interchange Emotional Well-Being Programme. Y-Talk provides an accessible service for 16-25 year olds. It aims to fill a gap between universal and more specialist mental health services and is designed specifically for young people making the transition into adulthood. Many of the young people who are referred for help would be either unable or unwilling to access specialist statutory mental health services provided through the Child and Adolescent Mental Health Service (CAMHS) or the Adult Mental Health Services (AMHS). The case study provides background to the project, information about designing the service, involving young people in the service, intended outcomes, measuring impact, and resources involved.
Learning disabilities: positive practice guide
- Authors:
- DAGNAN Dave, et al
- Publisher:
- Foundation for People with Learning Disabilities
- Publication year:
- 2015
- Pagination:
- 34
- Place of publication:
- London
This practice guide provides information on how to best support people with learning disabilities to access their local Access to Psychological Therapies (IAPT) service. It is aimed at those who work in, commission, or refer to the Improving Access to Psychological Therapies (IAPT) services. The guide outlines the reasonable adjustments that are recommended to ensure that people with learning disabilities get the maximum benefit from treatment within an IAPT service. Areas discussed include: service models, changes to referral and access pathways; screening; adjustments to mainstream IAPT pathways; assessment; adaptations to treatment and interventions; and making information accessible. Practical examples are included to show how some teams have made reasonable adjustments to support access to IAPT service. The guide also covers the importance of training and developing the workforce and provides key points for commissioners of IAPT services consider to ensure that mainstream services effectively meet the needs of people with learning disabilities. (Edited publisher abstract)
Commentary on “The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review”
- Author:
- BROWN Hilary
- Journal article citation:
- Tizard Learning Disability Review, 19(1), 2014, pp.25-28.
- Publisher:
- Emerald
Purpose: This paper is a commentary on “The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review” by Chris James and James Stacey. The purpose of this paper is to illustrate the thesis that standardised ways of evaluating health care interventions may have the inadvertent effect of undermining the case that people with intellectual disabilities should be offered the same opportunities to address their emotional and mental health difficulties as other citizens. Design/methodology/approach: The commentary argues that while the evidence base focuses on the outcomes of orthodox one-to-one interventions, sometimes broader “contextual reformulation” and systemic interventions are called for. However, family- or service-based interventions tend not to feature in studies. Findings: The commentary illustrates these issues by discussing two case studies, which demonstrate how relational issues tend to be unhelpfully focused on the person with intellectual disabilities to the detriment of family members or direct care staff, who may be struggling to make sense of the person's behaviour or distress. Originality/value: The commentary supports the argument put forward in the longer paper and also argues for mental health services to be offered on a non-discriminatory basis to people with intellectual disabilities and to their family members. But it also suggests that one of the additional impacts of service level psychotherapeutic interventions is to re-establish respect for the work of direct care staff whose work is often presented as if it is little more than domestic drudgery when in fact it involves negotiating and responding to people and their issues with great sensitivity and balance. (Publisher abstract)
Time-limited psychodynamic psychotherapy for adolescents and young adults
- Author:
- BRIGGS Stephen
- Journal article citation:
- Journal of Social Work Practice, 24(2), June 2010, pp.181-195.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article discusses the development of a model of time-limited psychodynamic psychotherapy for adolescents and young adults developed in the context of a multidisciplinary team within the UK's National Health Service working with young people with mental health difficulties. Time-limited therapeutic approaches are increasingly deployed in contemporary mental health practice which recognises an increased role for psychological therapies. The therapeutic focus in this model is on a significant area of developmental difficulty or disturbance, to facilitate the capacity of the young person to meet developmental challenges. The developmental focus is rooted in a psychoanalytic approach to adolescent development, and connects internal, interpersonal and social worlds of young people. Thus this approach understands as psychosocial the mental health difficulties of young people in contemporary contexts. Young people are engaged in therapy through containing anxieties within a clear structure provided by the time frame and the core features of the model. Two case examples are presented and discussed of young people of different ages, both of whom were able to make therapeutic use of this therapeutic modality.
DSM-IV-TR casebook and treatment guide for child mental health
- Editors:
- GALANTER Cathryn A., JENSEN Peter S., (eds.)
- Publisher:
- American Psychiatric Publishing
- Publication year:
- 2009
- Pagination:
- 702p.
- Place of publication:
- Washington, DC
This book is based on detailed case studies and is organised into four parts: Classic cases, where the diagnosis is fairly clear; Comorbid complexity, where the diagnosis may be complicated by co-existing conditions; Toughest cases, where the diagnosis is unclear or the patient has been unresponsive to treatment; and, finally, Kids in crisis, where the patient's psychopathology exists in the context of extreme social stressors. For each clinical condition there is a detailed case presentation, followed by psychotherapeutic perspective, a psychopharmalogic a perspective and an integrative perspective.
Psychiatry, testimony, and Shoah: reconstructing the narratives of the muted
- Authors:
- GREENWALD Baruch, et al
- Journal article citation:
- Social Work in Health Care, 43(2/3), 2006, pp.199-214.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A 1999 examination of some 5,000 long stay psychiatric patients in Israel identified 725 as Holocaust (Shoah) survivors. This review shows that these patients had not been treated as a unique group, and that their trauma-related illnesses had been neglected. Many had never openly shared their histories. Twenty-six patients at two institutions agreed to be interviewed, with the proceedings videotaped, and the main aim of the study was to investigate the role of video testimony as a potentially useful psychotherapeutic intervention. Three case examples illustrate the horror of their experiences and indicate how knowledge and recognition of them could have influenced their later treatment for the better. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).