Search results for ‘Subject term:"mental health problems"’ Sort:
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“Knowing that I’m not alone”: client perspectives on counselling for self-injury
- Authors:
- LONG Maggie, MANKTELOW Roger, TRACEY Anne
- Journal article citation:
- Journal of Mental Health, 25(1), 2016, pp.41-46.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Self-injury is an increasingly common phenomenon among clinical and non-clinical populations. Health care providers generally recommend behavioural interventions that address coping skills for people who self-injure despite a lack of a consistent evidence base about their effectiveness. There is limited understanding about experiences of counselling for self-injury from the perspectives of clients. Aim: To understand clients’ experiences of counselling for self-injury. Method: Ten interviews were conducted, audio-recorded and transcribed. Data were analysed using Grounded Theory (GT). Results: One central category, “Developing a healing reconnection with self and others” and four categories: (i) Building trust; (ii) seeing beyond the cutting; (iii) human contact and (iv) integrating experiences. Conclusions: Overcoming self-injury is possible within the context of a trusting and accepting therapeutic relationship. Participants perceived counselling to be helpful when counsellors were willing to work with underlying issues rather than focus primarily on the cessation of self-injury. Counsellors and mental health practitioners must look beyond the behaviour to meet with the person and facilitate the development of a therapeutic relationship, which promotes a healing reconnection with self and others. (Publisher abstract)
Group-based problem-solving therapy in self-poisoning females: a pilot study
- Author:
- BANNAN Noreen
- Journal article citation:
- Counselling and Psychotherapy Research, 10(3), September 2010, pp.201-213.
- Publisher:
- Wiley
In this pilot study 18 females (aged 18 to 53 years) who had presented to an accident and emergency department of an inner city hospital in Ireland following an episode of deliberate non-fatal self-poisoning were equally randomised to a time-limited, group-based problem-solving intervention or to a treatment as usual control group. The intervention group underwent 8 sessions of group therapy each lasting 150 minutes, with the initial 4 sessions held twice weekly, the next two sessions held weekly, and the final two sessions held at two week intervals. The control group received standard individual therapy in the outpatients or day hospital. All clients were assessed using standardised questionnaires for depression, hopelessness, suicidal ideation and social problem-solving skills. Adherence with therapy was good with only one client in each group failing to adhere to the treatment schedule. The treatment group experienced significant reductions in levels of depression, hopelessness, suicidal ideation and improvements in self-assessed social problem-solving skills. Improvements in mental health and aspects of self-assessed problem-solving skills continued to be evident at two months follow-up in this group. The control group did not change significantly over time on mental health measures or social problem solving abilities. The authors conclude that these preliminary findings suggest that group-based problem-solving therapy is effective in the management of deliberate self-poisoning.
Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm
- Authors:
- TOWNSEND Ellen, et al
- Journal article citation:
- Journal of Adolescence, 33(1), February 2010, pp.9-20.
- Publisher:
- Academic Press
In the context that mood and anxiety disorders and problems with self-harm are significant and serious issues that are common in young people in the criminal justice system, this study aimed to examine whether interventions relevant to young offenders with such disorders or problems are effective. In order to identify which interventions should be recommended for young offenders a systematic review of trials of interventions was undertaken, with searches of electronic databases and a check of references of key papers identified, and searches of a range of sources for unpublished studies, including contacting experts in the field. 10 studies were identified as suitable for inclusion in the review. Individual trials reported varying degrees of success in terms of the effectiveness of experimental interventions decreasing depression, anxiety or self harm, however meta-analysis of data from 3 studies showed that group-based cognitive behaviour therapy may help to reduce symptoms of depression in young offenders. The authors conclude that the trials included in the review demonstrate that it is possible to carry out randomised controlled trials for mental health problems with young offenders in both incarcerated and non-incarcerated settings, and that future studies should adopt adequate randomisation procedures, compare experimental treatments to usual care, and evaluate outcomes over a 12 month follow-up period, and that this evidence is crucial given the high unmet needs in relation to these problems in young offenders.
Behavioural and pharmacological treatment of Trichotillomania
- Authors:
- STEMBERGER Ruth M. T., STEIN Dan J., MANSUETO Charles S.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(3), 2003, pp.339-352.
- Publisher:
- Oxford University Press
Hair pulling, known as trichotillomania (TTM), has become increasingly recognized as an often chronic problem for a large number of individuals, most of whom are women. This paper discusses current conceptualizations of TTM with particular focus on the medical and behavioral approaches. The relationship of TTM to other disorders is discussed and issues in pharmacotherapy that are unique to TTM are reviewed. A comprehensive behavioral model (ComB) that explains the environmental, motoric, sensory, cognitive, and affective patterns involved in hair pulling is presented. This model is used to describe how a clinician can develop treatment plans tailored to individual patients, including specific strategies for hair pulling reduction. Potential pitfalls and complications that may occur during treatment are also discussed.
Emotional dysregulation: the key to a treatment approach for violent mentally ill individuals
- Authors:
- NEWHILL Christina E., MULVEY Edward P.
- Journal article citation:
- Clinical Social Work Journal, 30(2), Summer 2002, pp.157-171.
- Publisher:
- Springer
- Place of publication:
- New York
Prior research has suggested that psychopathy, substance abuse, and the presence of a personality disorder increase an individual's risk for violence toward others. Substantial clinical literature has established emotional dysregulation as a risk marker for violence toward self. It is hypothesized that emotional dysregulation may be an important component in a constellation of risk markers for violence toward others and may interact with psychopathy and substance abuse in individuals with personality disorders to enhance risk for violence. If these hypothesized relationships exist, it suggests that the development of an intervention approach which directly targets these factors may hold promise. A potential intervention approach based on dialectical behavioral therapy, with case illustrations, is provided.
Mental health
- Author:
- RYAN Peter
- Journal article citation:
- Research Matters, 16, October 2003, pp.37-42.
- Publisher:
- Community Care
Reports on research concerned with ethic difference in the use of mental health service and the use of an innovative approach to dialectical behaviour therapy for the treatment of self-harming women with borderline personality disorder.