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The therapy seesaw: achieving therapeutically balanced approaches to working with emotional distress
- Authors:
- TALKES Kirsty, TENNANT Allison
- Journal article citation:
- British Journal of Forensic Practice, 6(3), August 2004, pp.3-12.
- Publisher:
- Emerald
Discusses barriers that can obstruct a structured therapeutic approach. Focuses on dialectical behaviour therapy as a model and discusses how the concept of 'dialectics' can provide an overriding context for case conceptualisation. Illustrates dialectical dilemmas and powerful dynamics that can be enacted between individuals, teams and patients endeavouring to cope with distress. Describes and elaborates the dialectical philosophy, providing a framework for the synthesis of clinical interpersonal encounters and metaphorical concepts of a therapy seesaw. Discusses how these ideas can guide work with emotionally distressed individuals.
Blue sky hospitals
- Authors:
- ALDRIDGE Jo, SEMPIK Joe
- Journal article citation:
- Openmind, 128, July 2004, pp.8-9.
- Publisher:
- MIND
Looks at the benefits of social and therapeutic horticulture projects for people with mental health problems. Taken from a forthcoming report from the Centre for Child and Family Research at Loughbourgh University in partnership with Thrive, the leading UK charity involved in supporting social and therapeutic horticulture.
Express yourself
- Author:
- EVANS Kate
- Journal article citation:
- Community Care, 12.2.04, 2004, p.28.
- Publisher:
- Reed Business Information
Looks at how poetry and creative writing can provide a valuable outlet for people suffering from poor mental health.
Ward watch: Mind's campaign to improve hospital conditions for mental health patients
- Author:
- MIND
- Publisher:
- MIND
- Publication year:
- 2004
- Pagination:
- 25p.
- Place of publication:
- London
This report reveals two extremes of hospital conditions: for some patients, the hospital environment has provided the treatment and support needed to help them recover; for others, poor accommodation and security, safety concerns, insufficient staffing levels and intense boredom have exacerbated existing difficulties and created new ones, subjecting patients to an environment that is inhumane where it should be therapeutic.
The appropriateness and necessity of short term therapy in the context of the employee assistance programme
- Author:
- TAUTE Florinda
- Journal article citation:
- Social Work Maatskaplike Werk, 40(1), March 2004, pp.15-24.
Discusses critically the concept of short-term therapy within the EAP context, focusing on its appropriateness and necessity. The role of homework during short-term therapy for the employee as a client in EAP is highlighted. Definitions of short term therapy are provided for a better understanding of this work. The types of problems that can be addressed by short-term therapy in the workplace will be discussed.
Therapy culture: cultivating vulnerability in an uncertain age
- Author:
- FUREDI Frank
- Publisher:
- Routledge
- Publication year:
- 2004
- Pagination:
- 245p.
- Place of publication:
- London
We air our feelings and dirty laundry on television talk shows. Many Americans rely on advice from a therapist to get them through daily crises and boost our self-esteem. The news media constantly relays stories of people "at risk". And our lunch conversations are sprinkled with the phrases "scarred for life," "emotionally fragile", and "How did I get here." The author turns his sharp eye to explore the powerful influence of therapeutic imperative in contemporary society . In recent decades virtually every sphere of life has become subject to a new emotional culture. He suggests that the recent cultural turn toward the realm of the emotions coincides with a radical redefinition of who we are. Increasingly vulnerability is presented as the defining feature of our psyches. The book questions the widely accepted notions that this new culture represents an enlightened shift towards emotions and shows how this turn is primarily about imposing a new conformity through the management of our emotions. Through framing the problem of everyday life through the prism of emotions, therapy culture incites everyone to feel powerless and ill. Drawing on developments in popular culture, politics, and social life, the book gives analysis of modern life.
Some thoughts about thought disturbance in adolescence
- Authors:
- CORIGLIANO Anna Maria Nicolo, MACCIONI Sandra
- Journal article citation:
- Journal of Child Psychotherapy, 30(3), December 2004, pp.296-307.
- Publisher:
- Routledge
One of the principal aims of adolescence is the development of the capacity to think for oneself. The authors explore the difficulties caused by disturbances of thinking in borderline adolescents, pointing out the role that the analyst can take in promoting better functioning of their patients' mental processes. Two cases are explored, one through a supervision and the other through direct clinical experience. Both illustrate the efforts of the analyst to carry out 'management in the area of thinking' with those borderline patients who have not received help from their parents to think, and still need to be shown how mentation takes place. The authors propose some changes in technique in order to implement this improvement, including sharing with the patient the way in which the analyst thinks about him. Thinking itself can be an important integrating factor for these patients.
A survey of the provision of psychological treatments to older adults in the NHS
- Author:
- EVANS Sandra
- Journal article citation:
- Psychiatric Bulletin, 28(11), November 2004, pp.411-414.
- Publisher:
- Royal College of Psychiatrists
A questionnaire was sent to old age psychiatrists to ascertain their experience, views and clinical practice regarding psychological therapies in their services. The provision of psychological treatments of all modalities to older people is widely varied in Britain. The main difficulty seems to be a lack of resources, but it would appear that inexperience with psychological therapies applied to older adults is also a factor. Most mental health teams (95%) provide anxiety management therapy, and cognitive–behavioural therapy is widely available (76% of teams), but areas such as training and staff supervision appear to be poorly provided. Suggestions are made to increase provision and quality of service within existing resources; improving services to the standards of the National Service Framework would be a bigger challenge.
A counseling intervention for caregivers: effect on neuropsychiatric symptoms
- Authors:
- SENANARONG Vorapun, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(8), August 2004, pp.781-788.
- Publisher:
- Wiley
In Thailand, family caregivers have an important role in delivering care to patients with dementia. Most patients with dementia in Thailand and also in Western societies live in the community. Training caregivers may improve care of dementia patients. The authors performed a treatment study of a six-month caregiver intervention with group counseling and support with provision of techniques to cope with non-cognitive symptoms of patients with dementia. They hypothesized that this caregiver intervention with group counseling and support would reduce behavioral and neuropsychiatric symptoms in the demented patients. They conducted a parallel group intervention study. A manual for group counseling and support was developed focusing on education regarding dementia, behavioral analysis and intervention, and environmental adaptation. Fifty nonprofessional caregivers - 25 from the control group and 25 from the study group - of patients with dementia from the memory clinic at Siriraj Hospital were alternately assigned to each group as they presented to the clinic if they met the inclusion criteria and agreed to participate. The Thai Mental State Examination (TMSE) was used to assess dementia severity. Forty-five minute counseling sessions were conducted every 6-8 weeks for 6 months and assessments were conducted at 3 months and 6 months. The primary outcome measure was the Neuropsychiatric Inventory (NPI). A paired samples analysis of the NPI scores demonstrated a significant change of the total NPI scores at the end of six month from baseline in the intervention group (P = 0.045). Change from baseline of the comparison group was not significant. There was a trend towards improvement of the TMSE scores between the two groups at month six (p = 0.061). The result favored the treatment group. This study provided evidence of the utility of a non-pharmacologic intervention using group counseling in an out-patient setting for caregivers of patients with dementia.
The effects of light therapy on depressed elders
- Authors:
- TSAI Yun-Fang, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(6), June 2004, pp.516-522.
- Publisher:
- Wiley
Elderly depression has gradually become a severe issue in the health care system. No studies have focused on evaluating the effects of light therapy on the elderly with depression in a subtropical climate area. Experimental design was used. For the experimental group, patients sat in front of a light box, receiving 5000 lux in the morning. The light therapy course was administered for 50 minutes per day and lasted for 5 days. The control group did not receive any treatment. Depressive symptoms were significantly reduced in the experimental group at post-test but no significant decline was found in the control group. Based upon the results of this study, light therapy could be used to decrease depressive symptoms in the elderly.